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Anxiety, distress tolerance, and the relationship between complex posttraumatic stress disorder symptoms and alcohol use in veterans

Sebastian Whiteford Orcid Logo, Martyn Quigley Orcid Logo, Glen Dighton Orcid Logo, Katie Wood, Neil Kitchiner, Cherie Armour, Simon Dymond Orcid Logo

Journal of Clinical Psychology, Volume: 80, Issue: 1, Pages: 158 - 169

Swansea University Authors: Sebastian Whiteford Orcid Logo, Martyn Quigley Orcid Logo, Glen Dighton Orcid Logo, Katie Wood, Simon Dymond Orcid Logo

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DOI (Published version): 10.1002/jclp.23604

Abstract

Objectives: Little is known about whether distress tolerance and anxiety mediate the relationship between comorbid complex posttraumatic stress disorder (CPTSD) and alcohol use among military veterans. Here, we investigated the contribution of distress tolerance and anxiety on the strength of the CP...

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Published in: Journal of Clinical Psychology
ISSN: 0021-9762 1097-4679
Published: Wiley 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa64796
first_indexed 2023-10-31T18:53:31Z
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Here, we investigated the contribution of distress tolerance and anxiety on the strength of the CPTSD and alcohol use association. We hypothesized that the impact of a two-factor model of CPTSD derived from subscale scores on the International Trauma Questionnaire (ITQ)&#x2014;namely ITQ PTSD and ITQ Disturbances in Self Organization (DSO; e.g., issues with affective regulation/self-belief and shame)&#x2014;on alcohol use severity would be mediated by anxiety but not by distress tolerance. Methods: Participants included 403 community-dwelling United Kingdom (UK) veterans (91.64% male, Mage&#x2009;=&#x2009;51.15 years, SD&#x2009;=&#x2009;12.48) recruited as part of a larger, online study. Results: Findings indicated that the influence of CPTSD symptoms on alcohol use severity was mediated by anxiety, not by distress tolerance, with greater relative impact due to ITQ DSO status than ITQ PTSD status. Conclusions: We identified the mediational influence of anxiety and distress tolerance on the association between CPTSD subscales and alcohol use in UK veterans. Interventions for anxiety may be adapted for reducing problematic alcohol use and the impact of CPTSD symptoms in veterans with comorbid PTSD and alcohol use disorder.</abstract><type>Journal Article</type><journal>Journal of Clinical Psychology</journal><volume>80</volume><journalNumber>1</journalNumber><paginationStart>158</paginationStart><paginationEnd>169</paginationEnd><publisher>Wiley</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>0021-9762</issnPrint><issnElectronic>1097-4679</issnElectronic><keywords>Alcohol use, anxiety complex, PTSD, disorders of self-organization, distress tolerance, veterans</keywords><publishedDay>1</publishedDay><publishedMonth>1</publishedMonth><publishedYear>2024</publishedYear><publishedDate>2024-01-01</publishedDate><doi>10.1002/jclp.23604</doi><url/><notes/><college>COLLEGE NANME</college><department>Psychology School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>PSYS</DepartmentCode><institution>Swansea University</institution><apcterm>SU Library paid the OA fee (TA Institutional Deal)</apcterm><funders>This work was supported by a grant from Forces in Mind Trust (FiMT17/0510S).</funders><projectreference/><lastEdited>2024-09-17T15:54:15.6812222</lastEdited><Created>2023-10-23T09:47:14.6613972</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">School of Psychology</level></path><authors><author><firstname>Sebastian</firstname><surname>Whiteford</surname><orcid>0000-0003-3859-7220</orcid><order>1</order></author><author><firstname>Martyn</firstname><surname>Quigley</surname><orcid>0000-0003-4342-1369</orcid><order>2</order></author><author><firstname>Glen</firstname><surname>Dighton</surname><orcid>0000-0002-9283-5114</orcid><order>3</order></author><author><firstname>Katie</firstname><surname>Wood</surname><order>4</order></author><author><firstname>Neil</firstname><surname>Kitchiner</surname><order>5</order></author><author><firstname>Cherie</firstname><surname>Armour</surname><order>6</order></author><author><firstname>Simon</firstname><surname>Dymond</surname><orcid>0000-0003-1319-4492</orcid><order>7</order></author></authors><documents><document><filename>64796__28909__59c7f26fbdc84a57b9fcf6dc5b4c1d5f.pdf</filename><originalFilename>64796.VOR.pdf</originalFilename><uploaded>2023-11-01T15:55:27.9931436</uploaded><type>Output</type><contentLength>434270</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>&#xA9; 2023 The Authors. Journal of Clinical Psychology published by Wiley Periodicals LLC. Distributed under the terms of a Creative Commons Attribution 4.0 License (CC BY 4.0).</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language><licence>https://creativecommons.org/licenses/by/4.0/</licence></document></documents><OutputDurs/></rfc1807>
spelling 2024-09-17T15:54:15.6812222 v2 64796 2023-10-23 Anxiety, distress tolerance, and the relationship between complex posttraumatic stress disorder symptoms and alcohol use in veterans 5bcf7b504f5cb2b2ad68192efc3983f5 0000-0003-3859-7220 Sebastian Whiteford Sebastian Whiteford true false 45ba0b00b12b2a4cd533dcd42f0121d9 0000-0003-4342-1369 Martyn Quigley Martyn Quigley true false 2a413b069254b5edfb6509b4c3b41ad7 0000-0002-9283-5114 Glen Dighton Glen Dighton true false 779901c0c2475d2e65a144891c67ce81 Katie Wood Katie Wood true false 8ed0024546f2588fdb0073a7d6fbc075 0000-0003-1319-4492 Simon Dymond Simon Dymond true false 2023-10-23 PSYS Objectives: Little is known about whether distress tolerance and anxiety mediate the relationship between comorbid complex posttraumatic stress disorder (CPTSD) and alcohol use among military veterans. Here, we investigated the contribution of distress tolerance and anxiety on the strength of the CPTSD and alcohol use association. We hypothesized that the impact of a two-factor model of CPTSD derived from subscale scores on the International Trauma Questionnaire (ITQ)—namely ITQ PTSD and ITQ Disturbances in Self Organization (DSO; e.g., issues with affective regulation/self-belief and shame)—on alcohol use severity would be mediated by anxiety but not by distress tolerance. Methods: Participants included 403 community-dwelling United Kingdom (UK) veterans (91.64% male, Mage = 51.15 years, SD = 12.48) recruited as part of a larger, online study. Results: Findings indicated that the influence of CPTSD symptoms on alcohol use severity was mediated by anxiety, not by distress tolerance, with greater relative impact due to ITQ DSO status than ITQ PTSD status. Conclusions: We identified the mediational influence of anxiety and distress tolerance on the association between CPTSD subscales and alcohol use in UK veterans. Interventions for anxiety may be adapted for reducing problematic alcohol use and the impact of CPTSD symptoms in veterans with comorbid PTSD and alcohol use disorder. Journal Article Journal of Clinical Psychology 80 1 158 169 Wiley 0021-9762 1097-4679 Alcohol use, anxiety complex, PTSD, disorders of self-organization, distress tolerance, veterans 1 1 2024 2024-01-01 10.1002/jclp.23604 COLLEGE NANME Psychology School COLLEGE CODE PSYS Swansea University SU Library paid the OA fee (TA Institutional Deal) This work was supported by a grant from Forces in Mind Trust (FiMT17/0510S). 2024-09-17T15:54:15.6812222 2023-10-23T09:47:14.6613972 Faculty of Medicine, Health and Life Sciences School of Psychology Sebastian Whiteford 0000-0003-3859-7220 1 Martyn Quigley 0000-0003-4342-1369 2 Glen Dighton 0000-0002-9283-5114 3 Katie Wood 4 Neil Kitchiner 5 Cherie Armour 6 Simon Dymond 0000-0003-1319-4492 7 64796__28909__59c7f26fbdc84a57b9fcf6dc5b4c1d5f.pdf 64796.VOR.pdf 2023-11-01T15:55:27.9931436 Output 434270 application/pdf Version of Record true © 2023 The Authors. Journal of Clinical Psychology published by Wiley Periodicals LLC. Distributed under the terms of a Creative Commons Attribution 4.0 License (CC BY 4.0). true eng https://creativecommons.org/licenses/by/4.0/
title Anxiety, distress tolerance, and the relationship between complex posttraumatic stress disorder symptoms and alcohol use in veterans
spellingShingle Anxiety, distress tolerance, and the relationship between complex posttraumatic stress disorder symptoms and alcohol use in veterans
Sebastian Whiteford
Martyn Quigley
Glen Dighton
Katie Wood
Simon Dymond
title_short Anxiety, distress tolerance, and the relationship between complex posttraumatic stress disorder symptoms and alcohol use in veterans
title_full Anxiety, distress tolerance, and the relationship between complex posttraumatic stress disorder symptoms and alcohol use in veterans
title_fullStr Anxiety, distress tolerance, and the relationship between complex posttraumatic stress disorder symptoms and alcohol use in veterans
title_full_unstemmed Anxiety, distress tolerance, and the relationship between complex posttraumatic stress disorder symptoms and alcohol use in veterans
title_sort Anxiety, distress tolerance, and the relationship between complex posttraumatic stress disorder symptoms and alcohol use in veterans
author_id_str_mv 5bcf7b504f5cb2b2ad68192efc3983f5
45ba0b00b12b2a4cd533dcd42f0121d9
2a413b069254b5edfb6509b4c3b41ad7
779901c0c2475d2e65a144891c67ce81
8ed0024546f2588fdb0073a7d6fbc075
author_id_fullname_str_mv 5bcf7b504f5cb2b2ad68192efc3983f5_***_Sebastian Whiteford
45ba0b00b12b2a4cd533dcd42f0121d9_***_Martyn Quigley
2a413b069254b5edfb6509b4c3b41ad7_***_Glen Dighton
779901c0c2475d2e65a144891c67ce81_***_Katie Wood
8ed0024546f2588fdb0073a7d6fbc075_***_Simon Dymond
author Sebastian Whiteford
Martyn Quigley
Glen Dighton
Katie Wood
Simon Dymond
author2 Sebastian Whiteford
Martyn Quigley
Glen Dighton
Katie Wood
Neil Kitchiner
Cherie Armour
Simon Dymond
format Journal article
container_title Journal of Clinical Psychology
container_volume 80
container_issue 1
container_start_page 158
publishDate 2024
institution Swansea University
issn 0021-9762
1097-4679
doi_str_mv 10.1002/jclp.23604
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
document_store_str 1
active_str 0
description Objectives: Little is known about whether distress tolerance and anxiety mediate the relationship between comorbid complex posttraumatic stress disorder (CPTSD) and alcohol use among military veterans. Here, we investigated the contribution of distress tolerance and anxiety on the strength of the CPTSD and alcohol use association. We hypothesized that the impact of a two-factor model of CPTSD derived from subscale scores on the International Trauma Questionnaire (ITQ)—namely ITQ PTSD and ITQ Disturbances in Self Organization (DSO; e.g., issues with affective regulation/self-belief and shame)—on alcohol use severity would be mediated by anxiety but not by distress tolerance. Methods: Participants included 403 community-dwelling United Kingdom (UK) veterans (91.64% male, Mage = 51.15 years, SD = 12.48) recruited as part of a larger, online study. Results: Findings indicated that the influence of CPTSD symptoms on alcohol use severity was mediated by anxiety, not by distress tolerance, with greater relative impact due to ITQ DSO status than ITQ PTSD status. Conclusions: We identified the mediational influence of anxiety and distress tolerance on the association between CPTSD subscales and alcohol use in UK veterans. Interventions for anxiety may be adapted for reducing problematic alcohol use and the impact of CPTSD symptoms in veterans with comorbid PTSD and alcohol use disorder.
published_date 2024-01-01T20:25:57Z
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