Meta-analysis of risk factors for substance abuse in the US military

Drinking as routine practice among re-integrating National Guard and Reservists from Arkansas

“…Findings from our study furthermore provide important context for quantitative evidence correlating substance misuse among Veterans with PTSD, negative emotionality and depression, 29 survivor's guilt, 30 combatrelated physical trauma 1 and military sexual trauma. 31 Participants described these problems as having been rooted in the structural conditions present in the military context.…”

Machine learning models predict PTSD severity and functional impairment: A personalized medicine approach for uncovering complex associations among heterogeneous symptom profiles.

“…; Gallagher et al, 2020; Kashdan & Rottenberg, 2010; Lee, 2019; Richardson & Jost, 2019) in predicting PTSD symptom severity and functional impairment. Although it was not possible to examine the effect of problematic alcohol use in our models, it would be fruitful to conduct studies that can disentangle the role that substance use plays in predicting trauma-related outcomes, given that higher rates of alcohol and substance use have been associated with PTSD, depression symptoms, negative emotionality, and childhood trauma (Brady & Back, 2012; Brady et al, 2019; Greene et al, 2016). Additional research will be needed to elucidate how guilt and shame interact with trauma-related variables such as emotion dysregulation and the type of traumatic event exposure (Bannister et al, 2019).…”

“…In addition to dissociative symptomatology, factors that increase the risk and severity of PTSD include emotion dysregulation, preexisting mental health conditions, childhood adversity, and comorbid mood and anxiety disorders, among others (Able & Benedek, 2019; Brady et al, 2019; Brady & Back, 2012; Greene et al, 2016; Knowles et al, 2019; Norman et al, 2012; Obuobi-Donkor et al, 2022; Stein et al, 2013). Importantly, psychiatric comorbidity in PTSD is the norm, where up to 68.4% of individuals with PTSD have one or more comorbid mental health condition(s) (Greene et al, 2016).…”

Eating disorders and disordered eating in servicemen and women: A narrative review

“…It is known that substance abuse places individuals at risk for other mental health disorders, which held true in this investigation (Rosario, 2008). Not only is substance abuse a current issue in the military, but this review points toward it as a risk factor for EDs and DE, though it is unclear whether or not trauma or PTSD may mediate this relationship (Brady et al, 2019; Davis et al, 2003; Huston et al, 2018; Livingston et al, 2019; Maguen, Cohen, Cohen, et al, 2012; Maguen, Cohen, Ren, et al, 2012; Rosario, 2008; Striegel‐Moore et al, 1999a, 1999b). Other mental health conditions that were related to EDs and DE were depression, anxiety, and schizophrenia (Buchholz et al, 2018; Curry et al, 2014; Dedert et al, 2009; Higgins et al, 2013; Hoerster et al, 2015; Livingston et al, 2019; Maguen, Cohen, Cohen, et al, 2012; 2012; Mitchell et al, 2014; Rosenbaum et al, 2016).…”