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Alcohol and Drug Abuse Among U.S. Veterans: Comparing Associations With Intimate Partner Substance Abuse and Veteran Psychopathology
Authors:Mark W. Miller  Annemarie F. Reardon  Erika J. Wolf  Lauren B. Prince  Christina L. Hein
Affiliation:1. National Center for PTSD at VA Boston Healthcare System & Department of Psychiatry, , Boston, Massachusetts, USA;2. Boston University School of Medicine, , Boston, Massachusetts, USA;3. VA Boston Healthcare System, , Boston, Massachusetts, USA
Abstract:This study examined the relative influences of posttraumatic stress disorder (PTSD), other psychopathology, and intimate partner alcohol and drug use on substance‐related problems in U.S. veterans (242 couples, N = 484). Hierarchical regression analyses revealed that partner alcohol and drug use severity explained more variance in veteran alcohol use and drug use (20% and 13%, respectively) than did veteran PTSD, adult antisocial behavior, or depression symptoms combined (6% for veteran alcohol use; 7% for veteran drug use). Findings shed new light on the influence of relationship factors on veteran alcohol and drug use and underscore the importance of couples‐oriented approaches to treating veterans with comorbid PTSD and substance abuse.
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