The role of gender in the associations among posttraumatic stress disorder symptom,severity, difficulties regulating emotions,and alcohol misuse |
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| Institution: | 1. University of Rhode Island, USA;2. University of North Texas, USA;3. University of Massachusetts Amherst, USA;1. RAND Corporation, 1776 Main Street, PO Box 2138, Santa Monica, CA 90407-2138, United States of America;2. RAND Corporation, 4570 Fifth Avenue, Suite 600, Pittsburgh, PA 15213-2665, United States of America;1. Department of Psychology, West Virginia University, Morgantown, WV, USA;2. School of Medicine, University of Tasmania, Hobart, TAS, Australia;3. WV Prevention Research Center, West Virginia University, Morgantown, WV, USA;4. Department of Behavioral Medicine and Psychiatry, West Virginia University, Morgantown, WV, USA;5. Department of Social and Behavioral Sciences, West Virginia University, Morgantown, WV, USA;1. University of New South Wales, Australia;2. University of Jena, Germany;3. University of Queensland, Australia;1. Department of Psychology, William Paterson University, Wayne, NJ, United States of America;2. Mental Health & Behavioral Sciences, VA New Jersey Healthcare System, Lyons, NJ, United States of America;3. Department of Psychiatry, Robert Wood Johnson Medical School, Rutgers—The State University of New Jersey, Piscataway, NJ, United States of America;4. Department of Psychiatry, Columbia University College of Physicians & Surgeons and New York State Psychiatric Institute, New York, NY, United States of America;1. UTHealth School of Public Health, 1616 Guadalupe, Suite 6.300, Austin, TX 78701, USA;2. Department of Kinesiology & Health Education, University of Texas at Austin, 1 University Station D3700, Austin, TX 78712, USA |
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| Abstract: | IntroductionThe co-occurrence of posttraumatic stress disorder (PTSD) and alcohol misuse is highly prevalent and clinically significant. Delineating mediators (i.e., emotion regulation) and moderators (i.e., gender) of this co-occurrence is critical to understanding underlying mechanisms of such comorbidity and intervention development/refinement.MethodThe present study examined the potential mediating role of difficulties regulating negative and positive emotions in this association as well as the moderating role of gender using a moderated mediation analysis. Participants were 475 trauma-exposed community adults recruited from Amazon's Mechanical Turk (MTurk) platform (Mage = 35.62, 55.4% women, 77.0% White).ResultsDifficulties regulating positive (but not negative) emotions significantly mediated the relation between PTSD symptom severity and alcohol misuse. Further, gender was found to significantly moderate each of the paths in this mediation model.ConclusionsResults highlight gender-specific intervention targets for reducing alcohol misuse among trauma-exposed individuals who experience PTSD symptoms. |
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