title: Alcohol and drug abuse among U.S. veterans: comparing associations with intimate partner substance abuse and veteran psychopathology.
abstract: This study examined the relative influences of posttraumatic stress disorder (PTSD), other psychopathology, and intimate partner alcohol and drug use on substance-related problems in U.S. veterans (242 couples, N = 484). Hierarchical regression analyses revealed that partner alcohol and drug use severity explained more variance in veteran alcohol use and drug use (20% and 13%, respectively) than did veteran PTSD, adult antisocial behavior, or depression symptoms combined (6% for veteran alcohol use; 7% for veteran drug use). Findings shed new light on the influence of relationship factors on veteran alcohol and drug use and underscore the importance of couples-oriented approaches to treating veterans with comorbid PTSD and substance abuse.
authors: National Center for PTSD at VA Boston Healthcare System & Department of Psychiatry, Boston, MA 02130, USA. mark.miller5@va.gov
authors: Mark W
authors: MW
authors: Miller
authors: Annemarie F
authors: AF
authors: Reardon
authors: Erika J
authors: EJ
authors: Wolf
authors: Lauren B
authors: LB
authors: Prince
authors: Christina L
authors: CL
authors: Hein
mesh_terms: D000328:Adult; D000368:Aged; D000437:Alcoholism / Q000453:epidemiology* / Q000523:psychology / Q000534:rehabilitation; D000987:Antisocial Personality Disorder / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation; D003130:Combat Disorders / Q000453:epidemiology* / Q000523:psychology / Q000534:rehabilitation; D015897:Comorbidity; D019546:Couples Therapy; D003866:Depressive Disorder / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011599:Psychopathology; D018454:Spouses / Q000523:psychology* / Q000706:statistics & numerical data*; D013223:Statistics as Topic; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology* / Q000523:psychology / Q000534:rehabilitation; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000523:psychology / Q000534:rehabilitation; D014481:United States; D014728:Veterans / Q000523:psychology* / Q000706:statistics & numerical data*