Introduction

the association between Posttraumatic Stress symptoms (PTSS) and Alcohol Use Disorder (AUD) among combat veterans is well established. However, little is known concerning the intertwining effect of distress oriented coping mechanisms on this association. In this study, we sought to explore the moderating role of experiential avoidance (EA), cognitive reappraisal (CR) and expressive suppression (ES) on the association between PTSS and AUD among Israeli combat veterans.

Method

Participants were 189 Israel Defense Forces (IDF) male combat veterans (mean age = 30.03) who completed a set of validated self-report questionnaires assessing PTSS, AUD, EA, CR and ES. Moderation analyses were conducted using a four-step hierarchical regression analysis and an ordinary least squares regression analysis.

Results

Analyses indicated that individuals with average or high levels of EA or ES exhibited significant positive association between PTSS and AUD, yet those with low levels of EA or ES exhibited no significant association between PTSS and AUD (b = 0.14,Confidence Interval (CI)[0.06, 0.22, SE = 0.04, t = 3.65, p = .000, 95%] for EA and b = 0.17, CI[0.07, 0.25, SE = 0.04, t = 3.69, p = .000, 95%] for ES). In addition, CR moderated the association between PTSS and AUD (b = 0.18, CI[0.07, 0.29, SE = 0.06, t = 3.24, p = .001, 95%]), so that the association between PTSS and AUD is positive and stronger for higher levels of CR.

Conclusions

Our findings imply that EA, ES and CR and emotion regulation may be major facilitators of the association between PTSS and AUD among combat veterans. These findings are discussed in the Israeli context as well as in light of a general psychological perspective.

中文翻译：

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情绪调节和体验回避减轻了以色列战斗退伍军人的创伤后症状与饮酒障碍之间的联系

介绍

战斗退伍军人之间的创伤后应激障碍症状（PTSS）与酒精使用障碍（AUD）之间的关联已得到很好的建立。但是，关于遇险导向的应对机制对这种联系的相互影响知之甚少。在这项研究中，我们试图探索体验式回避（EA），认知重新评估（CR）和表达抑制（ES）在以色列退伍军人中PTSS和AUD之间的关联中的调节作用。

方法

参加者有189名以色列国防军（IDF）退伍军人（平均年龄= 30.03），他们完成了一套经过验证的自我报告调查表，评估了PTSS，AUD，EA，CR和ES。使用四步层次回归分析和普通最小二乘回归分析进行中度分析。

结果

分析表明，EA或ES平均或高水平的个体在PTSS和AUD之间表现出显着的正相关，而EA或ES水平低的个体在PTSS和AUD之间没有显着的正相关（b  = 0.14，置信区间（CI）[ 对于EA为0.06，0.22 ，SE  = 0.04，t  = 3.65，p = .000，95％]对于b和b  = 0.17，CI [0.07，0.25，SE  = 0.04，t  = 3.69，p  = .000，95％] ES）。此外，CR缓解了PTSS与AUD之间的关联（b  = 0.18，CI [0.07，0.29，SE  = 0.06，t  = 3.24，p = .001，95％]），因此PTSS和AUD之间的关联是正的，并且对于较高的CR水平更强。

结论

我们的发现表明，EA，ES和CR和情绪调节可能是战斗退伍军人PTSS和AUD之间联系的主要推动者。这些发现是在以色列的背景下以及从普遍的心理角度进行讨论的。