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dc.contributor.authorMcFarlane, AC
dc.contributor.authorBrowne, D
dc.contributor.authorBryant, RA
dc.contributor.authorO'Donnell, M
dc.contributor.authorSilove, D
dc.contributor.authorCreamer, M
dc.contributor.authorHorsley, K
dc.date.available2014-05-21T19:49:00Z
dc.date.available2009-01-21
dc.date.available2009-01-21
dc.date.available2009-01-21
dc.date.available2009-01-21
dc.date.available2009-01-21
dc.date.available2009-01-21
dc.date.available2009-01-21
dc.date.available2009-01-21
dc.date.available2009-01-21
dc.date.issued2009-11-01
dc.identifierpii: S0165-0327(09)00042-1
dc.identifier.citationMcFarlane, A. C., Browne, D., Bryant, R. A., O'Donnell, M., Silove, D., Creamer, M. & Horsley, K. (2009). A longitudinal analysis of alcohol consumption and the risk of posttraumatic symptoms. JOURNAL OF AFFECTIVE DISORDERS, 118 (1-3), pp.166-172. https://doi.org/10.1016/j.jad.2009.01.017.
dc.identifier.issn0165-0327
dc.identifier.urihttp://hdl.handle.net/11343/26791
dc.descriptionC1 - Journal Articles Refereed
dc.description.abstractBACKGROUND: Previous studies investigating the impact of alcohol ingestion on the emergence of posttraumatic psychological symptoms have generated contradictory findings. METHODS: One thousand forty-five patients, admitted to hospital following traumatic injury were assessed during hospitalisation for patterns of alcohol consumption prior to the injury and also during the month prior to reassessment at 3 months. Anxiety, depression and posttraumatic stress disorder (PTSD) were assessed post accident and at 3 months. In a sub sample (n=167), blood alcohol levels were measured at the time of admission to emergency departments. RESULTS: Moderate alcohol consumption prior to and following the accident predicted lower levels of psychological distress at 1 week and 3 months. No significant relationship was found between the blood alcohol level and psychiatric outcomes. PTSD predicted the emergence of alcohol abuse following the accident, suggesting self-medication in a subgroup of survivors. LIMITATIONS: The impact of alcohol consumption upon injury severity and the nature of injury was not controlled for and some non-participation may have been related to patterns of alcohol consumption. We relied on retrospective reports of alcohol use obtained shortly after the traumatic injury to index prior alcohol use and these reports may have been influenced by mood states at the time of recall. Our follow-up was limited to 3 months and there is a need for longer-term assessment of the relationship between prior alcohol use and subsequent posttraumatic adjustment. CONCLUSION: Given the potential impact of alcohol use on traumatic injury and post-injury recovery, we advocate active screening and early intervention strategies that focus on moderate alcohol usage.
dc.languageEnglish
dc.publisherELSEVIER
dc.subjectPsychiatry (incl. Psychotherapy); Mental Health; Expanding Knowledge in the Medical and Health Sciences; Behaviour and Health; Mental Health; Substance Abuse
dc.titleA longitudinal analysis of alcohol consumption and the risk of posttraumatic symptoms
dc.typeJournal Article
dc.identifier.doi10.1016/j.jad.2009.01.017
melbourne.peerreviewPeer Reviewed
melbourne.affiliationThe University of Melbourne
melbourne.affiliation.departmentPsychiatry
melbourne.source.titleJOURNAL OF AFFECTIVE DISORDERS
melbourne.source.volume118
melbourne.source.issue1-3
melbourne.source.pages166-172
dc.research.codefor110319
dc.research.codefor111714
dc.research.codeseo2008970111
dc.research.codeseo2008920401
dc.research.codeseo2008920410
dc.research.codeseo2008920414
melbourne.publicationid132497
melbourne.elementsid314766
melbourne.contributor.authorO'Donnell, Meaghan
melbourne.contributor.authorCreamer, Mark
dc.identifier.eissn1573-2517
melbourne.conference.locationNetherlands
melbourne.accessrightsThis item is currently not available from this repository


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