Caregiver support buffers posttraumatic stress disorder symptoms following a natural disaster in relation to binge drinking.

Psychological Trauma : Theory, Research, Practice and Policy
Terrell A HicksAnanda B Amstadter

Abstract

We investigate if posttraumatic stress disorder (PTSD) symptoms mediate the effects of disaster severity or prior trauma on binge drinking following disaster exposure and test if support from caregiver moderates the relation between disaster severity and PTSD symptoms as well as prior trauma and PTSD symptoms. A population-based clinical trial used address-based sampling to enroll 1,804 adolescents and parents from communities affected by tornadoes in Missouri and Alabama. Data collection via baseline (averaging 8 months postdisaster), 4-month postbaseline, and 12-month postbaseline semistructured telephone interviews was completed between September 2011 and August 2013. Longitudinal analyses, testing the indirect effects of disaster severity and prior traumatic events on alcohol use through PTSD symptoms, as potentially moderated by support from caregiver, were conducted. PTSD symptoms mediated the effect of prior trauma, but not disaster severity, on binge drinking. Specifically, those with more prior traumas reported more PTSD symptoms, which in turn increased risk for binge drinking. Support from caregiver moderated the effect of disaster severity, but not prior trauma, on PTSD symptoms. Specifically, the effect of disaster...Continue Reading

Citations

Mar 16, 2021·Developmental Medicine and Child Neurology·Jennifer L BarkinKatharine Mach
Jul 3, 2021·International Journal of Environmental Research and Public Health·José Luis CarballoVirtudes Pérez-Jover

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