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Cited by 83Resilience and Mental HealthPosttraumatic Stress Disorder ResearchSubstance Abuse Treatment and Outcomes

Alcohol misuse and psychological resilience among U.S. Iraq and Afghanistan era veterans

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Green, Kimberly T., Beckham, Jean C., Youssef, Nagy, Elbogen, Eric B.·2014·Addictive Behaviors
DOI 10.1016/j.addbeh.2013.08.024PMC PMC3936318
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Abstract

Objective The present study sought to investigate the longitudinal effects of psychological resilience against alcohol misuse adjusting for socio-demographic factors, trauma-related variables, and self-reported history of alcohol abuse. Methodology Data were from the National Post-Deployment Adjustment Study (NPDAS) participants who completed both a baseline and one-year follow-up survey (N=1090). Survey questionnaires measured combat exposure, probable posttraumatic stress disorder (PTSD), psychological resilience, and alcohol misuse, all of which were measured at two discrete time periods (baseline and one-year follow-up). Baseline resilience and change in resilience (increased or decreased) were utilized as independent variables in separate models evaluating alcohol misuse at the one-year follow-up. Results Multiple linear regression analyses controlled for age, gender, level of educational attainment, combat exposure, PTSD symptom severity, and self-reported alcohol abuse. Accounting for these covariates, findings revealed that lower baseline resilience, younger age, male gender, and self-reported alcohol abuse were related to alcohol misuse at the one-year follow-up. A separate regression analysis, adjusting for the same covariates, revealed a relationship between change in resilience (from baseline to the one-year follow-up) and alcohol misuse at the one-year follow-up. The regression model evaluating these variables in a subset of the sample in which all the participants had been deployed to Iraq and/or Afghanistan was consistent with findings involving the overall era sample. Finally, logistic regression analyses of the one-year follow-up data yielded similar results to the baseline and resilience change models. Conclusions These findings suggest that increased psychological resilience is inversely related to alcohol misuse and is protective against alcohol misuse over time. Additionally, it supports the conceptualization of resilience as a process which evolves over time. Moreover, our results underscore the importance of assessing resilience as part of alcohol use screening for preventing alcohol misuse in Iraq and Afghanistan era military veterans.

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  • Tobacco use remains markedly unequal across groups, especially among disadvantaged populations.

    “and large disparities in tobacco use remain across a number of groups, particularly in disadvantaged populations (Green, Beckham, Youssef, & Elbogen, 2014).”

    From A randomized controlled trial protocol for engaging distress tolerance and working memory to aid smoking cessation in low socioeconomic status (SES) adults (2020) · cites this paper as Green, Beckham, Youssef, & Elbogen, 2014

    The Introduction and Discussion passages address disparities and risk factors for alcohol misuse among military personnel, not tobacco use. Searches for tobacco-use disparities, disadvantaged populations, smoking, and socioeconomic differences found only incidental tobacco references in the References section; no passage in our copy addresses the attributed claim. (LLM, conf=0.74)

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Research works printed but not linked: 14

  1. Babor T Campbell R Room R Saunders J 1994 Lexicon of Alcohol and Drug Terms Geneva, Switzerland World Health Organization
  2. Babor TF Kranzler HR Lauerman RJ 1989b Early detection of harmful alcohol consumption: comparison of clinical, laboratory, and self-report screening procedures Addictive Behaviors 14 139 157 2728952
  3. Bohn MJ Babor TF Kranzler HR 1995 The Alcohol Use Disorders Identification Test (AUDIT): validation of a screening instrument for use in medical settings Journal of Studies on Alcohol 56 4 423 432 7674678
  4. Connor KM Sutherland SM Tupler LA Malik ML Davidson JRT 1999 Fluoxetine in post-traumatic stress disorder: randomized, double-blind study British Journal of Psychiatry 175 17 22 10621763
  5. Elbogen EB Johnson SJ Wagner HR Kinneer P Kang H Timko C Vasterling JJ Beckham JC in press A Fresh Look at Treatment Utilization in Iraq and Afghanistan Era Veterans: Findings from the National Post-Deployment Adjustment Study Psychiatric Services
  6. Gucciardi D Jackson B Coulter T Mallett C 2011 Dimensionality and age-related measurement invariance with Australian cricketers Journal of Sport and Exercise 12 423 433
  7. Institute of Medicine 2013 Substance use disorders in the US armed forces Washington, DC The National Academies Press 24901183
  8. Mensch BS Kandel DB 1988 Underreporting of Substance Use in a National Longitudinal Youth Cohort Public Opinion Quarterly 52 100 124
  9. Moon DG Jackson KM Hecht ML 2000 Family risk and resiliency factors, substance use, and the drug resistance process in adolescence Drug Education 30 4 373 198 11221574
  10. Reid C Fiellin DA O’Connor PG 1999 Hazardous and Harmful Alcohol Consumption in Primary Care Archives Internal Medicine 159 1681 1689 10448769
  11. Rhem KT 2000 Alcohol Abuse costs DOD dearly American Forces Press Service Retrieved from http://usmilitary.about.com/library/milinfo/milarticles/blalcohol.htm
  12. Segal ZV Williams JMG Teasdale JD 2002 Mindfulnessbased cognitive therapy for depression New York Guilford Press
  13. Schulenberg J Maggs JL 2001 A developmental perspective on alcohol and other drug use during adolescence and the transition to young adulthood Retrieved from www.monitoringthefuture.org/pubs/occpapers/occ51.pdf 12022730
  14. Ziedonis D Hitsman B Beckham JC Zvolensky M Adler LE Audrain-McGovern J Breslau N Brown RA George TP Williams J Calhoun PS Riley WT 2008 Tobacco use and Cessation in psychiatric disorders: National Institute of Mental Health report Nicotine and Tobacco Research 10 12 1691 715 19023823

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Authors
Green, K. T., Beckham, J. C., Youssef, N., & Elbogen, E. B.
Affiliations
  • Duke University (US)
  • United States Department of Veterans Affairs (US)
  • University of North Carolina at Chapel Hill (US)
ORCID
Venue
Addictive Behaviors
Publisher
Elsevier BV
Published
2014-02
Volume
39
Issue
2
Pages
406-413
ISSN
0306-4603 (ISSN-L)
DOI
10.1016/j.addbeh.2013.08.024
PMC
PMC3936318
OpenAlex
W2084161855
Cited by
83
References
116
Citations by year
2026: 2 · 2025: 1 · 2024: 4 · 2023: 6 · 2022: 6 · 2021: 12 · 2020: 14 · 2019: 7 · 2018: 12 · 2017: 9 · 2016: 8 · 2015: 1 · 2014: 1
FWCI
3.71
Type
journal article
Language
en
Open access
Locations
  • Addictive Behaviors (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (5k24da016388-10)
  • National Institute of Mental Health (R01MH080988, R01MH062482)
  • National Institute on Drug Abuse (K24-DA-016388)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords
psychological resilience, alcohol abuse, military veterans, Iraq and Afghanistan wars, post-deployment adjustment, combat exposure, post-traumatic stress disorder, alcohol screening, gender differences, age differences
MeSH terms
Adult, Age Factors, Combat Disorders, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Prospective Studies, Surveys and Questionnaires, Sex Factors, Socioeconomic Factors, Stress Disorders, Post-Traumatic, United States, Veterans, Linear Models, Logistic Models, Diagnosis, Dual (Psychiatry), Alcohol-Related Disorders, Harm Reduction, Iraq War, 2003-2011, Resilience, Psychological, Afghan Campaign 2001-, Self Report

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