Category: Comorbidity - Substance Use and Other

Symposium

Symposium 53 - Implications for Interventions Aimed at Reducing Sexual Violence, PTSD, and Alcohol Use

Friday, November 17
3:30 PM - 5:00 PM
Location: Aqua Salon E & F, Level 3, Aqua Level

Keywords: Alcohol | Violence / Sexual Assault | PTSD (Posttraumatic Stress Disorder)
Presentation Type: Symposium

Trauma exposure is prevalent, particularly in at-risk populations (e.g., military members, the economically disadvantaged, and, in the case of sexual assault, women). Moreover, traumatic events can occur at all life stages including adolescents and adulthood. Many of the individuals who experience sexual assault or trauma also experience a variety of adverse reactions such as Posttraumatic Stress Disorder (PTSD) and Alcohol Use Disorder (AUD). Studies estimate that 24% to 52% of individuals with PTSD also have AUD (e.g., Mills et al., 2006), while individuals are 4.6 times more likely to develop AUD when PTSD is present (Hoffman et al., 2009). The co-occurrence of PTSD and AUD is high in both community and military personnel samples where in a sample of OEF/OIF recent combat veterans with AUD, 63% also had PTSD (Seal et al., 2010). In non-veteran populations, general population and clinical samples for AUD treatment have found 30% to 59% of adults meet criteria for PTSD (e.g., Ouimette et al., 2005). In youth, high levels of sexual aggression is occurring within schools (Young et al., 2009) offering concern over negative outcomes such as reduced attendance, success, and school attachment limiting the protective benefits of school on substance use behaviors (Beyers et al., 1999).


Despite the pervasiveness of these patterns for both men and women, brief interventions targeting co-morbid PTSD and alcohol misuse as well as interventions aimed at reducing the risk of sexual violence are not well established. For women, several studies document an association between sexual violence, PTSD, and alcohol use. Even given these strong associations, interventions have yet to incorporate brief, evidence-based alcohol intervention strategies for this vulnerable population. For individuals, specifically veterans, experiencing AUD and/or PTSD, most do not seek traditional forms of mental health treatment (Kartha et al., 2008). Further, existing brief interventions for heavy drinking in trauma exposed populations have neglected to examine the potential implications of trauma history on the efficacy of brief interventions. Finally, treatment adherence and access to resources has also limited the reach of evidence-based treatments, while the lack of research surrounding the mechanisms of treatment effects for victims of sexual violence continues to create challenges in moving treatment forward for at-risk populations. The current set of presentations aims to expand our understanding of the experiences of trauma exposed individuals, describe outcomes of currently available brief interventions applied in diverse populations with co-morbid trauma exposure and alcohol misuse, and consider novel intervention approaches to enhance prevention efforts.

Learning Objectives:

Nadine R. Mastroleo

Assistant Professor
Binghamton University

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    Christina Balderrama-Durbin

    Assistant Professor of Psychology
    Binghamton University

    Presentation(s):

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    Jennifer P. Read

    Professor
    University at Buffalo

    Presentation(s):

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      Kyle Possomoto

      Syracuse VA Medical Center

      Presentation(s):

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      Christina Balderrama-Durbin

      Assistant Professor of Psychology
      Binghamton University

      Presentation(s):

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      Sharon Radomski

      Student
      University at Buffalo

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      Lindsay M. Orchowski

      Assistant Professor of Psychology
      Alpert Medical School of Brown University

      Presentation(s):

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