Abstract：
Alcohol misuse and posttraumatic stress disorder (PTSD) co-occur at high rates among first responders (e.g., law enforcement, firefighters, paramedics), underscoring the need to better understand these relations to inform intervention efforts. Identifying malleable processes relevant to the association between PTSD and alcohol among first responders could inform tailored interventions. An example of such a malleable process is spirituality. As such, the current study examined the unique relationships between PTSD symptom clusters and alcohol misuse, while also accounting for the role of select demographics and religion/spirituality, in a sample of first responders. A national online sample of first responders (N = 320) completed measures of PTSD symptomology, alcohol misuse, religion/spirituality and demographics. Hierarchical linear regression analyses revealed that PTSD Intrusion (Cluster B) symptom severity was associated with greater alcohol misuse and PTSD Avoidance (Cluster C) was associated with lower alcohol misuse. Additionally, positive and negative spiritual coping were also associated with alcohol misuse. In the context of similar research among military samples, findings suggest potentially unique associations between PTSD symptom clusters and alcohol misuse among first responders. Additionally, findings highlight the potentially protective role of religion/spirituality in this population. Future research should explore nuanced relationships between PTSD symptom clusters and alcohol misuse as well as the salience of spirituality/religion in this unique population.
摘要：
酒精滥用和创伤后应激障碍(PTSD)在第一反应者中以很高的比率同时发生(例如，执法,消防员，护理人员)，强调需要更好地理解这些关系，为干预努力提供信息。在第一响应者中确定与PTSD和酒精之间的关联相关的可延展过程可以为量身定制的干预措施提供信息。这种可塑性过程的一个例子是灵性。因此，当前的研究检查了PTSD症状群和酒精滥用之间的独特关系，同时也考虑了特定人口统计学和宗教/灵性的作用，在第一反应者的样本中。全国在线第一反应者样本（N=320）完成了PTSD症状学的测量，酒精滥用,宗教/灵性和人口统计学。分层线性回归分析显示，PTSD入侵（B组）症状严重程度与更多的酒精滥用有关，而PTSD避免（C组）与更低的酒精滥用有关。此外,积极和消极的精神应对也与酒精滥用有关。在军事样本之间进行类似研究的背景下，研究结果表明,在第一反应者中,PTSD症状群与酒精滥用之间存在潜在的独特关联.此外,研究结果强调了宗教/灵性在这一人群中的潜在保护作用。未来的研究应该探索PTSD症状群和酒精滥用之间的细微差别，以及在这个独特的人群中灵性/宗教的显著性。
