A Daily Process Examination of Alcohol Use and PTSD in Female College Students

Summary

Principal Investigator: DEBRA L KAYSEN
Affiliation: University of Washington
Country: USA
Abstract: [unreadable] DESCRIPTION (provided by applicant): The overall objective of this NIAAA R21 Exploratory/Developmental application is to examine the feasibility of using experience sampling methodologies (ESM) to identify cognitive and emotional risk factors for problem drinking in an at-risk population, female sexual abuse and assault victims. Young adulthood is a period of high risk for both sexual assault and high risk drinking. Moreover, sexual assault is a risk factor for increases in problem drinking as well as alcohol use disorders comorbid with PTSD. The self-medication hypothesis has been proposed as an explanation for this comorbidity, whereupon problem drinking develops as an attempt to modulate negative affect and ameliorate PTSD symptoms. However, (a) studies have not included non-trauma exposed comparison groups, (b) the combined and unique contributions of PTSD and negative affect on problem drinking have not been studied concurrently, (c) these relationships have not been examined using ESM methodologies, and (d) studies have not examined measurement reactivity associated with daily monitoring. This study proposes using the experience sampling method to better refine our understanding of the temporal relations between PTSD, negative affect, and alcohol use. Multiple daily assessments of alcohol use and mood and the application of multilevel modeling reduces recall distortion and allows for simultaneous examination of both within- and between-person questions regarding what characteristics place people at greater risk for drinking (between-person predictors) and whether drinking increases in response to PTSD symptoms over and above negative mood (within-person factors). 150 female college students with a past history of child sexual abuse (CSA) or adult sexual assault (SA), and 30 female college students with no past trauma history, will be signaled to complete an electronic diary of PTSD symptoms, negative affect, alcohol use, and urges to drink, 2 times daily for 4 weeks. A comparison group will be included to examine the impact of repeated daily measurement. Multilevel regression analyses will be used to address the following specific aims: (1) To test the role of trauma exposure, PTSD, and negative affect in increasing drinking and urges, both between- and within-persons, as predicted by the self-medication model; (2) conduct exploratory analyses of coping motives as a moderator of the within-person relationship between symptoms (PTSD and negative affect) and drinking behavior and urges; (3) Examine degree of measurement reactivity associated with daily monitoring compared to a no-monitoring condition. Answers to these questions will be used to guide future prevention efforts aimed at reducing problematic drinking patterns following traumatic events like sexual assault, relationship violence or combat exposure. [unreadable] [unreadable] [unreadable]
Funding Period: 2007-08-01 - 2009-07-31
more information: NIH RePORT

Top Publications

  1. pmc The correspondence of daily and retrospective PTSD reports among female victims of sexual assault
    Kristin Naragon-Gainey
    Veterans Affairs VA Puget Sound Health Care System, Seattle Division, Seattle, WA, USA
    Psychol Assess 24:1041-7. 2012
  2. pmc Drinking motives for self and others predict alcohol use and consequences among college women: the moderating effects of PTSD
    CYNTHIA A STAPPENBECK
    Department of Psychiatry and Behavioral Sciences, University of Washington, 1107 NE 45th Street, Suite 201, Seattle, WA 98105, USA
    Addict Behav 38:1831-9. 2013
  3. pmc Proximal relationships between PTSD symptoms and drinking among female college students: Results from a daily monitoring study
    Debra Kaysen
    Department of Psychiatry and Behavioral Sciences
    Psychol Addict Behav 28:62-73. 2014
  4. pmc Impact of daily assessments on distress and PTSD symptoms in trauma-exposed women
    Eric R Pedersen
    RAND Corporation, Santa Monica, CA, USA
    J Interpers Violence 29:824-45. 2014
  5. pmc The relationship between assault and physical health complaints in a sample of female drinkers: roles of avoidant coping and alcohol use
    Michele Bedard-Gilligan
    University of Washington, Seattle, USA
    J Interpers Violence 29:1359-79. 2014
  6. pmc Alcohol-involved assault and the course of PTSD in female crime victims
    DEBRA L KAYSEN
    Department of Psychiatry and Behavioral Sciences, University of Washington, 1100 NE 45th Street, Seattle, WA 98195, USA
    J Trauma Stress 23:523-7. 2010
  7. pmc Alcohol-involved assault: associations with posttrauma alcohol use, consequences, and expectancies
    Michele Bedard-Gilligan
    University of Washington, United States
    Addict Behav 36:1076-82. 2011

Scientific Experts

  • DEBRA L KAYSEN
  • Michele A Bedard
  • Michele Bedard-Gilligan
  • Eric R Pedersen
  • Tracy L Simpson
  • CYNTHIA A STAPPENBECK
  • Christine M Lee
  • Kristin Naragon-Gainey
  • Jessica Blayney
  • Jessica M Cronce
  • Keren Lehavot
  • Jessica A Blayney
  • Kristen P Lindgren
  • Alethea A Varra
  • Sally A Moore
  • Sruti Desai

Detail Information

Publications7

  1. pmc The correspondence of daily and retrospective PTSD reports among female victims of sexual assault
    Kristin Naragon-Gainey
    Veterans Affairs VA Puget Sound Health Care System, Seattle Division, Seattle, WA, USA
    Psychol Assess 24:1041-7. 2012
    ..Implications for clinical assessment methodology are discussed...
  2. pmc Drinking motives for self and others predict alcohol use and consequences among college women: the moderating effects of PTSD
    CYNTHIA A STAPPENBECK
    Department of Psychiatry and Behavioral Sciences, University of Washington, 1107 NE 45th Street, Suite 201, Seattle, WA 98105, USA
    Addict Behav 38:1831-9. 2013
    ....
  3. pmc Proximal relationships between PTSD symptoms and drinking among female college students: Results from a daily monitoring study
    Debra Kaysen
    Department of Psychiatry and Behavioral Sciences
    Psychol Addict Behav 28:62-73. 2014
    ..PsycINFO Database Record (c) 2014 APA, all rights reserved). ..
  4. pmc Impact of daily assessments on distress and PTSD symptoms in trauma-exposed women
    Eric R Pedersen
    RAND Corporation, Santa Monica, CA, USA
    J Interpers Violence 29:824-45. 2014
    ....
  5. pmc The relationship between assault and physical health complaints in a sample of female drinkers: roles of avoidant coping and alcohol use
    Michele Bedard-Gilligan
    University of Washington, Seattle, USA
    J Interpers Violence 29:1359-79. 2014
    ....
  6. pmc Alcohol-involved assault and the course of PTSD in female crime victims
    DEBRA L KAYSEN
    Department of Psychiatry and Behavioral Sciences, University of Washington, 1100 NE 45th Street, Seattle, WA 98195, USA
    J Trauma Stress 23:523-7. 2010
    ..Analyses were conducted using hierarchical linear modeling. Participants who had consumed alcohol had lower initial intrusive symptoms, but their symptoms improved less over time...
  7. pmc Alcohol-involved assault: associations with posttrauma alcohol use, consequences, and expectancies
    Michele Bedard-Gilligan
    University of Washington, United States
    Addict Behav 36:1076-82. 2011
    ..Findings suggest that it is the women who are assaulted while under the influence of alcohol who evidence more alcohol use and alcohol-related problems following assault...