Associations Between Posttraumatic Stress Disorder, Emotion Dysregulation, and Alcohol Dependence Symptoms Among Inner City Females

J Clin Psychol. 2017 Mar;73(3):319-330. doi: 10.1002/jclp.22332. Epub 2016 Jul 28.

Abstract

Objective: The purpose of this study was to examine how emotion dysregulation (ED) might help explain the relationship between posttraumatic stress disorder (PTSD) and alcohol dependence (AD) symptoms in females.

Method: Participants included 260 women from primary, diabetes, and gynecological clinics of an urban public hospital. This is a primarily African American sample (96.9%), including individuals reporting exposure to at least 1 traumatic event. We examined the associations and predictability patterns between severity of PTSD symptoms, ED, and AD symptoms.

Results: Using linear regression analyses, PTSD avoidance and numbing symptoms and ED were significant predictors of AD symptoms. When looking at specific dimensions of ED, one's inability to engage in goal-directed behavior under strong emotional influences showed a full indirect effect on the relationship between PTSD avoidance and numbing symptoms and AD symptoms.

Conclusion: Our findings suggest that having poor emotion regulation skills may help explain why females with PTSD become dependent on alcohol.

Keywords: PTSD; alcohol dependence; emotion dysregulation; traumatized population; women.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Affective Symptoms / epidemiology*
  • Alcoholism / epidemiology*
  • Black or African American / statistics & numerical data
  • Female
  • Georgia / epidemiology
  • Humans
  • Middle Aged
  • Self-Control*
  • Stress Disorders, Post-Traumatic / epidemiology*
  • Urban Population / statistics & numerical data*
  • Young Adult