title: Characterizing binge drinking among U.S. military Veterans receiving a brief alcohol intervention.
abstract: BACKGROUND
  Brief web-based alcohol interventions (BAIs) are effective for reducing binge drinking in college students and civilian adults, and are increasingly being applied to U.S. military populations. However, little is known about factors associated with binge drinking in Veteran populations and therefore some concern remains on the generalizability of studies supporting BAIs for addressing binge drinking in this population. This study sought to better understand the characteristics (e.g., demographic, coping related mental health factors, prior exposure to traumatic events, and factors assessing motivation to change alcohol use) of a predominantly male sample of binge drinking Veterans receiving a BAI from a VA provider.
  
  
  METHODS
  A primarily male (93.5%) sample (N=554) of Veterans completed a BAI consisting of brief assessment and personalized feedback.
  
  
  RESULTS
  We found that Veterans who were younger, used drugs/alcohol to cope with symptoms of PTSD and depression (e.g., nightmares and flashbacks and sleep difficulties), and had experienced sexual assault, had higher self-reported peak blood alcohol concentration and a higher likelihood for a binge drinking episode in the last 90days.
  
  
  CONCLUSIONS
  BAIs may be a promising approach for addressing binge drinking in Veterans. However, binge drinking among a sample of mostly male Veterans receiving a BAI may be associated with a complex set of factors that are less prevalent in the college student population and thus studies demonstrating the efficacy of BAIs with Veterans are needed.
authors.affiliation: Stanford University School of Medicine, Menlo Park, CA 94025, USA. cucciare@hotmail.com
authors.forename: Michael A
authors.initials: MA
authors.lastname: Cucciare
authors.forename: Maura
authors.initials: M
authors.lastname: Darrow
authors.forename: Kenneth R
authors.initials: KR
authors.lastname: Weingardt
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology / Q000523:psychology; D015897:Comorbidity; D000431:Ethanol / Q000097:blood / Q000506:poisoning*; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology; D008875:Middle Aged; D008889:Military Personnel; D009042:Motivation; D012307:Risk Factors; D040921:Stress Disorders, Traumatic / Q000453:epidemiology / Q000523:psychology; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology; D014481:United States / Q000453:epidemiology; D014728:Veterans / Q000523:psychology*; D055815:Young Adult
chemical_list: D000431:Ethanol