ArticleAlcoholism, clinical and experimental research2022
Dissociative symptomatology mediates the relation between posttraumatic stress disorder severity and alcohol-related problems.
Article in Alcoholism, clinical and experimental research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 17 citations in OpenAlex.
- Post-Traumatic Stress Symptoms and Dissociation in Emergency Medical Service Personnel.Healthcare (Basel, Switzerland) · 2026Article
- PTSD, complex PTSD and the dissociative subtype of PTSD in patients with eating disorders.Journal of eating disorders · 2025Article
- Dissociative Experiences and Substance Use Disorder in Adulthood After Childhood Trauma: A Systematic Review of the Literature.Clinical psychology in Europe · 2025Review
- The Roles of Dissociation and Depression in PTSD Among Soldiers Exposed to Combat.International journal of environmental research and public health · 2025Article
- Exploring the association between moral injury and posttraumatic stress symptoms among Canadian public safety personnel.Journal of traumatic stress · 2025Article
- Brain Fog and Cognitive Dysfunction in Posttraumatic Stress Disorder: An Evidence-Based Review.Psychology research and behavior management · 2025Review
- The independent and combined impact of moral injury and moral distress on post-traumatic stress disorder symptoms among healthcare workers during the COVID-19 pandemic.European journal of psychotraumatology · 2024Article
- Predicting Fear Extinction in Posttraumatic Stress Disorder.Brain sciences · 2023Article
- Probable PTSD, PTSD symptom severity, and comorbid PTSD and hazardous drinking among sexual minority women compared to heterosexual women: A meta-analysis.Clinical psychology review · 2023Review
- The mental health toll of service: an examination of self-reported impacts of public safety personnel careers in a treatment-seeking population.European journal of psychotraumatology · 2023Article
- Associations between trauma and substance use among healthcare workers and public safety personnel during the SARS-CoV-2 (COVID-19) pandemic: the mediating roles of dissociation and emotion dysregulation.European journal of psychotraumatology · 2023Article
- Dissociative symptomatology mediates the relation between posttraumatic stress disorder severity and alcohol-related problems.Alcoholism, clinical and experimental research · 2022Article
- Improving care for SUD patients with complex trauma-relationships between childhood trauma, dissociation, and suicidal behavior in female patients with PTSD and SUD.Frontiers in psychiatry · 2022Article
- Women with PTSD and Substance Use Disorders in a Research Treatment Study: A Comparison of those with and without the Dissociative Subtype of PTSD.Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation (ISSD)Article
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundUp to 50% of individuals with posttraumatic stress disorder (PTSD) endorse problematic alcohol use. Typically, these individuals present with more complex and often more severe PTSD symptoms than those who do not report problematic alcohol use. Emerging literature suggests that heightened symptoms of dissociation are likewise associated with greater PTSD symptom severity. Despite this knowledge, the role of dissociation in the relation between PTSD severity and alcohol-related problems has yet to be examined. Here, we explore the mediating role of dissociative symptomatology on the association between PTSD severity and alcohol-related problems within a PTSD treatment-seeking sample.
methodsStructural equation modeling was used to test the mediating role of dissociative symptomatology between PTSD severity and alcohol-related problems. Participants [N = 334; mean age (SD) = 44.29 (9.77), 50% female] were drawn from a clinical intake battery database for PTSD in-patient treatment services at Homewood Health Care, Guelph, ON, Canada. A subset of battery measures assessing PTSD severity, dissociative symptomatology, and alcohol-related problems were submitted to analysis.
resultsA significant positive association emerged between PTSD severity and alcohol-related problems (β = 0.127, p < 0.05) in the absence of dissociative symptomatology. Critically, however, when added to this model, dissociative symptomatology (six unique facets of dissociation assessed by the Multiscale Dissociation Inventory) mediated the relation between PTSD severity and alcohol-related problems. Specifically, greater PTSD severity was associated with greater dissociative symptomatology (β = 0.566, p < 0.0001), which was in turn associated with greater alcohol-related problems (β = 0.184, p < 0.05).
conclusionsThese results suggest that dissociative symptomatology plays a key role in explaining the relation between PTSD severity and alcohol-related problems. Future studies should examine the impact of targeting dissociative symptomatology specifically in treating individuals with PTSD who endorse alcohol-related problems.
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