Evidence map›Paper›PMID 29641264›Full record

ArticleThe American journal of drug and alcohol abuse2018

Impulsivity interacts with momentary PTSD symptom worsening to predict alcohol use in male veterans.

Anne C Black, Ned L Cooney, Carolyn E Sartor, Albert J Arias, Marc I Rosen

Open access · bronzeAbstract read
In one paragraph

Article in The American journal of drug and alcohol abuse, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

18 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Scoping Review of Experience Sampling Methodology Investigations of Posttraumatic Stress Disorder Symptoms.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2026
    Article
  3. Article
  4. Using Ecological Momentary Assessment to Measure Impulsivity among Trauma-Exposed Adults.Journal of psychopathology and behavioral assessment · 2025
    Article
  5. From sleep to sip? Examining a daily model of sleep and trauma-related drinking among sexual violence survivors.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2025
    Article
  6. Article
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  12. Alcohol use in daily life: Examining the role of trait and state impulsivity facets.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2021
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  15. Review
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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 2 institutions in 1 country.

Anne C Blacka Department of Psychiatry , Yale University School of Medicine , New Haven , CT , USA.
Ned L Cooneya Department of Psychiatry , Yale University School of Medicine , New Haven , CT , USA.
Carolyn E Sartora Department of Psychiatry , Yale University School of Medicine , New Haven , CT , USA.
Albert J Ariasa Department of Psychiatry , Yale University School of Medicine , New Haven , CT , USA.
Marc I Rosena Department of Psychiatry , Yale University School of Medicine , New Haven , CT , USA.
Yale University · USVA Connecticut Healthcare System · US

Funding

Using EMA to Assess the PTSD-HIV Risk Behavior Relationship in OEF/OIF VeteransR21DA039038 · NIDA · YALE UNIVERSITY · PI BLACK, ANNE C. · 2015 to 2016
$293k
NIDA NIH HHS R21 DA039038
6 · The paper itself

Abstract

backgroundPosttraumatic stress disorder (PTSD) is prevalent among veterans who served post-9/11, and co-occurs with problem alcohol and substance use. Studies using ecological momentary assessment have examined the temporal association between time-varying PTSD symptoms and alcohol use. Results suggest individual differences in these associations.

objectivesWe tested hypotheses that alcohol use measured by momentary assessment would be explained by acute increases in PTSD symptoms, and the PTSD-alcohol association would be moderated by trait impulsivity.

methodsA sample of 28 male post-9/11-era veterans who reported past-month PTSD symptoms and risky alcohol use were enrolled. On a quasi-random schedule, participants completed three electronic assessments daily for 28 days measuring past 2-h PTSD symptoms, alcohol, and substance use. At baseline, trait impulsivity was measured by the Barratt Impulsiveness Scale. Past-month PTSD symptoms and alcohol use were measured. Using three-level hierarchical models, number of drinks recorded by momentary assessment was modeled as a function of change in PTSD symptoms since last assessment, controlling for lag-1 alcohol and substance use and other covariates. A cross-level interaction tested moderation of the within-time PTSD-alcohol association by impulsivity.

resultsA total of 1,522 assessments were completed. A positive within-time association between PTSD symptom change and number of drinks was demonstrated. The association was significantly moderated by impulsivity.

conclusionResults provide preliminary support for a unique temporal relationship between acute PTSD symptom change and alcohol use among veterans with trait impulsiveness. If replicated in a clinical sample, results may have implications for a targeted momentary intervention.

Indexed as

Ecological Momentary AssessmentImpulsive BehaviorAdultAlcohol DrinkingHumansMaleModels, TheoreticalPilot ProjectsSelf ReportStress Disorders, Post-TraumaticSubstance-Related DisordersVeteransalcoholimpulsivitymomentary assessmentPTSDveteran

Identifiers

PMID29641264
PMCPMC6172135
OpenAlexW2797123078

What OpenQuestion holds

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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.