TY - JOUR
T1 - Dimensions of childhood trauma and their direct and indirect links to PTSD, impaired control over drinking, and alcohol-related-problems
AU - Patock-Peckham, Julie A.
AU - Belton, Daniel A.
AU - D'Ardenne, Kimberlee
AU - Tein, Jenn Yun
AU - Bauman, Dylan C.
AU - Infurna, Frank J.
AU - Sanabria, Federico
AU - Curtis, John
AU - Morgan-Lopez, Antonio A.
AU - McClure, Samuel M.
N1 - Funding Information:
Funding for this study was provided by NIH/NIAAA grant K01AA024160-01A1 to Julie A. Patock-Peckham. NIH/NIAAA had no role in the study design, collection, analysis or interpretation of the data, writing of the manuscript or the decision to submit the paper for publication. Funding was also provided by the Burton Family Foundation to the Social Addictions Impulse Lab (SAIL). The Burton Family Foundation had no role in the study design, collection, analysis or interpretation of the data, writing of the manuscript, or the decision to submit the paper for publication.
Funding Information:
NIH/NIAAA grant K01AA024160-01A1 to Julie A. Patock-Peckham. The Burton Family Foundation (FP11815) grant to the Social Addictions Impulse Lab (SAIL).
Publisher Copyright:
© 2020
PY - 2020/12
Y1 - 2020/12
N2 - Introduction: Post-Traumatic Stress Disorder (PTSD) develops after experiencing events that evoke fear, helplessness, or horror. The Hyperarousablity Hypothesis suggests that those with PTSD may drink more to dampen physiological reactivity. We examined the direct and indirect relationships between childhood trauma (e.g., physical-neglect, emotional-abuse, physical-abuse, sexual-abuse) versus an emotionally-supportive-family on PTSD, impaired control over drinking (IC), alcohol-use, and alcohol-related-problems. IC reflects consuming more alcohol than one originally intended. Methods: We fit a multiple-group SEM to data on 835 participants. Mediational analyses were conducted by using the (K = 20,000) bootstrap technique with confidence intervals. Results: Physical-neglect was directly linked to more IC among both genders. Emotional abuse was also found to be directly linked to more PTSD among both genders. Furthermore, PTSD was directly linked to more impaired control over alcohol use (IC) among both genders. Mediational analyses showed that physical-neglect was indirectly linked to more alcohol-related-problems through increased IC. Having an emotionally supportive family was directly linked to fewer PTSD symptoms among women. For both genders, emotional abuse was indirectly linked to more alcohol-related-problems through more PTSD symptoms, impaired control over alcohol use difficulties, and in turn, more alcohol-use. Sexual abuse was indirectly linked to increased alcohol-related- problems through increased PTSD symptoms and more IC, and in turn, more alcohol-use among men. Conclusions: Recalled childhood trauma (sexual and emotional abuse) may contribute to PTSD symptoms and dysregulated drinking. In conclusion, our data suggest that reducing PTSD symptoms may assist individuals in regaining control over their drinking.
AB - Introduction: Post-Traumatic Stress Disorder (PTSD) develops after experiencing events that evoke fear, helplessness, or horror. The Hyperarousablity Hypothesis suggests that those with PTSD may drink more to dampen physiological reactivity. We examined the direct and indirect relationships between childhood trauma (e.g., physical-neglect, emotional-abuse, physical-abuse, sexual-abuse) versus an emotionally-supportive-family on PTSD, impaired control over drinking (IC), alcohol-use, and alcohol-related-problems. IC reflects consuming more alcohol than one originally intended. Methods: We fit a multiple-group SEM to data on 835 participants. Mediational analyses were conducted by using the (K = 20,000) bootstrap technique with confidence intervals. Results: Physical-neglect was directly linked to more IC among both genders. Emotional abuse was also found to be directly linked to more PTSD among both genders. Furthermore, PTSD was directly linked to more impaired control over alcohol use (IC) among both genders. Mediational analyses showed that physical-neglect was indirectly linked to more alcohol-related-problems through increased IC. Having an emotionally supportive family was directly linked to fewer PTSD symptoms among women. For both genders, emotional abuse was indirectly linked to more alcohol-related-problems through more PTSD symptoms, impaired control over alcohol use difficulties, and in turn, more alcohol-use. Sexual abuse was indirectly linked to increased alcohol-related- problems through increased PTSD symptoms and more IC, and in turn, more alcohol-use among men. Conclusions: Recalled childhood trauma (sexual and emotional abuse) may contribute to PTSD symptoms and dysregulated drinking. In conclusion, our data suggest that reducing PTSD symptoms may assist individuals in regaining control over their drinking.
KW - Alcohol use
KW - Dysregulated drinking
KW - Emotional abuse
KW - Physical Neglect: PTSD
KW - Sexual abuse
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U2 - 10.1016/j.abrep.2020.100304
DO - 10.1016/j.abrep.2020.100304
M3 - Article
AN - SCOPUS:85092725135
SN - 2352-8532
VL - 12
JO - Addictive Behaviors Reports
JF - Addictive Behaviors Reports
M1 - 100304
ER -