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The relationship between DSM-5 PTSD symptom clusters and alcohol misuse among military veterans.
Am J Addict 2018; 27(1):23-28AJ

Abstract

BACKGROUND AND OBJECTIVES

Prior research has revealed a strong relationship between Posttraumatic Stress Disorder (PTSD) and alcohol misuse. However, previous attempts to understand nuanced associations between PTSD symptom clusters and alcohol misuse within military veteran samples have produced mixed results. In an attempt to better understand the associations between PTSD and alcohol misuse, the current study examined the unique relationships between the newly classified Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) PTSD symptom clusters and alcohol misuse in an outpatient sample of military veterans seeking treatment for PTSD and Substance Use Disorders.

METHODS

Veterans (N = 100) were administered a brief battery of self-report questionnaires prior to receiving psychological services to aid in diagnostic assessment and treatment planning.

RESULTS

Hierarchical regression analyses revealed that PTSD intrusions (cluster B), negative alterations in cognition and mood (cluster D), and arousal/reactivity (cluster E) symptoms were associated with alcohol misuse.

DISCUSSION AND CONCLUSIONS

The positive association between alcohol misuse and PTSD symptom severity is consistent with a broader body of literature demonstrating the co-occurrence of these disorders, particularly in military samples.

SCIENTIFIC SIGNIFICANCE

Increased alcohol consumption may interfere with current front-line treatments for PTSD, which encourages patients to experience a full range of emotions. As such, future research should explore the impact of substance use on the effectiveness of trauma focused treatments in the alleviation of DSM-5 PTSD symptoms. (Am J Addict 2018;27:23-28).

Authors+Show Affiliations

Southeast Louisiana Veterans Health Care System, PTSD Clinical Team, New Orleans, Louisiana. Department of Psychiatry and Behavioral Sciences, Tulane University School of Medicine, New Orleans, Louisiana. South Central VA Healthcare Network Mental Illness Research, Education, and Clinical Center (MIRECC), New Orleans, Louisiana.Southeast Louisiana Veterans Health Care System, PTSD Clinical Team, New Orleans, Louisiana. South Central VA Healthcare Network Mental Illness Research, Education, and Clinical Center (MIRECC), New Orleans, Louisiana.Southeast Louisiana Veterans Health Care System, PTSD Clinical Team, New Orleans, Louisiana. Department of Psychiatry and Behavioral Sciences, Tulane University School of Medicine, New Orleans, Louisiana. South Central VA Healthcare Network Mental Illness Research, Education, and Clinical Center (MIRECC), New Orleans, Louisiana.Southeast Louisiana Veterans Health Care System, PTSD Clinical Team, New Orleans, Louisiana.Southeast Louisiana Veterans Health Care System, PTSD Clinical Team, New Orleans, Louisiana.Southeast Louisiana Veterans Health Care System, PTSD Clinical Team, New Orleans, Louisiana. Department of Psychiatry and Behavioral Sciences, Tulane University School of Medicine, New Orleans, Louisiana. South Central VA Healthcare Network Mental Illness Research, Education, and Clinical Center (MIRECC), New Orleans, Louisiana.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29251380

Citation

Walton, Jessica L., et al. "The Relationship Between DSM-5 PTSD Symptom Clusters and Alcohol Misuse Among Military Veterans." The American Journal On Addictions, vol. 27, no. 1, 2018, pp. 23-28.
Walton JL, Raines AM, Cuccurullo LJ, et al. The relationship between DSM-5 PTSD symptom clusters and alcohol misuse among military veterans. Am J Addict. 2018;27(1):23-28.
Walton, J. L., Raines, A. M., Cuccurullo, L. J., Vidaurri, D. N., Villarosa-Hurlocker, M. C., & Franklin, C. L. (2018). The relationship between DSM-5 PTSD symptom clusters and alcohol misuse among military veterans. The American Journal On Addictions, 27(1), pp. 23-28. doi:10.1111/ajad.12658.
Walton JL, et al. The Relationship Between DSM-5 PTSD Symptom Clusters and Alcohol Misuse Among Military Veterans. Am J Addict. 2018;27(1):23-28. PubMed PMID: 29251380.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The relationship between DSM-5 PTSD symptom clusters and alcohol misuse among military veterans. AU - Walton,Jessica L, AU - Raines,Amanda M, AU - Cuccurullo,Lisa-Ann J, AU - Vidaurri,Desirae N, AU - Villarosa-Hurlocker,Margo C, AU - Franklin,C L, Y1 - 2017/12/18/ PY - 2017/06/20/received PY - 2017/11/15/revised PY - 2017/11/29/accepted PY - 2017/12/19/pubmed PY - 2019/6/7/medline PY - 2017/12/19/entrez SP - 23 EP - 28 JF - The American journal on addictions JO - Am J Addict VL - 27 IS - 1 N2 - BACKGROUND AND OBJECTIVES: Prior research has revealed a strong relationship between Posttraumatic Stress Disorder (PTSD) and alcohol misuse. However, previous attempts to understand nuanced associations between PTSD symptom clusters and alcohol misuse within military veteran samples have produced mixed results. In an attempt to better understand the associations between PTSD and alcohol misuse, the current study examined the unique relationships between the newly classified Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) PTSD symptom clusters and alcohol misuse in an outpatient sample of military veterans seeking treatment for PTSD and Substance Use Disorders. METHODS: Veterans (N = 100) were administered a brief battery of self-report questionnaires prior to receiving psychological services to aid in diagnostic assessment and treatment planning. RESULTS: Hierarchical regression analyses revealed that PTSD intrusions (cluster B), negative alterations in cognition and mood (cluster D), and arousal/reactivity (cluster E) symptoms were associated with alcohol misuse. DISCUSSION AND CONCLUSIONS: The positive association between alcohol misuse and PTSD symptom severity is consistent with a broader body of literature demonstrating the co-occurrence of these disorders, particularly in military samples. SCIENTIFIC SIGNIFICANCE: Increased alcohol consumption may interfere with current front-line treatments for PTSD, which encourages patients to experience a full range of emotions. As such, future research should explore the impact of substance use on the effectiveness of trauma focused treatments in the alleviation of DSM-5 PTSD symptoms. (Am J Addict 2018;27:23-28). SN - 1521-0391 UR - https://www.unboundmedicine.com/medline/citation/29251380/The_relationship_between_DSM_5_PTSD_symptom_clusters_and_alcohol_misuse_among_military_veterans_ L2 - https://doi.org/10.1111/ajad.12658 DB - PRIME DP - Unbound Medicine ER -