This prospective study will examine key unresolved issues concerning the dynamic relationship between posttraumatic alcohol abuse and psychological morbidity. Nine hundred adult survivors of trauma-related physical injuries will be recruited for participation from three large Level I urban trauma centers serving the most populous, and ethnically diverse, county in the United States. Participants will be drawn from three different ethnic groups: Latino-Americans (N = 300), African-Americans (N = 300), and non-Latino Caucasians (N = 300), and will be distributed in approximately equal numbers with respect to gender. The proposed research would leverage a funded NIMH grant, enabling significant substantive and infrastructure synergies. All participants will complete three lay-administered face-to-face assessment interviews, conducted over a 12-month period. The first assessment will take place shortly after hospitalization. The remaining two interviews will be conducted at 3-months and 12-months after the initial interview. The four broad aims of the proposed study of alcohol abuse and psychological morbidity in survivors of significant trauma-related physical injury are: 1) To identify the predictors of alcohol consumption and abuse following traumatic injury. 2) To examine the relationship between alcohol consumption and psychological morbidity following severe trauma exposure. 3) To investigate the relationships among posttraumatic alcohol abuse, health services utilization, and perceived barriers to treatment. 4) To determine whether the antecedents and consequences of alcohol misuse and psychological distress--as well as the pattern of relations between the two constructs-differ as a function of ethnicity and gender.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
1R01AA014246-01
Application #
6601384
Study Section
Social Sciences, Nursing, Epidemiology and Methods 4 (SNEM)
Program Officer
Yahr, Harold
Project Start
2003-05-01
Project End
2007-04-30
Budget Start
2003-05-01
Budget End
2004-04-30
Support Year
1
Fiscal Year
2003
Total Cost
$300,420
Indirect Cost
Name
Rand Corporation
Department
Type
DUNS #
006914071
City
Santa Monica
State
CA
Country
United States
Zip Code
90401
Marshall, Grant N; Schell, Terry L; Miles, Jeremy N V (2013) A multi-sample confirmatory factor analysis of PTSD symptoms: what exactly is wrong with the DSM-IV structure? Clin Psychol Rev 33:54-66
Wong, Eunice C; Kennedy, David; Marshall, Grant N et al. (2011) Making Sense of Posttraumatic Stress Disorder: Illness Perceptions Among Traumatic Injury Survivors. Psychol Trauma 3:67-76
Shih, Regina A; Schell, Terry L; Hambarsoomian, Katrin et al. (2010) Prevalence of posttraumatic stress disorder and major depression after trauma center hospitalization. J Trauma 69:1560-6
Marshall, Grant N; Miles, Jeremy N V; Stewart, Sherry H (2010) Anxiety sensitivity and PTSD symptom severity are reciprocally related: evidence from a longitudinal study of physical trauma survivors. J Abnorm Psychol 119:143-50
Marshall, Grant N; Schell, Terry L; Miles, Jeremy N V (2010) All PTSD symptoms are highly associated with general distress: ramifications for the dysphoria symptom cluster. J Abnorm Psychol 119:126-35
Marshall, Grant N; Schell, Terry L; Miles, Jeremy N V (2009) Ethnic differences in posttraumatic distress: Hispanics' symptoms differ in kind and degree. J Consult Clin Psychol 77:1169-78
Zahradnik, Marc; Stewart, Sherry H; Marshall, Grant N et al. (2009) Anxiety sensitivity and aspects of alexithymia are independently and uniquely associated with posttraumatic distress. J Trauma Stress 22:131-8
Ramchand, Rajeev; Marshall, Grant N; Schell, Terry L et al. (2009) Alcohol abuse and illegal drug use among Los Angeles County trauma patients: prevalence and evaluation of single item screener. J Trauma 66:1461-7
Wong, Eunice C; Schell, Terry L; Marshall, Grant N et al. (2009) Mental health service utilization after physical trauma: the importance of physician referral. Med Care 47:1077-83
Miles, Jeremy N V; Marshall, Grant N; Schell, Terry L (2008) Spanish and English versions of the PTSD Checklist-Civilian version (PCL-C): testing for differential item functioning. J Trauma Stress 21:369-76

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