PTSD Symptomology and Motivated Alcohol Use Among Military Service Members: Testing a Conditional Indirect Effect Model of Social Support

References

• Adler, D. A., Possemato, K., Mavandadi, S., Lerner, D., Chang, H., Klaus, J., … Oslin, D. W. (2011). Psychiatric status and work performance of veterans of Operations Enduring Freedom and Iraqi Freedom. Psychiatric Services, 62(1), 39–46.
   PubMed Web of Science ®Google Scholar
• Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage.
   Google Scholar
• Aguinis, H., Gottfredson, R. K., & Joo, H. (2013). Best-practice recommendations for defining, identifying, and handling outliers. Organizational Research Methods, 16(2), 270–301.
   Web of Science ®Google Scholar
• Allen, J. P., Litten, R. Z., Fertig, J. B., & Babor, T. (1997). A review of research on the Alcohol Use Disorders Identification Test (AUDIT). Alcoholism: Clinical and Experimental Research, 21(4), 613–619.
   PubMed Web of Science ®Google Scholar
• American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mental disorders, (5th ed.). Washington, DC: Author.
   Google Scholar
• Angkaw, A. C., Haller, M., Pittman, J. O. E., Nunnink, S. E., Norman, S. B., Lemmer, J. A., … Baker, D. G. (2015). Alcohol-related consequences mediating PTSD symptoms and mental health-related quality of life in OEF/OIF combat veterans. Military Medicine, 180(6), 670–674.
   PubMed Web of Science ®Google Scholar
• Armeli, S., Tennen, H., Todd, M., Carney, M. A., Mohr, C., Affleck, G., & Hromi, A. (2003). A daily process examination of the stress-response dampening effects of alcohol consumption. Psychology of Addictive Behaviors, 17(4), 266–276. doi: 10.1037/0893-164X.17.4.266
   PubMed Web of Science ®Google Scholar
• Benjamini, Y., & Hochberg, Y. (1995). Controlling the false discovery rate: A practical and powerful approach to multiple testing. Journal of the Royal Statistical Society. Series B, 57, 289–300.
   Web of Science ®Google Scholar
• Bliese, P. D., Wright, K. M., Adler, A. B., Cabrera, O., Castro, C. A., & Hoge, C. W. (2008). Validating the primary care posttraumatic stress disorder screen and the posttraumatic stress disorder checklist with soldiers returning from combat. Journal of Consulting and Clinical Psychology, 76(2), 272–281.
   PubMed Web of Science ®Google Scholar
• Britt, T. W., Greene-Shortridge, T. M., & Castro, C. A. (2007). The stigma of mental health problems in the military. Military Medicine, 172(2), 157–161.
   PubMed Web of Science ®Google Scholar
• Cabrera, O. A., Hoge, C. W., Bliese, P. D., Castro, C. A., & Messer, S. C. (2007). Childhood adversity and combat as predictors of depression and post-traumatic stress in deployed troops. American Journal of Preventive Medicine, 33(2), 77–82.
   PubMed Web of Science ®Google Scholar
• Cacioppo, J. T., Adler, A. B., Lester, P. B., McGurk, D., Thomas, J. L., Chen, H., & Cacioppo, S. (2015). Building social resilience in soldiers: A double dissociative randomized controlled study. Journal of Personality and Social Psychology, 109(1), 90–105.
   PubMed Web of Science ®Google Scholar
• Cacioppo, J. T., Cacioppo, S., Adler, A. B., Lester, P. B., McGurk, D., Thomas, J. L., & Chen, H. Y. (2016). The cultural context of loneliness: Risk factors in active duty soldiers. Journal of Social and Clinical Psychology, 35(10), 865–882.
   Web of Science ®Google Scholar
• Cohen, S., & Lemay, E. P. (2007). Why would social networks be linked to affect and health practices? Health Psychology, 26(4), 410–417.
   PubMed Web of Science ®Google Scholar
• Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310–357.
   PubMed Web of Science ®Google Scholar
• Cooper, M. L., Agocha, V. B., & Sheldon, M. S. (2000). A motivation perspective on risky behaviors: The role of personality and affect regulatory processes. Journal of Personality, 68(6), 1059–1088.
   PubMed Web of Science ®Google Scholar
• Cooper, M. L., Frone, M. R., Russell, M., & Mudar, P. (1995). Drinking to regulate positive and negative emotions: A motivational model of alcohol use. Journal of Personality and Social Psychology, 69(5), 990–1005.
   PubMed Web of Science ®Google Scholar
• Cooper, M. L., Kuntsche, E., Levitt, A., Barber, L., & Wolf, S. (2016). A motivational perspective on substance use: Review of theory and research. In K. J. Sher (Ed.), Oxford Handbook of Substance Use Disorders. New York, NY: Oxford University Press. doi: 10.1093/oxfordhb/9780199381678.013.017
   Google Scholar
• Cox, M., & Klinger, E. (1988). A motivational model of alcohol use. Journal of Abnormal Psychology, 97(2), 168–180.
   PubMed Web of Science ®Google Scholar
• Dakof, G. A., & Taylor, S. E. (1990). Victims' perceptions of social support: what is helpful from whom? Journal of Personality and Social Psychology, 58(1), 80–89.
   PubMed Web of Science ®Google Scholar
• David, J. P., & Suls, J. (1999). Coping efforts in daily life: Role of big five traits and problem appraisals. Journal of Personality, 67(2), 265–294.
   PubMed Web of Science ®Google Scholar
• Fisher, C. A., Hoffman, K. J., Austin-Lane, J., & Kao, T. (2000). The relationship between heavy alcohol use and work productivity loss in active duty military personnel: A secondary analysis of the 1995 Department of Defense Worldwide Survey. Military Medicine, 165(5), 355–361.
   PubMed Web of Science ®Google Scholar
• Foa, E. B., & Williams, M. T. (2010). Methodology of a randomize double-blind clinical trial for comorbid posttraumatic stress disorder and alcohol dependence. Mental Health and Substance Use: Dual Diagnosis, 3(2), 131–147.
   PubMedGoogle Scholar
• Greeley, J., & Oei, T. (1999). Alcohol and tension reduction. In K. E. Leonard & H. T. Blane (Eds.), Psychological theories of drinking and alcoholism (2nd ed., pp. 14–53). New York, NY: Guilford Press.
   Google Scholar
• Gros, D. F., Flanagan, J. C., Korte, K. J., Mills, A. C., Brady, K. T., & Back, S. E. (2016). Relations among social support, PTSD symptoms, and substance use in veterans. Psychology of Addictive Behaviors. doi:http://dx.doi.org/10.1037/adb0000205
   Google Scholar
• Guyker, W. M., Donnelly, K., Donnelly, J. P., Dunnam, M., Warner, G. C., Kittleson, J., … Meier, S. T. (2013). Dimensionality, reliability, and validity of the combat experiences scale. Military Medicine, 178(4), 377–384.
   PubMed Web of Science ®Google Scholar
• Hammer, L. B., Wan, W. H., Brockwood, K. J., Mohr, C. D., & Carlson, K. F. (2017). Military, work, and health characteristics of veterans and reservists from the Study for Employment Retention of Veterans (SERVe) (under review).
   Google Scholar
• Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York, NY: The Guilford Press.
   Google Scholar
• Hien, D. A., Jiang, H., Campbell, A. N. C., Hu, M.-C., Miele, G. M., Cohen, L. R., … Robinson, J. (2010). Do treatment improvements in PTSD severity affect substance use outcomes? A secondary analysis from a randomized clinical trial in NIDAs clinical trials network. American Journal of Psychiatry, 167, 95–101.
   PubMed Web of Science ®Google Scholar
• Hoge, C. W., Terhakopian, A., Castro, C. A., Messer, S. C., & Engel, C. C. (2007). Association of posttraumatic stress disorder with somatic symptoms, health care visits, and absenteeism among Iraq war veterans. American Journal of Psychiatry, 164(1), 150–153.
   PubMed Web of Science ®Google Scholar
• International Center for Alcohol Policies. (1998). What is a standard drink? Retrieved from http://www.icap.org/portals/0/download/all_pdfs/ICAP_Reports_English/report5.pdf.
   Google Scholar
• IOM (Institute of Medicine). (2012). Substance use disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press.
   Google Scholar
• IOM (Institute of Medicine). (2014). Treatment for posttraumatic stress disorder in military and veteran populations: Final assessment. Washington, DC: The National Academies Press.
   Google Scholar
• Jacobson, I. G., Ryan, M. A. K., Hooper, T. I., Smith, T. C., Amoroso, P. J., Boyko, E. J., … Bell, N. S. (2008). Alcohol use and alcohol-related problems before and after military combat deployment. JAMA, 300(6), 663–675.
   PubMed Web of Science ®Google Scholar
• Khantzian, E. J. (2003). Understanding addictive vulnerability. Neuro-Psychoanalysis, 5, 5–21.
   Google Scholar
• King, D. W., King, L. A., Foy, D. W., Keane, T. M., & Fairbank, J. A. (1999). Posttraumatic stress disorder in a national sample of female and male Vietnam veterans: Risk factors, war-zone stressors, and resilience-recovery variables. Journal of Abnormal Psychology, 108(1), 164–170.
   PubMed Web of Science ®Google Scholar
• Kuntsche, E., Gabhainn, S. N., Roberts, C., Windlin, B., Vieno, A., Bendtsen, P., … Wicki, M. (2014). Drinking motives and links to alcohol use in 13 European countries. Journal of Studies on Alcohol and Drugs, 75, 428–437.
   PubMed Web of Science ®Google Scholar
• Kuntsche, E., Knibbe, R., Gmel, G., & Engels, R. (2005). Why do young people drink? A review of drinking motives. Clinical Psychology Review, 25(7), 841–861.
   PubMed Web of Science ®Google Scholar
• Kuntsche, E., & Kuntsche, S. (2009). Development and validation of the Drinking Motive Questionnaire Revised Short Form (DMQ-R SF). Journal of Clinical Child and Adolescent Psychology, 38(6), 899–908.
   PubMed Web of Science ®Google Scholar
• Kuntsche, E., von Fischer, M., & Gmel, G. (2008). Personality factors and alcohol use: A mediator analysis of drinking motives. Personality and Individual Differences, 45(8), 796–800.
   Web of Science ®Google Scholar
• Maisto, S. A., Carey, K. B., & Bradizza, C. M. (1999). Social Learning Theory. In K. E. Leonard & H. T. Blane (Eds.), Psychological theories of drinking and alcoholism (2nd ed., pp. 106–163). New York, NY: Guilford Press.
   Google Scholar
• Markus, H., & Wurf, E. (1987). The dynamic self-concept: A social psychological perspective. Annual Review of Psychology, 38(1), 299–337.
   Web of Science ®Google Scholar
• McCreary, D. R., & Sadava, S. W. (1998). Stress, drinking, and the adverse consequences of drinking in two samples of young adults. Psychology of Addictive Behaviors, 12(4), 247–261.
   Web of Science ®Google Scholar
• McDevitt-Murphy, M. E., Fields, J. A., Monahan, C. J., & Bracken, K. L. (2015). Drinking motives among heavy-drinking veterans with and without posttraumatic stress disorder. Addiction Research & Theory, 23(2), 148–155.
   PubMed Web of Science ®Google Scholar
• McFarlane, A. C., Browne, D., Bryant, R. A., O'Donnell, M., Silove, D., Creamer, M., & Horsley, K. (2009). A longitudinal analysis of alcohol consumption and the risk of posttraumatic symptoms. Journal of Affective Disorders, 118(1–3), 166–172.
   PubMed Web of Science ®Google Scholar
• Miller, P. M., Book, S., Thomas, S., Smith, J., Randall, P., & Randall, C. (2014). The potential utility of drinking motive questions to screen at-risk drinking in socially anxious patients. Journal of Substance Use, 19, 225–228.
   PubMed Web of Science ®Google Scholar
• Miller, S. M., Pedersen, E. R., & Marshall, G. N. (2017). Combat experience and problem-drinking in veterans: Exploring the roles of PTSD, coping motives, and perceived stigma. Addictive Behaviors, 66, 90–95.
   PubMed Web of Science ®Google Scholar
• Miller, W. R., & Rollnick, S. (1991). Motivational interviewing: Preparing people to change addictive behavior. New York: Guilford Press.
   Google Scholar
• Mohr, C. D., Averna, S., Kenny, D. A., & Del Boca, F. K. (2001). “Getting by (or getting high) with a little help from my friends”: An examination of adult alcoholics’ friendships. Journal of Studies on Alcohol, 62, 637–645.
   PubMed Web of Science ®Google Scholar
• Mohr, C., McCabe, C. T., Haverly, S., Hammer, L., & Carlson, K. (2018). Drinking motives and alcohol use: The SERVe study of U.S. current and former service members. Journal of Studies on Alcohol and Drugs, 79(1), 79–87.
   PubMed Web of Science ®Google Scholar
• Nolen-Hoeksema, S. (2004). Gender differences in risk factors and consequences for alcohol use and problems. Clinical Psychology Review, 24(8), 981–1010.
   PubMed Web of Science ®Google Scholar
• Norman, S. B., Schmied, E., & Larson, G. E. (2014). Predictors of Continued Problem Drinking and Substance Use Following Military Discharge. Journal of Studies on Alcohol and Drugs, 75(4), 557–566.
   PubMed Web of Science ®Google Scholar
• Pietrzak, R. H., Johnson, D. C., Goldstein, M. B., Malley, J. C., Rivers, A. J., Morgan, C. A., & Southwick, S. M. (2010). Psychosocial buffers of traumatic stress, depressive symptoms, and psychosocial difficulties in veterans of Operations Enduring Freedom and Iraqi Freedom: The role of resilience, unit support, and postdeployment social support. Journal of Affective Disorders, 120(1-3), 188–192.
   PubMed Web of Science ®Google Scholar
• Preacher, K. J., Rucker, D. D., & Hayes, A. F. (2007). Addressing Moderated Mediation Hypotheses: Theory, Methods, and Prescriptions. Multivariate Behavioral Research, 42, 185–227. doi: 10.1080/00273170701341316
   PubMed Web of Science ®Google Scholar
• Procidano, M. E., & Heller, K. (1983). Measures of perceived social support from friends and family: Three validation studies. American Journal of Community Psychology, 11(1), 1–24.
   PubMed Web of Science ®Google Scholar
• Rice, C., & Longabaugh, R. (1996). Measuring general social support in alcoholic patients: Short forms for perceived social support. Psychology of Addictive Behaviors, 10(2), 104–114.
   Web of Science ®Google Scholar
• Russell, D. W., Benedek, D. M., Naifeh, J. A., Fullerton, C. S., Benevides, N., Ursano, R. J., …., Cacioppo, J. T. (2016). Social support and mental health outcomes among U.S. Army Special Operations personnel. Military Psychology. doi: 10.1037/mil0000114
   Google Scholar
• Saunders, J., Aasland, O., Babor, T., De La Fuente, J., & Grant, M. (1993). Development of the Alcohol Use Disorders Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction, 88(6), 791–804.
   PubMed Web of Science ®Google Scholar
• Sayer, N. A., Noorbaloochi, S., Frazier, P., Carlson, K., Gravely, A., & Murdoch, M. (2010). Reintegration problems and treatment interests among Iraq and Afghanistan combat veterans receiving VA medical care. Psychiatric Services, 61(6), 589–597.
   PubMed Web of Science ®Google Scholar
• Simpson, T. L., Stappenbeck, C. A., Luterek, J. A., Lehavot, K., & Kaysen, D. L. (2014). Drinking motives moderate daily relationships between PTSD symptoms and alcohol use. Journal of Abnormal Psychology, 123(1), 237–247.
   PubMed Web of Science ®Google Scholar
• Smith, B. N., Taverna, E. C., Fox, A. B., Schnurr, P. P., Matteo, R. A., & Vogt, D. (2017). The role of PTSD, depression, and alcohol misuse symptom severity in linking deployment stressor exposure and post-military work and family outcomes in male and female veterans. Clinical Psychological Science. doi: 10.1177/2167702617705672
   Google Scholar
• Stewart, S. H., & Devine, H. (2000). Relations between personality and drinking motives in young people. Personality and Individual Differences, 29(3), 495–511. http://dx.doi.org/10.1016/S0191-8869(99)00210-X
   Web of Science ®Google Scholar
• Substance Abuse and Mental Health Services Administration (SAMHSA). (2014). National Survey on Drug Use and Health (NSDUH). Table 2.46B—Alcohol use, binge alcohol use, and heavy alcohol use in the past month among persons aged 18 or older, by demographic characteristics: Percentages, 2013 and 2014. Available at http://www.samhsa.gov/data/sites/default/files/NSDUH-DetTabs2014/NSDUH-DetTabs2014.htm#tab2-46b
   Google Scholar
• Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Boston: Pearson.
   Google Scholar
• Tanielian, T., & L. H. Jaycox (Eds.). (2008). Invisible wounds of war: Psychological and cognitive injuries, their consequences, and services to assist recovery. Santa Monica, CA: RAND Corporation.
   Google Scholar
• Thomas, J. L., Wilk, J. E., Riviere, L. A., Mcgurk, D., Castro, C. A., & Hoge, C. W. (2010). Prevalence of mental health problems and functional impairment among active component and national guard soldiers 3 and 12 months following combat in Iraq. Archives of General Psychiatry, 67(6), 614–623.
   PubMed Web of Science ®Google Scholar
• Uchino, B. N., Cacioppo, J. T., & Kiecolt-Glaser, J. K. (1996). The relationship between social support and physiological processes: A review with emphasis on underlying mechanisms and implications for health. Psychological Bulletin, 119(3), 488–531.
   PubMed Web of Science ®Google Scholar
• Wilcox, S. (2010). Social relationships and PTSD symptomatology in combat veterans. Psychological Trauma: Theory, Research, Practice, and Policy, 2(3), 175–182.
   Web of Science ®Google Scholar
• Wurdak, M., Wolstein, J., & Kuntsche, E. (2016). Effectiveness of a drinking-motive-tailored emergency-room intervention among adolescents admitted to hospital due to acute alcohol intoxication – a randomized controlled trial. Preventive Medicine Reports, 3, 83–89.
   PubMedGoogle Scholar