Posttraumatic stress, alcohol use, and alcohol use motives among firefighters: The role of distress tolerance.

Abstract:

:Firefighters represent a unique, vulnerable population at high risk for alcohol use disorder (AUD) and posttraumatic stress disorder (PTSD) symptomatology due to the high rates of occupational exposure to traumatic events. To inform specialized alcohol use interventions for firefighters, it is important to understand relevant malleable cognitive-affective factors related to PTSD and AUD symptoms. Distress tolerance (DT), defined as the perceived ability to withstand negative emotional states, is one promising factor relevant to this domain. The current study examined the moderating role of DT in the association of PTSD symptom severity with alcohol use severity and alcohol use motives. Participants included 652 trauma-exposed firefighters (93.3% male; Mage = 38.7 years, SD = 8.6) who endorsed lifetime (ever) alcohol use. Results indicated that there was a significant interactive effect of PTSD symptom severity and DT on coping-oriented alcohol use motives but not other alcohol-related outcomes. These findings were evident after adjusting for alcohol consumption, romantic relationship status, number of years in the fire service, occupational stress, and trauma load. This is the first study to concurrently examine these variables among firefighters and this line of inquiry has great potential to inform intervention efforts for this vulnerable, understudied population.

journal_name

Psychiatry Res

journal_title

Psychiatry research

authors

Zegel M,Tran JK,Vujanovic AA

doi

10.1016/j.psychres.2019.112633

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

112633

eissn

0165-1781

issn

1872-7123

pii

S0165-1781(19)31586-0

journal_volume

282

pub_type

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