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Examination of a novel measure of trauma-related drinking to cope.

ABSTRACT: Objectives: The present study sought to fill a gap in the current literature by developing a concise self-report questionnaire assessing drinking motives specific to coping with symptoms of posttraumatic stress disorder (PTSD). This new four-item questionnaire is called the Trauma Related Drinking questionnaire (TRD).

Method: Using structural equation modeling, the latent structure of the TRD items and how they relate to other variables of interest were explored among a sample of 1,896 college undergraduates from a large public university.

Results: Broadly, we found evidence to suggest that TRD is a more specific measure of drinking to cope motives compared to the commonly used Drinking Motives Questionnaire coping subscale. Additionally, findings demonstrate support for the external validation of TRD, both with regard to PTSD and alcohol consumption and related problems.

Conclusions: Results support the use of TRD in future self-medication research and as a clinically useful screening tool.

SUBMITTER: Hawn SE

PROVIDER: S-EPMC7721863 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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Examination of a novel measure of trauma-related drinking to cope.

Hawn Sage E SE Aggen Steven H SH Cusack Shannon E SE Dick Danielle D Amstadter Ananda B AB

Journal of clinical psychology 20200601 10

<h4>Objectives</h4>The present study sought to fill a gap in the current literature by developing a concise self-report questionnaire assessing drinking motives specific to coping with symptoms of posttraumatic stress disorder (PTSD). This new four-item questionnaire is called the Trauma Related Drinking questionnaire (TRD).<h4>Method</h4>Using structural equation modeling, the latent structure of the TRD items and how they relate to other variables of interest were explored among a sample of 1, ...[more]

PMID: 32478444

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Project description:BackgroundGeriatric ground level fall is a common admission diagnosis for trauma centers in the United States. Visual health has been linked to fall risk reduction in older adult but is rarely fully evaluated during a trauma admission. Using a commercial application and a questionnaire, we developed and tested a trauma provider eye examination (TPEE) to screen visual health. This study used the TPEE to (1) evaluate the prevalence of undiagnosed or undertreated visual disease in geriatric trauma patients and (2) determine the feasibility and reliability of the TPEE to screen for vision disease.MethodsThis prospective study included patients older than 60 years evaluated by the trauma service from June 2019 to May 2020. Patients with ocular or globe trauma were excluded. The primary outcome was significant abnormal vision (SAV) found using the TPEE. Ophthalmology performed a dilated examination as the criterion standard for comparison. We assessed the feasibility and reliability of the TPEE. Fisher's exact test and logistic model were used in the data analysis.ResultsEnrollment concluded with 96 patients. Mean age was 75 years, and fall (79%) was the most common mechanism of injury. Significant abnormal vision was common: undiagnosed disease was found in 39% and undertreated in 14%. Trauma provider examination was 94% sensitive and 92% specific for SAV cases. Congruence between TPEE and ophthalmology examination was highest in pupil examination (86%), visual fields (58%), and Amsler grid (52%). Multivariate analysis found that a combination of an abnormal Amsler test and abnormal visual field defect was significantly associated with SAV (odds ratio, 4.1; p = 0.03).ConclusionTrauma provider eye examination screening can identify patients with visual deficits. Given the association between visual deficits and fall risk, older adults may benefit from such a screening or a formal ophthalmology referral.Level of evidenceTherapeutic/Care Management, level II.

Dataset Information

Examination of a novel measure of trauma-related drinking to cope.

Publications

Examination of a novel measure of trauma-related drinking to cope.

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