@article{ref1,
title="Dimensions of childhood trauma and their direct and indirect links to PTSD, impaired control over drinking, and alcohol-related-problems",
journal="Addictive behaviors reports",
year="2020",
author="Patock-Peckham, Julie A. and Belton, Daniel A. and D'Ardenne, Kimberlee and Tein, Jenn-Yun and Bauman, Dylan C. and Infurna, Frank J. and Sanabria, Federico and Curtis, John and Morgan-Lopez, Antonio A. and McClure, Samuel M.",
volume="12",
number="",
pages="e100304-e100304",
abstract="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. <br><br>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. <br><br>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. <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="2352-8532",
doi="10.1016/j.abrep.2020.100304",
url="http://dx.doi.org/10.1016/j.abrep.2020.100304"
}