PTSD and substance-related problems: The mediating roles of disconstraint and negative emotionality

被引:65
|
作者
Miller, Mark W.
Vogt, Dawne S.
Mozley, Susannah L.
Kaloupek, Danny G.
Keane, Terence M.
机构
[1] VA Boston Healthcare Syst, Natl Ctr PTSD, Boston, MA 02130 USA
[2] Boston Univ, Sch Med, Dept Psychiat, Boston, MA 02215 USA
[3] Boston Univ, Sch Med, Dept Psychol, Boston, MA 02215 USA
关键词
disconstraint; posttraumatic stress disorder; negative emotionality; substance use; alcohol use;
D O I
10.1037/0021-843X.115.2.369
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The authors examined competing hypotheses regarding the role of 2 personality dimensions, disconstraint and negative emotionality, in mediating the relationship between posttraumatic stress disorder (PTSD) severity and substance-related problems. Data were drawn from a large sample of male Vietnam veterans. The best-fitting structural model included significant indirect paths from PTSD to both alcohol- and drug-related outcomes through disconstraint, and a significant indirect path from PTSD to alcohol-related problems through negative emotionality. There were no direct effects of PTSD on either substance-related outcome. These findings indicate distinct pathways to different forms of substance-related problems in PTSD and underscore the role of personality in mediating these relationships.
引用
收藏
页码:369 / 379
页数:11
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