PMID- 25158641 OWN - NLM STAT- MEDLINE DCOM- 20150514 LR - 20211021 IS - 1573-6598 (Electronic) IS - 0894-9867 (Print) IS - 0894-9867 (Linking) VI - 27 IP - 4 DP - 2014 Aug TI - A test of whether coping styles moderate the effect of PTSD symptoms on alcohol outcomes. PG - 478-82 LID - 10.1002/jts.21943 [doi] AB - Coping style may partially account for the frequent co-occurrence of posttraumatic stress disorder (PTSD) and alcohol-use disorder (AUD). We hypothesized that avoidant and action-oriented coping styles would moderate the association between PTSD symptom severity and alcohol outcomes among U.S. Operation Enduring Freedom/Operation Iraqi Freedom veterans, such that PTSD symptoms would be most strongly and positively associated with negative alcohol-related consequences and drinking quantity when action-oriented coping was low and avoidant coping was high. The sample (N = 128; 85.2% male, M = 37.8 years old, 63.3% Caucasian) completed a diagnostic assessment for PTSD and AUD and self-report surveys measuring coping styles, drinking quantity, and negative alcohol-related consequences. Consistent with the main hypothesis, a 3-way interaction among PTSD symptom severity, avoidant coping, and action-oriented coping was found in the predicted direction (d = 0.47-0.55). Post hoc descriptive analyses indicated that veterans with a current diagnosis of PTSD, low action-oriented coping, and high avoidant coping had worse alcohol outcomes and were twice as likely to meet criteria for current AUD compared with veterans with fewer risk factors. Findings suggest that the combination of PTSD and maladaptive coping styles may be more important for understanding alcohol-related outcomes than the presence of any of these variables in isolation. CI - Published 2014. This article is a US Government work and is in the public domain in the USA. FAU - Grosso, Justine A AU - Grosso JA AD - VA VISN 17 Center of Excellence for Research on Returning War Veterans, Waco, Texas, USA; Department of Psychology and Neuroscience, Baylor University, Waco, Texas, USA. FAU - Kimbrel, Nathan A AU - Kimbrel NA FAU - Dolan, Sara AU - Dolan S FAU - Meyer, Eric C AU - Meyer EC FAU - Kruse, Marc I AU - Kruse MI FAU - Gulliver, Suzy B AU - Gulliver SB FAU - Morissette, Sandra B AU - Morissette SB LA - eng GR - I01 RX000304/RX/RRD VA/United States GR - IK2 CX000525/CX/CSRD VA/United States PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - J Trauma Stress JT - Journal of traumatic stress JID - 8809259 SB - IM MH - *Adaptation, Psychological MH - Adult MH - Alcohol Drinking MH - Alcohol-Related Disorders/*etiology/psychology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Psychiatric Status Rating Scales MH - Risk Factors MH - Self Report MH - Severity of Illness Index MH - Stress Disorders, Post-Traumatic/*psychology MH - United States MH - Veterans/*psychology PMC - PMC5032643 MID - NIHMS795755 EDAT- 2014/08/28 06:00 MHDA- 2015/05/15 06:00 PMCR- 2016/09/22 CRDT- 2014/08/28 06:00 PHST- 2014/08/28 06:00 [entrez] PHST- 2014/08/28 06:00 [pubmed] PHST- 2015/05/15 06:00 [medline] PHST- 2016/09/22 00:00 [pmc-release] AID - 10.1002/jts.21943 [doi] PST - ppublish SO - J Trauma Stress. 2014 Aug;27(4):478-82. doi: 10.1002/jts.21943.