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Alcohol and Drug Abuse Among U.S. Veterans: Comparing Associations With Intimate Partner Substance Abuse and Veteran Psychopathology

Authors


  • Funding for this study was provided by National Institute on Mental Health award RO1MH079806 to Mark W. Miller.

Correspondence concerning this article should be addressed to Mark W. Miller, National Center for PTSD (116B-2), VA Boston Healthcare System, 150 South Huntington Avenue, Boston, MA 02130. E-mail: mark.miller5@va.gov

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.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:退役軍人的酒精與葯物濫用問題:退役軍人的精神病理學和伴侣物質濫用的關係

撮要:本硏究檢視在美國退役軍人(242對夫婦,N=484)中,創傷後壓力症(PTSD) 、其他精神病理學、和伴侣酒精與葯物濫用,與其物質濫用問題的相對影響。等級回歸分析發現:伴侣酒精與葯物濫用的程度對退役軍人的酒精及葯物濫用(分別為20%和13%)有較高方差;而退役軍人PTSD,成人反社會行為或抑鬱症狀等總和的方差則較低(退役軍人酒精濫用6%,而物質濫用7%)。硏究對退役軍人酒精和物質濫用的關係因素的影響有新見解,及突顯在治療退役軍人的PTSD和物質濫用共病時採用夫婦為治療對象的重要性。

标题:退役军人的酒精与药物滥用问题:退役军人的精神病理学和伴侣物质滥用的关系

撮要:本硏究检视在美国退役军人(242对夫妇,N=484)中,创伤后压力症(PTSD) 、其他精神病理学、和伴侣酒精与药物滥用,与其物质滥用问题的相对影响。等级回归分析发现:伴侣酒精与药物滥用的程度对退役军人的酒精及药物滥用(分别为20%和13%)有较高方差;而退役军人PTSD,成人反社会行为或抑郁症状等总和的方差则较低(退役军人酒精滥用6%,而物质滥用7%)。硏究对退役军人酒精和物质滥用的关系因素的影响有新见解,及突显在治疗退役军人的PTSD和物质滥用共病时采用夫妇为治疗对象的重要性。

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