
@article{ref1,
title="Posttraumatic stress and substance use among military veterans: associations with distress intolerance and anxiety sensitivity",
journal="Addictive behaviors",
year="2021",
author="Vujanovic, Anka A. and McGrew, Shelby J. and Walton, Jessica L. and Raines, Amanda M.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="The co-occurrence of posttraumatic stress disorder (PTSD) and substance use disorders (SUD) is highly prevalent among military veterans and represents a difficult-to-treat comorbidity. Distress intolerance (DI; i.e., the perceived inability to tolerate negative emotional states) and anxiety sensitivity (AS, i.e., the fear of anxiety-related sensations) are two promising targetable mechanisms with potential to predict and improve treatment outcomes for veterans with PTSD/SUD. We hypothesized that PTSD symptom severity would be related to (a) alcohol use severity and (b) drug use severity through DI and AS, evaluated concurrently. Participants included 120 military veterans (98.3% male; M(age) = 41.41, SD = 10.77) presenting for psychological services at a Veterans Affairs PTSD/SUD clinic. <br><br>RESULTS indicated that PTSD symptom severity was related to alcohol use severity through AS, but not DI; and PTSD symptom severity was related to drug use severity through DI, but not AS. Clinical and research implications are discussed.<p /> <p>Language: en</p>",
language="en",
issn="0306-4603",
doi="10.1016/j.addbeh.2021.107177",
url="http://dx.doi.org/10.1016/j.addbeh.2021.107177"
}