Evidence map›Paper›PMID 27902943›Full record

ArticleAddictive behaviors2017

Combat experience and problem drinking in veterans: Exploring the roles of PTSD, coping motives, and perceived stigma.

Stephen M Miller, Eric R Pedersen, Grant N Marshall

Abstract read
In one paragraph

Article in Addictive behaviors, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Assessing shared psychological constructs as risk factors in comorbid PTSD-AUD combat-exposed male veterans.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2025
    Article
  5. Article
  6. What Is the Role of Affective Cognition in Trauma and Posttraumatic-Stress-Disorder-Related Drinking? A Systematic Review.Clinical psychological science : a journal of the Association for Psychological Science · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Drinking motivations in UK serving and ex-serving military personnel.Occupational medicine (Oxford, England) · 2020
    Article
  11. Addiction is driven by excessive goal-directed drug choice under negative affect: translational critique of habit and compulsion theory.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2020
    Review
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  13. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Stephen M MillerClaremont Graduate University, Division of Behavioral and Organizational Sciences, 123 East 8th Street, Claremont, CA 91711, USA. Electronic address: stephen.miller@cgu.edu.
Eric R PedersenRAND Corporation, 1776 Main Street, Santa Monica, CA 90403, USA.
Grant N MarshallRAND Corporation, 1776 Main Street, Santa Monica, CA 90403, USA.
RAND Corporation · USClaremont Graduate University · US

Funding

Brief Online Intervention to Reduce Heavy Alcohol Use Among Young Adult VeteransR34AA022400 · NIAAA · RAND CORPORATION · PI PEDERSEN, ERIC R. · 2013 to 2015
$692k
NIAAA NIH HHS R34 AA022400
6 · The paper itself

Abstract

purposeThe current investigation sought to illustrate the etiology of adverse alcohol consequences in young adult veterans using a path analytic framework.

methodsA total of 312 veterans aged 19-34 were enrolled in a larger intervention study on alcohol use. At baseline, participants completed measures of combat severity, PTSD symptom severity, and drinking motives to cope. At one month follow-up, participants completed measures of perceived stigma of behavioral health treatment seeking and past 30-day alcohol consequences.

resultsAfter entering the covariates of age, gender, race/ethnicity, and past year behavioral health treatment utilization, a path analytic model demonstrated a good fit to the data predicting alcohol consequences in this population. Further, a separate exploratory analysis confirmed that both drinking motives to cope and perceived stigma of behavioral health treatment seeking mediated the link between PTSD symptom severity and alcohol consequences.

conclusionsThe current model expands upon prior research showing the relationship between combat severity and alcohol use behavior in young adult veterans. Results support the notion that veterans with PTSD symptoms may drink to cope and that perceived stigma surrounding help seeking may further contribute to alcohol related problems.

Indexed as

Social StigmaAdaptation, PsychologicalAdultAlcohol DrinkingAttitude to HealthCombat DisordersFemaleHumansLongitudinal StudiesMaleMotivationPerceptionStress Disorders, Post-TraumaticSurveys and QuestionnairesUnited StatesVeteransAlcohol consequencesCoping motivesMediationPath analysisPTSDVeterans

Identifiers

PMID27902943
PMCPMC5177488
OpenAlexW2549196667

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.