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Dynamic Changes in Marines' Reports of PTSD Symptoms and Problem Alcohol Use Across the Deployment Cycle

机译:动态变化的陆战队PTSD的报告饮酒的症状和问题部署周期

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摘要

Posttraumatic stress disorder (PTSD) and alcohol misuse are commonly co-occurring problems in active-duty service members (SMs) and veterans. Unfortunately, relatively little is known about the temporal associations between these problems in the acute period following exposure to combat stressors. Discerning the temporal associations between these problems across the deployment cycle could inform prevention and treatment efforts. In this study, we examined the association between PTSD symptom severity and problem alcohol use in a large cohort of United States Marines (n = 758) evaluated prior to deployment and approximately 1, 5, and 8 months postdeployment. Results indicate that problem alcohol use was associated with a subsequent exacerbation of PTSD symptoms between the 1st and 2nd and 2nd and 3rd postdeployment assessments. PTSD symptom severity was associated with increased problem alcohol use between the 1st and 2nd postdeployment assessments. These findings suggest that problem drinking may lead to new onset or worsening of PTSD symptoms over time and that SMs with greater PTSD symptom severity upon returning from deployment may increase alcohol use in the weeks immediately following homecoming.
机译:创伤后应激障碍(PTSD)和酒精滥用通常共病的问题现役军人和退伍军人(SMs)。不幸的是,很少有人知道时间这些问题之间的联系在急性期后暴露在战斗紧张的因素。整个部署之间的这些问题周期可能为预防和治疗的努力。创伤后应激障碍症状严重程度和之间的联系饮酒群体的统一问题前美国海军陆战队(n = 758)评估部署和大约5和8个月postdeployment。饮酒与后续相关1日和之间的创伤后应激障碍症状的恶化2日和第二和第三postdeployment评估。创伤后应激障碍症状严重程度有关增加1和之间饮酒问题2日postdeployment评估。表明,饮酒可能导致新的问题PTSD症状的发作或恶化短信与更大的创伤后应激障碍症状严重程度归来的部署可能会增加酒精在几周后立即使用同学会。

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