Post traumatic stress, alcohol use, and alcohol use motives among firefighters: The role of distress tolerance

by | Addiction

https://www.sciencedirect.com/science/article/abs/pii/S0165178119315860?via%3Dihub

Comment; PTSD & distress tolerance as well as coping mechanisms all go hand in hand, let’s define more about these relationships in this vulnerable population.

Author links open overlay panelMayaZegelaJana K.TranbAnka A.VujanovicaShow morehttps://doi.org/10.1016/j.psychres.2019.112633Get rights and content

Highlights

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PTSD symptom severity was positively associated with alcohol use severity.•

PTSD symptom severity was positively associated with coping and conformity motives.•

Distress tolerance was associated with alcohol use, conformity, and coping motives.•

Interactive effect of PTSD and distress tolerance with regard to coping motives.

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.

Dr. Raymond Oenbrink
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