Citation

Creech SK, Borsari B. Addict. Behav. 2014; 39(2): 379-385.

Affiliation

Providence VA Medical Center, Building 32, 830 Chalkstone Avenue, Providence, RI 02908-4799, United States; Warren Alpert Medical School of Brown University, Campus Box G-VAMC, Brown University, Providence, RI 02912, United States; National Center for PTSD (116B-2), VA Boston Healthcare System, 150 South Huntington Ave., Boston, MA 02130, United States. Electronic address: Suzannah.creech@va.gov.

Copyright

(Copyright © 2014, Elsevier Publishing)

DOI

10.1016/j.addbeh.2013.02.006

PMID

23498717

Abstract

BACKGROUND: Little is known regarding alcohol use and its correlates in women veterans. An understanding of these variables is of utility to providers in primary care at Veterans Affairs (VA) hospitals, who are among the first to identify and intervene for problem drinking. OBJECTIVE: The objective of this study was to describe and explore the associations between posttraumatic stress disorder symptoms, experience of military sexual trauma (MST), expectancies for alcohol use, and coping skills in predicting drinking behavior. DESIGN: Each month all women veterans attending appointments in primary care were mailed a letter alerting them to the study. Women then received a call asking them to participate, and many were directly recruited at their primary care appointment. Participants then completed a survey of current alcohol use and related variables in a private room. PARTICIPANTS: Participants were 93 women veterans seeking care at VA. MAIN MEASURES: Measures included the Alcohol Use Disorders Identification Test, a modified version of the VA MST screen, the Davidson Trauma Scale; the Coping Inventory for Stressful Situations, and the Brief Comprehensive Effects of Alcohol Questionnaire. KEY RESULTS: Positive expectancies and evaluations emerged as significant correlates of AUDIT scores, while PTSD symptoms were not related to AUDIT scores. A hierarchical regression revealed a significant positive interaction between avoidance coping and positive evaluations. Depression, positive evaluations and avoidance coping were significant independent predictors of AUDIT scores in the final model, but MST was not. CONCLUSIONS: Findings highlight the importance of considering of the function of alcohol use when delivering clinical interventions and the need for further research on the association between MST and drinking in women veterans.

Language: en