title: Proposed pathways to problematic drinking via post-traumatic stress disorder symptoms, emotion dysregulation, and dissociative tendencies following child/adolescent sexual abuse.
abstract: The relationship between early sexual abuse and college problem drinking was examined using an integration of the self-medication and vulnerability-stress models. Baseline survey data from parti-cipants (N = 213; 135 men and 78 college women) completing a mandated, brief alcohol intervention were utilized. Representative of the self-medication model, post-traumatic stress disorder symptoms mediated the early sexual abuse/problem drinking relationship. Two psychological vulnerability factors-emotion dysregulation and dissociative tendencies-were incorporated into self-medication findings via more advanced mediational models. Results highlighted that problem drinking increased as dissociative tendencies increased, and relations between the vulnerability factors and post-traumatic stress disorder symptoms were in an unexpected direction.
authors.affiliation: a Psychology Department, Creighton University , Omaha , Nebraska , USA.
authors.forename: Alicia K
authors.initials: AK
authors.lastname: Klanecky
authors.affiliation: b Psychology Department , University of Nebraska-Lincoln , Lincoln , Nebraska , USA.
authors.forename: Dennis E
authors.initials: DE
authors.lastname: McChargue
authors.affiliation: b Psychology Department , University of Nebraska-Lincoln , Lincoln , Nebraska , USA.
authors.forename: Antover P
authors.initials: AP
authors.lastname: Tuliao
mesh_terms: D000293:Adolescent; D054523:Adult Survivors of Child Abuse / Q000523:psychology; D000342:Affective Symptoms / Q000209:etiology* / Q000523:psychology; D000437:Alcoholism / Q000209:etiology* / Q000523:psychology; D057189:Checklist; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology*; D004213:Dissociative Disorders / Q000209:etiology* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D011569:Psychiatric Status Rating Scales; D012651:Self Medication / Q000523:psychology; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology* / Q000523:psychology; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: PTSD; Problematic drinking; child/adolescent sexual abuse; college; vulnerability