Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/87346
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Type: Journal article
Title: The temporal relationship between posttraumatic stress disorder and problem alcohol use following traumatic injury
Author: Nickerson, A.
Barnes, J.
Creamer, M.
Forbes, D.
McFarlane, A.
O'Donnell, M.
Silove, D.
Steel, Z.
Bryant, R.
Citation: Journal of Abnormal Psychology, 2014; 123(4):821-834
Publisher: American Psychological Association
Issue Date: 2014
ISSN: 0021-843X
1939-1846
Statement of
Responsibility: 
Angela Nickerson, J. Ben Barnes, Mark Creamer, David Forbes, Alexander C. McFarlane, Meaghan O’Donnell, Derrick Silove, Zachary Steel, Richard A. Bryant
Abstract: Chronic alcohol abuse is a major public health concern following trauma exposure; however, little is known about the temporal association between posttraumatic stress disorder (PTSD) symptoms and problem alcohol use. The current study examined the temporal relationship between PTSD symptom clusters (re-experiencing, effortful avoidance, emotional numbing, and hyperarousal) and problem alcohol use following trauma exposure. This study was a longitudinal survey of randomly selected traumatic injury patients interviewed at baseline, 3 months, 12 months, and 24 months following injury. Participants were 1,139 injury patients recruited upon admission from 4 Level 1 trauma centers across Australia. Participants were assessed using the Clinician Administered PTSD Scale and Alcohol Use Disorders Identification Test. Results indicated that high levels of re-experiencing, effortful avoidance, and hyperarousal symptoms at 12 months were associated with greater increases (or smaller decreases) in problem alcohol use between 12 and 24 months. Findings also suggested that high levels of problem alcohol use at 12 months were associated with greater increases (or smaller decreases) in emotional numbing symptoms between 12 and 24 months. These findings highlight the critical importance of the chronic period following trauma exposure in the relationship between PTSD symptoms and problem alcohol use.
Keywords: Trauma; posttraumatic stress disorder; alcohol use; injury
Rights: ©2014 American Psychological Association
RMID: 0030015036
DOI: 10.1037/a0037920
Grant ID: http://purl.org/au-research/grants/nhmrc/568970
http://purl.org/au-research/grants/nhmrc/1037091
Appears in Collections:Psychiatry publications

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