Evidence map›Paper›PMID 35398395›Full record

ArticleJournal of affective disorders2022

Comparing psychosocial functioning, suicide risk, and nonsuicidal self-injury between veterans with probable posttraumatic stress disorder and alcohol use disorder.

Shannon M Blakey, Sarah C Griffin, Jeremy L Grove, Samuel C Peter, Ryan D Levi, Patrick S Calhoun, Eric B Elbogen, Jean C Beckham, Mary J Pugh, Nathan A Kimbrel

Open access · greenAbstract read
In one paragraph

Article in Journal of affective disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.9field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. 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
  6. Article
  7. Article
  8. The association of military sexual assault and nonsuicidal self-injury in U.S. Gulf War-I era veterans.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Metabolic and quality of life effects of growth hormone replacement in patients with TBI and AGHD: A pilot study.Growth hormone & IGF research : official journal of the Growth Hormone Research Society and the International IGF Research Society · 2023
    Observational
  13. Article
  14. Current War in Ukraine: Lessons from the Impact of War on Combatants' Mental Health during the Last Decade.International journal of environmental research and public health · 2022
    Article
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

10 authors at 3 institutions in 1 country.

Shannon M BlakeyDurham VA Health Care System, Durham, NC, United States of America; VA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham, NC, United States of America; RTI International, Research Triangle Park, NC, United States of America. Electronic address: Shannon.Blakey@duke.edu.
Sarah C GriffinDurham VA Health Care System, Durham, NC, United States of America; VA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham, NC, United States of America.
Jeremy L GroveDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, United States of America.
Samuel C PeterDurham VA Health Care System, Durham, NC, United States of America.
Ryan D LeviDurham VA Health Care System, Durham, NC, United States of America.
Patrick S CalhounDurham VA Health Care System, Durham, NC, United States of America; VA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham, NC, United States of America; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, United States of America.
Eric B ElbogenVA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham, NC, United States of America; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, United States of America; VA National Center on Homelessness Among Veterans, Tampa, FL, United States of America.
Jean C BeckhamDurham VA Health Care System, Durham, NC, United States of America; VA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham, NC, United States of America; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, United States of America.
Mary J PughVA Salt Lake City Healthcare System, Salt Lake City, UT, United States of America; University of Utah School of Medicine, Salt Lake City, UT, United States of America.
Nathan A KimbrelDurham VA Health Care System, Durham, NC, United States of America; VA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham, NC, United States of America; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, United States of America.
Durham VA Health Care System · USDuke University · USUniversity of Utah · US

Funding

Regeneration and reinnervation of mechanosensory hair cellsI01BX000377 · VA · CHARLIE NORWOOD VA MEDICAL CENTER · PI KOZLOWSKI, DAVID J · 2011 to 2014
–
Healthcare utilization patterns and associated costs for Gulf War I Era VeteransI01HX001682 · VA · DURHAM VA MEDICAL CENTER · PI KIMBREL, NATHAN A. · 2019 to 2020
–
CSR&D Research Career Scientist AwardIK6BX003777 · VA · DURHAM VA MEDICAL CENTER · PI BECKHAM, JEAN C. · 2017 to 2023
–
BLRD VA I01 BX000377BLRD VA IK6 BX003777HSRD VA I01 HX001682
6 · The paper itself

Abstract

backgroundPosttraumatic stress disorder (PTSD) and alcohol use disorder (AUD) are each common among Unites States (U.S.) military veterans and frequently co-occur (i.e., PTSD+AUD). Although comorbid PTSD+AUD is generally associated with worse outcomes relative to either diagnosis alone, some studies suggest the added burden of comorbid PTSD+AUD is greater relative to AUD-alone than to PTSD-alone. Furthermore, nonsuicidal self-injury (NSSI) is more common among veterans than previously thought but rarely measured as a veteran psychiatric health outcome. This study sought to replicate and extend previous work by comparing psychosocial functioning, suicide risk, and NSSI among veterans screening positive for PTSD, AUD, comorbid PTSD+AUD, and neither disorder.

methodsThis study analyzed data from a national sample of N = 1046 U.S. veterans who had served during the Gulf War. Participants self-reported sociodemographic, functioning, and clinical information through a mailed survey.

resultsVeterans with probable PTSD+AUD reported worse psychosocial functioning across multiple domains compared to veterans with probable AUD, but only worse functioning related to controlling violent behavior when compared to veterans with probable PTSD. Veterans with probable PTSD+AUD reported greater suicidal ideation and NSSI than veterans with probable AUD, but fewer prior suicide attempts than veterans with probable PTSD. LIMITATIONS: This study was cross-sectional, relied on self-report, did not verify clinical diagnoses, and may not generalize to veterans of other military conflicts.

conclusionsFindings underscore the adverse psychiatric and functional outcomes associated with PTSD and comorbid PTSD+AUD, such as NSSI, and highlight the importance of delivering evidence-based treatment to this veteran population.

Indexed as

AlcoholismSelf-Injurious BehaviorStress Disorders, Post-TraumaticVeteransCross-Sectional StudiesHumansPsychosocial FunctioningSuicidal IdeationAlcohol use disorderNon-suicidal self injuryPost traumatic stress disorderPsychosocial functioningSuicidal ideationSuicide

Identifiers

PMID35398395
PMCPMC9133145
OpenAlexW4223523857

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.