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Substance use behaviors as a mediator between posttraumatic stress disorder and physical health in trauma-exposed college students
Authors:Amanda M. Flood   Meghan E. McDevitt-Murphy   Frank W. Weathers   David E. Eakin  Trisha A. Benson
Affiliation:(1) Department of Psychology, Auburn University, Auburn, AL, USA;(2) Present address: Deployment Health Center, 162 First St., Bldg. 1402, Port Hueneme, CA 93043, USA;(3) Department of Psychology, University of Memphis, Memphis, TN, USA
Abstract:Introduction  Research within the field of traumatic stress has documented a strong link between posttraumatic stress disorder (PTSD) and adverse physical health outcomes, although the mechanisms contributing to this relationship are unclear. Method  The current study examined substance use behaviors as one such mediator in a mixed civilian trauma population. Participants were 136 undergraduates exposed to a variety of civilian traumas. They completed measures assessing trauma exposure, substance use behaviors, and physical health outcomes. Results  Moderate correlations were found between PTSD symptom severity, substance use, and adverse health outcomes. Mediational analyses indicated that substance use behaviors, especially alcohol and drug use, mediated the relationship between PTSD and health outcomes.
Keywords:Posttraumatic stress disorder  Trauma exposure  Physical health status  Health care utilization  Substance use
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