Trauma, Trauma Sequelae, and Substance Use in College

大学中的创伤、创伤后遗症和药物使用

• 批准号: 7094638
• 负责人: JENNIFER P. READ
• 金额: $ 33.27万
• 依托单位: STATE UNIVERSITY OF NEW YORK AT BUFFALO
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-05-01 至 2011-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7094638
• 关键词: Internet; alcoholism /alcohol abuse; behavioral /social science research tag; clinical research; cognition; coping; drug abuse; gender difference; human subject; longitudinal human study; population survey; posttraumatic stress disorder; psychological adaptation; psychological shock; psychological stressor; statistics /biometry; stress; tobacco abuse; university; university student

DESCRIPTION (provided by applicant): The literature shows that a significant number of young adults report trauma exposure and associated traumatic stress sequelae by the time they enter into college. Other students will be exposed to trauma and experience resulting sequelae during their college experience. Epidemiological and clinical literature has linked the etiology and course of trauma, traumatic stress sequelae (TSS), and substance use (SUB). This link may be understood from a Social Learning (SLT) framework which views substance use as an effort to cope with psychological distress associated with ongoing traumatic sequelae. Further, SLT posits that these phenomena are reciprocally related, and are affected by individual and environmental factors. Despite high rates of trauma, TSS, and SUB in college populations, theoretically guided, prospective examination of these associations and factors affecting their course in college students have been curiously absent in the empirical literature. This research seeks to provide a theoretically guided investigation of the dynamic course of traumatic stress sequelae and alcohol, illicit drugs, and tobacco use in college students. On-line survey data will be collected in 6 waves in the first year and 4 waves each year for the subsequent years. Data will be collected at two public universities. Students at SUNY Buffalo and UNC Greensboro will be contacted by e-mail in the summer prior to matriculation and will be screened via web-based survey for trauma exposure and traumatic stress sequelae. Based on this screening, a sample of 1,004 (TSS and non-TSS) students will be targeted for follow-up. Using web technology, students will be surveyed first in the Fall semester of each year in college, and will be assessed multiple times each year of the study. Prospective associations among trauma, TSS, and substance use trajectories will be examined using latent growth curve modeling. Mediators (self- efficacy) and moderators (gender, coping, social influences) will be tested consistent with Social Learning Theory, and other relevant theoretical frameworks. The impact of trauma and TSS on university drop-out rates also will be examined. This research will help to shape understanding of the TSS-SUB association, and to inform the development of targeted substance use interventions for college students. Findings also will offer valuable information for university administrators regarding student attrition and retention.

描述（由申请人提供）：文献显示，相当多的年轻人在进入大学时报告了创伤暴露和相关的创伤应激后遗症。其他学生在大学期间会遭受创伤并经历由此产生的后遗症。流行病学和临床文献将创伤、创伤应激后遗症 (TSS) 和物质使用 (SUB) 的病因和病程联系起来。这种联系可以从社会学习（SLT）框架来理解，该框架将物质使用视为应对与持续创伤性后遗症相关的心理困扰的努力。此外，SLT 认为这些现象是相互关联的，并且受到个人和环境因素的影响。尽管大学生中创伤、TSS 和 SUB 的发生率很高，但在实证文献中却奇怪地缺乏对这些关联和影响大学生课程的因素的理论指导、前瞻性研究。本研究旨在为大学生创伤应激后遗症与酒精、违禁药物和烟草使用的动态过程提供理论指导。在线调查数据第一年分6波收集，以后每年每年4波收集。数据将在两所公立大学收集。纽约州立大学布法罗分校和北卡罗来纳大学格林斯伯勒分校的学生将在入学前的夏季通过电子邮件联系，并将通过基于网络的调查进行创伤暴露和创伤应激后遗症的筛查。根据此次筛选，将针对 1,004 名学生（TSS 和非 TSS）进行跟踪调查。利用网络技术，学生将在大学每年的秋季学期首次接受调查，并且每年都会接受多次评估。将使用潜在生长曲线模型来检查创伤、TSS 和物质使用轨迹之间的前瞻性关联。中介因素（自我效能）和调节因素（性别、应对、社会影响）将根据社会学习理论和其他相关理论框架进行测试。创伤和 TSS 对大学辍学率的影响也将得到研究。这项研究将有助于加深对 TSS-SUB 协会的理解，并为大学生制定有针对性的药物使用干预措施提供信息。研究结果还将为大学管理人员提供有关学生流失和保留的宝贵信息。