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Journal of Dual Diagnosis
research and practice in substance abuse comorbidity
Volume 15, 2019 - Issue 1
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Original Articles

Posttraumatic Symptomatology and Alcohol Misuse Among Black College Students: Examining the Influence of Anxiety Sensitivity

, BA, , MA, , PhD & , PhD
Pages 25-35 | Received 21 May 2018, Accepted 15 Sep 2018, Published online: 12 Nov 2018

References

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., Text Revision). Washington, DC: Author.
  • American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
  • Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., & Monteiro, M. G. & World Health Organization (2001). AUDIT: The Alcohol Use Disorders Identification Test: Guidelines for use in primary health care (2nd ed.). Geneva: World Health Organization.
  • Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182. doi:10.1037/0022-3514.51.6.1173
  • Berenz, E. C., Kevorkian, S., Chowdhury, N., Dick, D. M., Kendler, K. S., & Amstadter, A. B. (2016). Posttraumatic stress disorder symptoms, anxiety sensitivity, and alcohol-use motives in college students with a history of interpersonal trauma. Psychology of Addictive Behaviors, 30(7), 755–763. doi:10.1037/adb0000193
  • Blanchard, E. B., Jones-Alexander, J., Buckley, T. C., & Forneris, C. A. (1996). Psychometric properties of the PTSD Checklist (PCL). Behaviour Research and Therapy, 34(8), 669–673.
  • Blanco, C., Okuda, M., Wright, C., Hasin, D. S., Grant, B. F., Liu, S. M., & Olfson, M. (2008). Mental health of college students and their non–college-attending peers: Results from the national epidemiologic study on alcohol and related conditions. Archives of General Psychiatry, 65(12), 1429–1437. doi:10.1001/archpsyc.65.12.1429
  • Bromet, E., Sonnega, A., & Kessler, R. C. (1998). Risk factors for DSM-III-R posttraumatic stress disorder: Findings from the National Comorbidity Survey. American Journal of Epidemiology, 147(4), 353–361. doi:10.1093/oxfordjournals.aje.a009457
  • Capell, H., & Greeley, J. (1987). Alcohol and tension reduction: An update on research and theory. In H.T. Blane & K.E. Leonard (Eds.), Psychological theories of drinking and alcoholism (pp. 15–54). New York: Guilford Press.
  • Chapman, A. L., Gratz, K. L., & Brown, M. Z. (2006). Solving the puzzle of deliberate self-harm: The experiential avoidance model. Behaviour Research and Therapy, 44(3), 371–394. doi:10.1016/j.brat.2005.03.005
  • Conger, J. J. (1956). Alcoholism: theory, problem and challenge. II. Reinforcement theory and the dynamics of alcoholism. Quarterly Journal of Studies on Alcohol, 17(2), 296–305.
  • Contractor, A. A., Presseau, C., Capone, C., Reddy, M. K., & Shea, M. T. (2016). The moderating role of dysphoria in the relationship between intrusions and alcohol use. Addictive Behaviors, 55, 5–14. doi:10.1016/j.addbeh.2015.12.010
  • Darrow, S. L., Russell, M., Cooper, M. L., Mudar, P. J., & Frone, M. R. (1992). Sociodemographic correlates of alcohol consumption among African-American and white women. Women and Health, 18(4), 35–51. doi:10.1300/J013v18n04_03
  • Davidson, J. R., & Foa, E. B. (1991). Diagnostic issues in posttraumatic stress disorder: Considerations for the DSM-IV. Journal of Abnormal Psychology, 100(3), 346–355. doi: 10.1037/0021-843X.100.3.346
  • Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38(4), 319–345. doi:10.1016/S0005-7967(99)00123-0
  • Fedroff, I. C., Taylor, S., Asmundson, G. J., & Koch, W. J. (2000). Cognitive factors in traumatic stress reactions: Predicting PTSD symptoms from anxiety sensitivity and beliefs about harmful events. Behavioural and Cognitive Psychotherapy, 28(1), 5–15.
  • Fergus, T. A., Kelley, L. P., & Griggs, J. O. (2017). Examining the ethnoracial invariance of a bifactor model of anxiety sensitivity and the incremental validity of the physical domain-specific factor in a primary-care patient sample. Psychological Assessment, 29(10), 1290–1295. doi:10.1037/pas0000431
  • Gillihan, S. J., Farris, S. G., & Foa, E. B. (2011). The effect of anxiety sensitivity on alcohol consumption among individuals with comorbid alcohol dependence and posttraumatic stress disorder. Psychology of Addictive Behaviors, 25(4), 721–726. doi:10.1037/a0023799
  • Gratz, K. L., & Tull, M. T. (2010). Emotion regulation as a mechanism of change in acceptance- and mindfulness-based treatments. In R.A. Baer (Ed.), Assessing mindfulness and acceptance processes in clients: Illuminating the theory and practice of change (pp. 107–133). Oakland, CA: New Harbinger Publications, Inc.
  • Gray, M. J., Litz, B. T., Hsu, J. L., & Lombardo, T. W. (2004). Psychometric properties of the Life Events Checklist. Assessment, 11(4), 330–341. doi:10.1177/1073191104269954
  • Hayes, A. F. (2009). Beyond Baron and Kenny: Statistical mediation analysis in the new millennium. Communication Monographs, 76(4), 408–420. doi:10.1080/03637750903310360
  • Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1–25. doi:10.1016/j.brat.2005.06.006
  • Holmes, A., Fitzgerald, P. J., MacPherson, K. P., DeBrouse, L., Colacicco, G., Flynn, S. M., … & Kash, T. L. (2012). Chronic alcohol remodels prefrontal neurons and disrupts NMDAR-mediated fear extinction encoding. Nature Neuroscience, 15(10), 1359–1361.
  • Hopkins, P. D., & Shook, N. J. (2017). A review of sociocultural factors that may underlie differences in African American and European American anxiety. Journal of Anxiety Disorders, 49, 104–113. doi:10.1016/j.janxdis.2017.04.003
  • James, L. R., & Brett, J. M. (1984). Mediators, moderators, and tests for mediation. Journal of Applied Psychology, 69(2), 307–321. doi:10.1037/0021-9010.69.2.307
  • Jones, J. C., & Barlow, D. H. (1990). The etiology of posttraumatic stress disorder. Clinical Psychology Review, 10(3), 299–328. doi:10.1016/0272-7358(90)90064-H
  • Judd, C. M., & Kenny, D. A. (1981). Process analysis: Estimating mediation in treatment evaluations. Evaluation Review, 5(5), 602–619. doi:10.1177/0193841X8100500502
  • Kaysen, D., Atkins, D. C., Simpson, T. L., Stappenbeck, C. A., Blayney, J. A., Lee, C. M., & Larimer, M. E. (2014). Proximal relationships between PTSD symptoms and drinking among female college students: Results from a daily monitoring study. Psychology of Addictive Behaviors, 28(1), 62. doi:10.1037/a0033588
  • Keogh, E., Ayers, S., & Francis, H. (2002). Does anxiety sensitivity predict post-traumatic stress symptoms following childbirth? A preliminary report. Cognitive Behaviour Therapy, 31(4), 145–155. doi:10.1080/165060702321138546
  • Khantzian, E. J. (2003). The self-medication hypothesis revisited: The dually diagnosed patient. Primary Psychiatry, 10(9), 47–54.
  • Kilpatrick, D. G., Resnick, H. S., Milanak, M. E., Miller, M. W., Keyes, K. M., & Friedman, M., J. (2013). National estimates of exposure to traumatic events and PTSD prevalence using DSM‐IV and DSM‐5 criteria. Journal of Traumatic Stress, 26(5), 537–547. doi:10.1002/jts.21848
  • Lawyer, S. R., Karg, R. S., Murphy, J. G., & Dudley McGlynn, F. (2002). Heavy drinking among college students is influenced by anxiety sensitivity, gender, and contexts for alcohol use. Journal of Anxiety Disorders, 16(2), 165. doi:10.1016/S0887-6185(02)00092-0
  • Litz, B. T., Orsillo, S. M., Kaloupek, D., & Weathers, F. (2000). Emotional processing in posttraumatic stress disorder. Journal of Abnormal Psychology, 109(1), 26–39. doi: 10.1037/0021-843X.109.1.26
  • Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343. doi:10.1016/0005-7967(94)00075-U
  • MacKinnon, D. P., Krull, J. L., & Lockwood, C. M. (2000). Equivalence of the mediation, confounding and suppression effect. Prevention Science, 1(4), 173–181. doi:10.1023/A:102659501
  • Marshall, G. N., Miles, J. N., & Stewart, S. H. (2010). Anxiety sensitivity and PTSD symptom severity are reciprocally related: Evidence from a longitudinal study of physical trauma survivors. Journal of Abnormal Psychology, 119(1), 143–150. doi:10.1037/a0018009
  • McCabe, S. E., West, B. T., Jutkiewicz, E. M., & Boyd, C. J. (2017). Multiple DSM‐5 substance use disorders: A national study of US adults. Human Psychopharmacology: Clinical and Experimental, 32(5), e2625. doi:10.1002/hup.2625
  • Mellman, T. A., & Davis, G. C. (1985). Combat-related flashbacks in posttraumatic stress disorder: Phenomenology and similarity to panic attacks. The Journal of Clinical Psychiatry, 46(9), 379–382.
  • Mulia, N., Ye, Y., Greenfield, T. K., & Zemore, S. E. (2009). Disparities in alcohol‐related problems among White, Black, and Hispanic Americans. Alcoholism: Clinical and Experimental Research, 33(4), 654–662. doi:10.1111/j.1530-0277.2008.00880.x
  • Naragon-Gainey, K. (2010). Meta-analysis of the relations of anxiety sensitivity to the depressive and anxiety disorders. Psychological Bulletin, 136(1), 128–150. doi:10.1037/a0018055
  • Novak, A., Burgess, E. S., Clark, M., Zvolensky, M. J., & Brown, R. A. (2003). Anxiety sensitivity, self-reported motives for alcohol and nicotine use, and level of consumption. Journal of Anxiety Disorders, 17(2), 165–180. doi:10.1016/S0887-6185(02)00175-5
  • Olatunji, B. O., & Wolitzky-Taylor, K. B. (2009). Anxiety sensitivity and the anxiety disorders: A meta-analytic review and synthesis. Psychological Bulletin, 135(6), 974–999. doi:10.1037/a0017428
  • O'Malley, P. M., & Johnston, L. D. (2002). Epidemiology of alcohol and other drug use among American college students. Journal of Studies on Alcohol, Suppl. 14, 23–39. doi:10.15288/jsas.2002.s14.23
  • Possemato, K., Maisto, S. A., Wade, M., Barrie, K., McKenzie, S., Lantinga, L. J., & Ouimette, P. (2015). Ecological momentary assessment of PTSD symptoms and alcohol use in combat veterans. Psychology of Addictive Behaviors, 29(4), 894–905. doi:10.1037/adb0000129
  • Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36(4), 717–731. doi:10.3758/BF03206553
  • Read, J. P., Ouimette, P., White, J., Colder, C., & Farrow, S. (2011). Rates of DSM–IV–TR trauma exposure and posttraumatic stress disorder among newly matriculated college students. Psychological Trauma: Theory, Research, Practice, and Policy, 3(2), 148–156. doi:10.1037/a0021260
  • Reiss, S., & McNally, R. (1985). Expectancy model of fear. In S. Reiss and R.R. Bootzin (Eds.), Theoretical Issues in Behavior Therapy (pp. 107–121). San Diego: Academic Press.
  • Roberts, A. L., Gilman, S. E., Breslau, J., Breslau, N., & Koenen, K. C. (2011). Race/ethnic differences in exposure to traumatic events, development of post-traumatic stress disorder, and treatment-seeking for post-traumatic stress disorder in the United States. Psychological Medicine, 41(01), 71–83. doi:10.1017/S0033291710000401
  • Rucker, D. D., Preacher, K. J., Tormala, Z. L., & Petty, R. E. (2011). Mediation analysis in social psychology: Current practices and new recommendations. Social and Personality Psychology Compass, 5(6), 359–371. doi:10.1111/j.1751-9004.2011.00355.x
  • Ruggiero, K. J., Del Ben, K., Scotti, J. R., & Rabalais, A. E. (2003). Psychometric properties of the PTSD Checklist—Civilian version. Journal of Traumatic Stress, 16(5), 495–502. doi:10.1023/A:1025714729117
  • Saunders, J. B., Aasland, O. G., Babor, T. F., De la Fuente, J. R., & Grant, M. (1993). Development of Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption‐ II. Addiction, 88(6), 791–804. doi:10.1111/j.1360-0443.1993.tb02093.x
  • Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7(4), 422–445. doi:10.1037/1082-989X.7.4.422
  • 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. doi:10.1037/a0035193
  • Sinclair, S. J., Siefert, C. J., Slavin-Mulford, J. M., Stein, M. B., Renna, M., & Blais, M. A. (2012). Psychometric evaluation and normative data for the Depression, Anxiety, and Stress Scales-21 (DASS-21) in a nonclinical sample of US adults. Evaluation and the Health Professions, 35(3), 259–279. doi:10.1177/0163278711424282
  • Sloan, T. B., Roache, J. D., & Johnson, B. A. (2003). The role of anxiety in predicting drinking behaviour. Alcohol and Alcoholism, 38(4), 360–363. doi:10.1093/alcalc/agg090
  • Stewart, S. H., & Zeitlin, S. B. (1995). Anxiety sensitivity and alcohol use motives. Journal of Anxiety Disorders, 9(3), 229–240. doi:10.1016/0887-6185(95)00004-8
  • Stewart, S. H., Peterson, J. B., & Pihl, R. O. (1995). Anxiety sensitivity and self-reported alcohol consumption rates in university women. Journal of Anxiety Disorders, 9(4), 283–292. doi:10.1016/0887-6185(95)00009-D
  • Stewart, S. H., Samoluk, S. B., & MacDonald, A. B. (1999). Anxiety sensitivity and substance use and abuse. In S. Taylor (Ed.), The LEA series in personality and clinical psychology. Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety (pp. 287–319). Mahwah, New Jersey: Lawrence Erlbaum Associates Publishers.
  • Substance Abuse and Mental Health Services Administration (2014). Results from the 2013 National Survey on Drug Use and Health: Summary of National Findings, NSDUH Series H-48, HHS Publication No. (SMA) 14–4863. Rockville, MD: Substance Abuse and Mental Health Services Administration, 13–4795.
  • Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Boston, MA: Allyn & Bacon/Pearson Education.
  • Taylor, S. (2004). Anxiety sensitivity and its implications for understanding and treating PTSD. In S. Taylor (Ed.), Advances in the Treatment of Posttraumatic Stress Disorder: Cognitive-Behavioral Perspectives (pp. 57–66). New York: Springer Publishing Company.
  • Taylor, S., & Cox, B. J. (1998). An expanded Anxiety Sensitivity Index: Evidence for a hierarchic structure in a clinical sample. Journal of Anxiety Disorders, 12(5), 463–483. doi:10.1016/S0887-6185(98)00028-0
  • Taylor, S., Koch, W. J., & McNally, R. J. (1992). How does anxiety sensitivity vary across the anxiety disorders? Journal of Anxiety Disorders, 6(3), 249–259. doi:10.1016/0887-6185(92)90037-8
  • Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., … Cardenas, S. J. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index-3. Psychological Assessment, 19(2), 176–188. doi:10.1037/1040-3590.19.2.176
  • Tull, M. T., Barrett, H. M., McMillan, E. S., & Roemer, L. (2007). A preliminary investigation of the relationship between emotion regulation difficulties and posttraumatic stress symptoms. Behavior Therapy, 38(3), 303–313. doi:10.1016/j.beth.2006.10.001
  • Vujanovic, A. A., Farris, S. G., Bartlett, B. A., Lyons, R. C., Haller, M., Colvonen, P. J., & Norman, S. B. (2018). Anxiety sensitivity in the association between posttraumatic stress and substance use disorders: A systematic review. Clinical Psychology Review, 62, 37–55. doi:10.1016/j.cpr.2018.05.003
  • Wald, J., & Taylor, S. (2007). Efficacy of interoceptive exposure therapy combined with trauma- related exposure therapy for posttraumatic stress disorder: A pilot study. Journal of Anxiety Disorders, 21(8), 1050–1060. doi:10.1016/j.janxdis.2006.10.010
  • Weathers, F. W., Litz, B. T., Herman, D. S., Huska, J. A., & Keane, T. M. (1993, October). The PTSD Checklist (PCL): Reliability, validity and diagnostic utility. Paper presented at the 9th annual conference of the International Society for Traumatic Stress Studies. San Antonio, TX.
  • Weiss, N. H., Tull, M. T., Davis, L. T., Dehon, E. E., Fulton, J. J., & Gratz, K. L. (2012). Examining the association between emotion regulation difficulties and probable posttraumatic stress disorder within a sample of African Americans. Cognitive Behaviour Therapy, 41(1), 5–14. doi:10.1080/16506073.2011.621970
  • Wolf, E. J., Harrington, K. M., Clark, S. L., & Miller, M. W. (2013). Sample size requirements for structural equation models: An evaluation of power, bias, and solution propriety. Educational and Psychological Measurement, 73(6), 913–934. doi:10.1177/0013164413495237
  • Zapolski, T. C., Pedersen, S. L., McCarthy, D. M., & Smith, G. T. (2014). Less drinking, yet more problems: Understanding African American drinking and related problems. Psychological Bulletin, 140(1), 188–223. doi:10.1037/a0032113
  • Zhao, X., Lynch, J. G., Jr., & Chen, Q. (2010). Reconsidering Baron and Kenny: Myths and truths about mediation analysis. Journal of Consumer Research, 37(2), 197–206. doi:10.1086/651257

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