Publication Cover
Journal of Dual Diagnosis
research and practice in substance abuse comorbidity
Volume 19, 2023 - Issue 1
356
Views
0
CrossRef citations to date
0
Altmetric
Psychotherapy & Psychosocial Issues

Posttraumatic Stress, Alcohol Use, and Alcohol Use Motives among Non-Hispanic Black/African American College Students: The Role of Emotion Regulation

, BSORCID Icon, , PhD, , PhD, , MA & , PhDORCID Icon

References

  • Ai, A. L., Plummer, C., Kanno, H., Heo, G., Appel, H. B., Simon, C. E., & Spigner, C. (2011). Positive traits versus previous trauma: Racially different correlates with PTSD symptoms among hurricane Katrina‐Rita volunteers. Journal of Community Psychology, 39(4), 402–420. https://doi.org/10.1002/jcop.20442
  • Akbari, M., Hosseini, Z. S., Seydavi, M., Zegel, M., Zvolensky, M. J., & Vujanovic, A. A. (2022). Distress tolerance and posttraumatic stress disorder: A systematic review and meta-analysis. Cognitive Behaviour Therapy, 51(1), 42–71. https://doi.org/10.1080/16506073.2021.1942541
  • Alegría, M., Fortuna, L. R., Lin, J. Y., Norris, L. F., Gao, S., Takeuchi, D. T., Jackson, J. S., Shrout, P. E., & Valentine, A. (2013). Prevalence, risk, and correlates of posttraumatic stress disorder across ethnic and racial minority groups in the US. Medical Care, 51(12), 1114–1123. https://doi.org/10.1097/MLR.0000000000000007
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. (5th ed.). APA. https://doi.org/10.1176/appi.books.9780890425596
  • Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., & Monteiro, M. G. (2001). The alcohol use disorders identification test (2nd ed., p. 1–37). World Health Organization.
  • Bird, C. M., Webb, E. K., Schramm, A. T., Torres, L., Larson, C., & deRoon‐Cassini, T. A. (2021). Racial discrimination is associated with acute posttraumatic stress symptoms and predicts future posttraumatic stress disorder symptom severity in trauma‐exposed Black adults in the United States. Journal of Traumatic Stress, 34(5), 995–1004. https://doi.org/10.1002/jts.22670
  • Bjureberg, J., Ljótsson, B., Tull, M. T., Hedman, E., Sahlin, H., Lundh, L. G., Bjärehed, J., DiLillo, D., Messman-Moore, T., Gumpert, C. H., & Gratz, K. L. (2016). Development and validation of a brief version of the difficulties in emotion regulation scale: The DERS-16. Journal of Psychopathology and Behavioral Assessment, 38(2), 284–296. https://doi.org/10.1007/s10862-015-9514-x
  • Blevins, C. A., Weathers, F. W., Davis, M. T., Witte, T. K., & Domino, J. L. (2015). The posttraumatic stress disorder checklist for DSM‐5 (PCL‐5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28(6), 489–498. https://doi.org/10.1002/jts.22059
  • Bovin, M. J., Marx, B. P., Weathers, F. W., Gallagher, M. W., Rodriguez, P., Schnurr, P. P., & Keane, T. M. (2016). Psychometric properties of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders–Fifth Edition (PCL-5) in veterans. Psychological Assessment, 28(11), 1379–1391. https://doi.org/10.1037/pas0000254
  • Bowman Heads, A. M., Glover, A. M., Castillo, L. G., Blozis, S., & Kim, S. Y. (2018). Dimensions of ethnic identity as protective factors for substance use and sexual risk behaviors in African American college students. Journal of American College Health, 66(3), 178–186. https://doi.org/10.1080/07448481.2017.1400975
  • Brooks Holliday, S., Dubowitz, T., Haas, A., Ghosh-Dastidar, B., DeSantis, A., & Troxel, W. M. (2020). The association between discrimination and PTSD in African Americans: Exploring the role of gender. Ethnicity & Health, 25(5), 717–731. https://doi.org/10.1080/13557858.2018.1444150
  • Buckner, J. D., Morris, P. E., Abarno, C. N., Glover, N. I., & Lewis, E. M. (2021). Biopsychosocial model social anxiety and substance use revised. Current Psychiatry Reports, 23(6), 35. https://doi.org/10.1007/s11920-021-01249-5
  • Cacciola, E. E., & Nevid, J. S. (2014). Alcohol consumption in relation to residence status and ethnicity in college students. Psychology of Addictive Behaviors, 28(4), 1278–1283. https://doi.org/10.1037/a0038362
  • Carter, S., Powers, A., & Bradley, B. (2020). PTSD and self-rated health in urban traumatized African American adults: The mediating role of emotion regulation. Psychological Trauma, 12(1), 84–91. https://doi.org/10.1037/tra0000472
  • Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. (2020). Results from the 2019 National Survey on Drug Use and Health: Detailed Tables. Detailed Table 6.23A. Retrieved from https://www.samhsa.gov/data/report/2019-nsduh-detailed-tables
  • Clark, R., Anderson, N. B., Clark, V. R., & Williams, D. R. (1999). Racism as a stressor for African Americans: A biopsychosocial model. The American Psychologist, 54(10), 805–816. https://doi.org/10.1037//0003-066x.54.10.805
  • Cooper, M. L., Krull, J. L., Agocha, V. B., Flanagan, M. E., Orcutt, H. K., Grabe, S., Dermen, K. H., & Jackson, M. (2008). Motivational pathways to alcohol use and abuse among Black and White adolescents. Journal of Abnormal Psychology, 117(3), 485–501. https://doi.org/10.1037/a0012592
  • Cusack, S. E., Bountress, K. E., Lind, M. J., Hawn, S. E., Dick, D. M., & Amstadter, A B. (2020). Trauma exposure, alcohol consumption, and sleep quality: A latent growth curve model. Journal of American College Health, 70(7), 2126–2134. https://doi.org/10.1080/07448481.2020.1845181
  • Cusack, S. E., Hicks, T. A., Bourdon, J., Sheerin, C. M., Overstreet, C. M., Kendler, K. S., Dick, D. M., & Amstadter, A. B. (2019). Prevalence and predictors of PTSD among a college sample. Journal of American College Health, 67(2), 123–131. https://doi.org/10.1080/07448481.2018.1462824
  • Delker, E., Brown, Q., & Hasin, D. S. (2016). Alcohol consumption in demographic subpopulations: An epidemiologic overview. Alcohol Research, 38(1), 7–15.
  • Desalu, J. M., Goodhines, P. A., & Park, A. (2019). Racial discrimination and alcohol use and negative drinking consequences among Black Americans: A meta‐analytical review. Addiction, 114(6), 957–967. https://doi.org/10.1111/add.14578
  • Dvorak, R. D., Sargent, E. M., Kilwein, T. M., Stevenson, B. L., Kuvaas, N. J., & Williams, T. J. (2014). Alcohol use and alcohol-related consequences: Associations with emotion regulation difficulties. The American Journal of Drug and Alcohol Abuse, 40(2), 125–130. https://doi.org/10.3109/00952990.2013.877920
  • Ebersole, R. C., Noble, J. J., & Madson, M. B. (2012). Drinking motives, negative consequences, and protective behavioral strategies in lesbian, gay, bisexual, and transgender college students. Journal of LGBT Issues in Counseling, 6(4), 337–352. https://doi.org/10.1080/15538605.2012.725650
  • Edman, J. L., Watson, S. B., & Patron, D. J. (2015). Trauma and psychological distress among ethnically diverse community college students. Community College Journal of Research and Practice, 40(4), 1–8. https://doi.org/10.1080/10668926.2015.1065211
  • English, D., Rendina, H. J., & Parsons, J. T. (2018). The effects of intersecting stigma: A longitudinal examination of minority stress, mental health, and substance use among Black, Latino, and multiracial gay and bisexual men. Psychology of Violence, 8(6), 669–679. https://doi.org/10.1037/vio0000218
  • Falk, D., Yi, H. Y., & Hiller-Sturmhöfel, S. (2008). An epidemiologic analysis of co-occurring alcohol and drug use and disorders: Findings from the National Epidemiologic Survey of Alcohol and Related Conditions (NESARC). Alcohol Research & Health, 31(2), 100–110.
  • Fan, A. Z., Chou, S. P., Zhang, H., Jung, J., & Grant, B. F. (2019). Prevalence and correlates of past‐year recovery from DSM‐5 alcohol use disorder: Results from National Epidemiologic Survey on Alcohol and Related Conditions‐III. Alcoholism, Clinical and Experimental Research, 43(11), 2406–2420. https://doi.org/10.1111/acer.14192
  • Gardner, S. K., Robertson, A. A., Tatch, A., & Walker, C. S. (2020). Racial differences in college-student drinking. Journal of Ethnicity in Substance Abuse, 19(1), 28–43. https://doi.org/10.1080/15332640.2018.1446376
  • Gerrard, M., Stock, M. L., Roberts, M. E., Gibbons, F. X., O’Hara, R. E., Weng, C. Y., & Wills, T. A. (2012). Coping with racial discrimination: The role of substance use. Psychology of Addictive Behaviors, 26(3), 550–560. https://doi.org/10.1037/a0027711
  • Goodwill, J. R., Mattis, J. S., & Watkins, D. C. (2022). “I didn’t know who to talk to”: Black college men’s sources and descriptions of social support. Psychology of Men & Masculinities, 23(2), 197–208. https://doi.org/10.1037/men0000372
  • Gopalan, M., & Brady, S. T. (2020). College students’ sense of belonging: A national perspective. Educational Researcher, 49(2), 134–137. https://doi.org/10.3102/0013189X19897622
  • Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94
  • Gratz, K. L., & Tull, M. T. (2010). Emotion regulation as a mechanism of change in acceptance-and mindfulness-based treatments. In Assessing mindfulness and acceptance processes in clients: Illuminating the theory and practice of change (pp.107–133). Context Press/New Harbinger Publications.
  • Greene, K. M., & Maggs, J. L. (2020). Drinking, social abstaining, and refusing invitations: Demographic differences persist across college. Alcoholism, Clinical and Experimental Research, 44(1), 203–211. https://doi.org/10.1111/acer.14231
  • Haas, A. R., Forkus, S. R., Contractor, A. A., & Weiss, N. H. (2019). Posttraumatic symptomatology and alcohol misuse among Black college students: Examining the influence of anxiety sensitivity. Journal of Dual Diagnosis, 15(1), 25–35. https://doi.org/10.1080/15504263.2018.1534032
  • Hawn, S. E., Cusack, S. E., & Amstadter, A. B. (2020). A systematic review of the self‐ medication hypothesis in the context of posttraumatic stress disorder and comorbid problematic alcohol use. Journal of Traumatic Stress, 33(5), 699–708. https://doi.org/10.1002/jts.22521
  • Hayes, A. F., & Preacher, K. J. (2014). Statistical mediation analysis with a multicategorical independent variable. The British Journal of Mathematical and Statistical Psychology, 67(3), 451–470. https://doi.org/10.1111/bmsp.12028
  • Hayes, A. F. (2012). PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modeling. White Paper. http://www.afhayes.com
  • Hitch, A. E., Brown, J. L., & DiClemente, R. J. (2021). Interpersonal abuse and alcohol use among African American young women: The mediating role of emotion dysregulation. Journal of Ethnicity in Substance Abuse, 2021, 1–20. https://doi.org/10.1080/15332640.2021.1952130
  • Koole, S. L. (2009). The psychology of emotion regulation: An integrative review. Cognition & Emotion, 23(1), 4–41. https://doi.org/10.1080/02699930802619031
  • 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. https://doi.org/10.1080/15374410903258967
  • McLaughlin, K. A., Alvarez, K., Fillbrunn, M., Green, J. G., Jackson, J. S., Kessler, R. C., Sadikova, E., Sampson, N. A., Vilsaint, C. L., Williams, D. R., & Alegría, M. (2019). Racial/ethnic variation in trauma-related psychopathology in the United States: A population-based study. Psychological Medicine, 49(13), 2215–2226. https://doi.org/10.1017/S0033291718003082
  • Messina, B. G., Tseng, A., & Correia, C. J. (2015). Measuring alcohol-related consequences and motives among students attending historically Black colleges and universities. Addictive Behaviors, 46, 5–9. https://doi.org/10.1016/j.addbeh.2015.02.004
  • Miller, H. N., LaFave, S., Marineau, L., Stephens, J., & Thorpe, R. J. Jr., (2021). The impact of discrimination on allostatic load in adults: An integrative review of literature. Journal of Psychosomatic Research, 146, 110434. https://doi.org/10.1016/j.jpsychores.2021.110434
  • Mulia, N., & Zemore, S. E. (2012). Social adversity, stress, and alcohol problems: Are racial/ethnic minorities and the poor more vulnerable? Journal of Studies on Alcohol and Drugs, 73(4), 570–580. https://doi.org/10.15288/jsad.2012.73.570
  • O’Bryan, E. M., McLeish, A. C., Kraemer, K. M., & Fleming, J. B. (2015). Emotion regulation difficulties and posttraumatic stress disorder symptom cluster severity among trauma-exposed college students. Psychological Trauma, 7(2), 131–137. https://doi.org/10.1037/a0037764
  • O’Malley, P. M., & Johnston, L. D. (2002). Epidemiology of alcohol and other drug use among American college students. Journal of Studies on Alcohol, 2002(s14), 23–39. https://doi.org/10.15288/jsas.2002.s14.23
  • Paltell, K. C., Smith, R. L., Kansky, J., Cox, C. M., Amstadter, A. B., Dick, D., Salvatore, J. E., Berenz, E. C. & The Spit For Science Working Group. (2020). Posttraumatic stress disorder symptoms, relationship quality, and risky alcohol use among trauma-exposed students. Addictive Behaviors, 102, 106216. https://doi.org/10.1016/j.addbeh.2019.106216
  • Pieterse, A. L., Roberson, K. L., Garcia, R., & Carter, R. T. (2022). Racial discrimination and trauma symptoms: Further support for the race-based traumatic stress symptom scale. Cultural Diversity and Ethnic Minority Psychology, 2022, cdp0000544. https://doi.org/10.1037/cdp0000544
  • Pittman, D. M., Brooks, J. J., Kaur, P., & Obasi, E. M. (2019). The cost of minority stress: Risky alcohol use and coping-motivated drinking behavior in African American college students. Journal of Ethnicity in Substance Abuse, 18(2), 257–278. https://doi.org/10.1080/15332640.2017.1336958
  • Pittman, D. M., & Kaur, P. (2018). Examining the role of racism in the risky alcohol use behaviors of black female college students. Journal of American College Health, 66(4), 310–316. https://doi.org/10.1080/07448481.2018.1440581
  • Prince, M. A., Read, J. P., & Colder, C. R. (2019). Trajectories of college alcohol involvement and their associations with later alcohol use disorder symptoms. Prevention Science, 20(5), 741–752. https://doi.org/10.1007/s11121-018-0974-6
  • Radomski, S. A., & Read, J. P. (2016). Mechanistic role of emotion regulation in the PTSD and alcohol association. Traumatology, 22(2), 113–121. https://doi.org/10.1037/trm0000068
  • Roberson, K., & Carter, R. T. (2022). The relationship between race-based traumatic stress and the Trauma Symptom Checklist: Does racial trauma differ in symptom presentation? Traumatology, 28(1), 120–128. https://doi.org/10.1037/trm0000306
  • 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(1), 71–83. https://doi.org/10.1017/S0033291710000401
  • Rodriguez-Seijas, C., Eaton, N. R., & Pachankis, J. E. (2019). Prevalence of psychiatric disorders at the intersection of race and sexual orientation: Results from the National Epidemiologic Survey of Alcohol and Related Conditions-III. Journal of Consulting and Clinical Psychology, 87(4), 321–331. https://doi.org/10.1037/ccp0000377
  • Saunders, J. B., Aasland, O. G., Babor, T. F., de la Fuente, J. R., & Grant, M. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption‐II. Addiction, 88(6), 791–804. https://doi.org/10.1111/j.1360-0443.1993.tb02093.x
  • Shield, K. D., Gmel, G., Kehoe-Chan, T., Dawson, D. A., Grant, B. F., & Rehm, J. (2013). Mortality and potential years of life lost attributable to alcohol consumption by race and sex in the United States in 2005. PLoS One, 8(1), e51923. https://doi.org/10.1371/journal.pone.0051923
  • Sibrava, N. J., Bjornsson, A. S., Pérez Benítez, A. C. I., Moitra, E., Weisberg, R. B., & Keller, M. B. (2019). Posttraumatic stress disorder in African American and Latinx adults: Clinical course and the role of racial and ethnic discrimination. The American Psychologist, 74(1), 101–116. https://doi.org/10.1037/amp0000339
  • Substance Abuse and Mental Health Services Administration. (2020). Key substance use and mental health indicators in the United States: Results from the 2019 National Survey on Drug Use and Health (HHS Publication No. PEP20-07-01-001, NSDUH Series H-55). Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. Retrieved from https://www.samhsa.gov/data/
  • Taylor, N L., Su, J., & Dick, D M. (2022). Depressive symptoms and drinking to cope in relation to alcohol use outcomes among white and Black/African American College Students. Substance Use & Misuse, 57(5), 708–718. https://doi.org/10.1080/10826084.2022.2034871
  • Torgerson, C. N., Love, H. A., & Vennum, A. (2018). The buffering effect of belonging on the negative association of childhood trauma with adult mental health and risky alcohol use. Journal of Substance Abuse Treatment, 88, 44–50. https://doi.org/10.1016/j.jsat.2018.02.005
  • Tripp, J. C., McDevitt-Murphy, M. E., Avery, M. L., & Bracken, K. L. (2015). PTSD symptoms, emotion dysregulation, and alcohol-related consequences among college students with a trauma history. Journal of Dual Diagnosis, 11(2), 107–117. https://doi.org/10.1080/15504263.2015.1025013
  • Tubbs, J. D., Savage, J. E., Adkins, A. E., Amstadter, A. B., & Dick, D. M. (2019). Mindfulness moderates the relation between trauma and anxiety symptoms in college students. Journal of American College Health, 67(3), 235–245. https://doi.org/10.1080/07448481.2018.1477782
  • Tucker, J. A., Chandler, S. D., & Witkiewitz, K. (2020). Epidemiology of recovery from alcohol use disorder. Alcohol Research, 40(3), 2. https://doi.org/10.35946/arcr.v40.3.02
  • Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., Schnurr, P. P. (2013). The PTSD checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at www.ptsd.va.gov
  • Weiss, N. H., Tull, M. T., Dixon-Gordon, K. L., & Gratz, K. L. (2013). Extending findings of a relation between Posttraumatic Stress Disorder and emotion dysregulation among African American individuals: A preliminary examination of the moderating role of gender. Journal of Traumatic Stress Disorders & Treatment, 03(01), 1686. https://doi.org/10.4172/2324-8947.1000116
  • Wilcox, C. M., Sandhu, B. S., Singh, V., Gelrud, A., Abberbock, J. N., Sherman, S., Cote, G. A., Al-Kaade, S., Anderson, M. A., Gardner, T. B., Lewis, M. D., Forsmark, C. E., Guda, N. M., Romagnuolo, J., Baillie, J., Amann, S. T., Muniraj, T., Tang, G., Conwell, D. L., … Yadav, D. (2016). Racial differences in the clinical profile, causes, and outcome of chronic pancreatitis. The American Journal of Gastroenterology, 111(10), 1488–1496. https://doi.org/10.1038/ajg.2016.316
  • Williams, M. T. (2021). Racial microaggressions: Critical questions, state of the science, and new directions. Perspectives on Psychological Science, 16(5), 880–885. https://doi.org/10.1177/17456916211039209
  • Williams, T. R., Walker, T. L., & Wyatt, W. N. (2022). Conceptualizing racism through a systemic trauma lens: Impacts on Black college students. Journal of Psychotherapy Integration, 32(1), 49–63. https://doi.org/10.1037/int0000206
  • Wilson, T. K., & Gentzler, A. L. (2021). Emotion regulation and coping with racial stressors among African Americans across the lifespan. Developmental Review, 61, 100967. https://doi.org/10.1016/j.dr.2021.100967
  • Witbrodt, J., Mulia, N., Zemore, S. E., & Kerr, W. C. (2014). Racial/ethnic disparities in alcohol‐ related problems: Differences by gender and level of heavy drinking. Alcoholism, Clinical and Experimental Research, 38(6), 1662–1670. https://doi.org/10.1111/acer.12398
  • Zemore, S. E., Ye, Y., Mulia, N., Martinez, P., Jones-Webb, R., & Karriker-Jaffe, K. (2016). Poor, persecuted, young, and alone: Toward explaining the elevated risk of alcohol problems among Black and Latino men who drink. Drug and Alcohol Dependence, 163, 31–39. https://doi.org/10.1016/j.drugalcdep.2016.03.008

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.