Evidence map›Paper›PMID 38884985›Full record

ArticlePsychological trauma : theory, research, practice and policy2025

Temporal relations between alcohol use, posttraumatic stress disorder, and internalizing symptoms during the COVID-19 pandemic: An ecological momentary assessment investigation.

Shannon E Cusack, Sage E Hawn, Jacob Goffnett, Christina M Sheerin, Lance M Rappaport, Ananda B Amstadter

Abstract read
In one paragraph

Article in Psychological trauma : theory, research, practice and policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  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. How do fatigue, cognitive dysfunction, activity and role functioning, and mental health inter-relate in adults with post-COVID-19 syndrome? A structural equation model analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    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

6 authors.

Shannon E CusackVirginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University.ORCID 0000-0001-8103-0575
Sage E HawnDepartment of Psychology, Old Dominion University.
Jacob GoffnettDepartment of Social Work, Virginia Commonwealth University.
Christina M SheerinVirginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University.
Lance M RappaportDepartment of Psychology, University of Windsor.ORCID 0000-0002-3265-0898
Ananda B AmstadterVirginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University.

Funding

Research Training: Psychiatric &Statistical GeneticsT32MH020030 · NIMH · VIRGINIA COMMONWEALTH UNIVERSITY · PI HERMINE H MAES, MICHAEL CHURTON NEALE · 1999 to 2026
$6.7M
Overlap in genetic and learning-based mechanisms for alcohol use disorder and posttraumatic stress disorderK01AA025692 · NIAAA · VIRGINIA COMMONWEALTH UNIVERSITY · PI SHEERIN-SMITH, CHRISTINA M · 2018 to 2022
$931k
NIAAA NIH HHS K01 AA025692NIMH NIH HHSNIMH NIH HHS T32 MH020030
6 · The paper itself

Abstract

objectiveCOVID-19 is a collective stressor associated with both increased mental health symptoms and increased frequency of alcohol use. These increases highlight the need for investigations into the functional relationships between traumatic stress symptoms and alcohol use in the wake of the pandemic. This study sought to use ecological momentary assessment to examine the temporal association of posttraumatic stress disorder (PTSD) with alcohol use during the COVID-19 pandemic.

methodParticipants were 21 students (

resultsIncreased negative affect predicted an increase in alcohol consumption at the next assessment. Increased alcohol consumption predicted increased subsequent negative affect, anxiety symptoms, and depressive symptoms. Findings did not support a relationship between PTSD symptoms and alcohol consumption in either direction.

conclusionsResults suggest a bidirectional, cyclical relationship between alcohol consumption and internalizing psychopathology broadly, rather than PTSD specifically, during the pandemic. Interventions for alcohol consumption on college campuses may benefit from targeting internalizing symptoms, such as through facilitating the development of adaptive coping strategies. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Indexed as

Alcohol DrinkingCOVID-19Stress Disorders, Post-TraumaticStudentsAdultAnxietyDepressionEcological Momentary AssessmentFemaleHumansMaleUniversitiesYoung Adult

Identifiers

PMID38884985
PMCPMC11649857

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.