1. A month in review: longitudinal dynamics between daily PTSD symptom networks, affect, and drinking behaviors in female college students
- Author
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Stephanie Balters, Marc Schlichting, Thomas O. Walton, Mykel J. Kochenderfer, and Debra Kaysen
- Subjects
posttraumatic stress disorder (PTSD) ,affect ,self-medication ,alcohol abuse ,women’s health ,symptom networks ,Psychology ,BF1-990 - Abstract
IntroductionSexual victimization (SV) is common among college women, with approximately half of those who have experienced SV meeting criteria for posttraumatic stress disorder (PTSD) within a year. Both SV and PTSD are associated with alcohol misuse among college women, often explained by the self-medication hypothesis. Existing literature focuses on overall PTSD severity rather than potential day-to-day fluctuations in specific symptoms, which might play a crucial role in understanding alcohol misuse risk. Studies also examine only same-day or next-day associations between PTSD and drinking, neglecting the potential for longer-term changes.MethodsThis study explores the short-term longitudinal stability and time-lagged predictive dynamics of PTSD symptoms, affect, and drinking behavior among 174 female college heavy episodic drinkers over four weeks. Participants were categorized into three groups: those with a history of SV and PTSD (n = 77), women with SV but without PTSD (n = 59), and women without prior trauma history (n = 38) to be able to examine differences by trauma exposure, and PTSD. We compared the longitudinal stability of PTSD symptom networks, affect (arousal, positive affect, and negative affect), and drinking behavior across groups. Support vector regression determined which PTSD symptom networks and affect best predict drinking behavior at specific time lags within a 0-7 day range.ResultsThe PTSD group showed higher longitudinal stability for PTSD symptom networks (adjusted ps
- Published
- 2024
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