Evidence map›Paper›PMID 29310061›Full record

ArticleJournal of affective disorders2018

Social support predicts reductions in PTSD symptoms when substances are not used to cope: A longitudinal study of sexual assault survivors.

Emily R Dworkin, Heidi Ojalehto, Michele A Bedard-Gilligan, Jennifer M Cadigan, Debra Kaysen

Open access · greenAbstract read
In one paragraph

Article in Journal of affective disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
5.1field-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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
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  3. Interacting with a friend after a trauma film reduces anxiety and intrusive memories.Psychological trauma : theory, research, practice and policy · 2024
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  7. Social Buffering of Posttraumatic Stress Disorder: Longitudinal Effects and Neural Mediators.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2025
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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

5 authors at 1 institution in 1 country.

Emily R DworkinDepartment of Psychiatry and Behavioral Sciences, University of Washington, 1100 NE 45th Street, Suite 300, UW Box 354944, Seattle, WA 98195, United States. Electronic address: emily.dworkin@gmail.com.
Heidi OjalehtoDepartment of Psychiatry and Behavioral Sciences, University of Washington, 1100 NE 45th Street, Suite 300, UW Box 354944, Seattle, WA 98195, United States.
Michele A Bedard-GilliganDepartment of Psychiatry and Behavioral Sciences, University of Washington, 1100 NE 45th Street, Suite 300, UW Box 354944, Seattle, WA 98195, United States.
Jennifer M CadiganDepartment of Psychiatry and Behavioral Sciences, University of Washington, 1100 NE 45th Street, Suite 300, UW Box 354944, Seattle, WA 98195, United States.
Debra KaysenDepartment of Psychiatry and Behavioral Sciences, University of Washington, 1100 NE 45th Street, Suite 300, UW Box 354944, Seattle, WA 98195, United States.
University of Washington · US

Funding

Psychology Training in Alcohol Research (PTAR)T32AA007455 · NIAAA · UNIVERSITY OF WASHINGTON · PI MARY E. LARIMER · 1985 to 2026
$11.4M
A Daily Process Examination of Alcohol Use and PTSD in Female College StudentsR21AA016211 · NIAAA · UNIVERSITY OF WASHINGTON · PI KAYSEN, DEBRA L · 2007 to 2008
$410k
Iterative intervention development for high-risk teen alcohol use: A multi-method, multi-level examination of engagement in substance-free activities and high-risk alcohol and substance useF32AA025263 · NIAAA · UNIVERSITY OF WASHINGTON · PI CADIGAN, JENNIFER M · 2016 to 2018
$176k
NIAAA NIH HHS F32 AA025263NIAAA NIH HHS R21 AA016211NIAAA NIH HHS T32 AA007455
6 · The paper itself

Abstract

backgroundAfter sexual assault, many college women develop symptoms of posttraumatic stress disorder (PTSD), and those who engage in substance use coping are at heightened risk for this outcome. Positively-perceived social support has been identified as an important protective factor against the development of PTSD, but received social support could involve problematic behaviors-like the encouragement of coping through use of alcohol and/or drugs-that could worsen symptoms.

methodsIn the current study, 147 undergraduate women with a lifetime history of sexual assault completed two waves of self-report measures assessing their symptoms. We test main and interaction effects for social support and substance use coping at baseline on PTSD symptoms one month later.

resultsResults suggest that social support is longitudinally associated with decreases in PTSD. Although substance use coping did not evidence a direct association with PTSD, the relationship between social support and PTSD was significantly weaker as substance use coping increased. Only support from friends (but not family members or a "special person") was associated with later PTSD, and this relationship was moderated by substance use coping. LIMITATIONS: Substance use coping was assessed via a brief measure, and peer encouragement of coping by using alcohol and/or drugs was not directly assessed.

conclusionsClinicians should consider ways to increase access to social support from friends in patients with PTSD and evaluate ways that substance use coping may interfere with social support's benefits.

Indexed as

Adaptation, PsychologicalSocial SupportAdultFemaleHumansLongitudinal StudiesMiddle AgedSex OffensesStress Disorders, Post-TraumaticStudentsSurvivorsUniversitiesAlcoholChildhood sexual abuseDrinkingDrug useRapeTrauma

Identifiers

PMID29310061
PMCPMC5807183
OpenAlexW2781093789

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.