PTSD and alcohol misuse: Examining the mediating role of fear of self-compassion among military veterans

Psychol Trauma. 2020 May;12(4):364-372. doi: 10.1037/tra0000481. Epub 2019 Jun 27.

Abstract

Introduction: The co-occurrence of posttraumatic stress disorder (PTSD) and alcohol misuse presents a significant clinical concern among military veterans. Fear of self-compassion, the active resistance to thinking and behaving compassionately toward oneself, may be an important consideration that underlies this relation.

Objective: The current investigation examined whether self-compassion and fear of self-compassion, separately, mediated the association between PTSD symptoms and alcohol misuse among a sample of military veterans.

Method: Data were collected from 203 military veterans (M age = 35.08 years, 77.70% male, 72.2% White) who responded to an online survey.

Results: The findings indicated that both self-compassion and fear of self-compassion significantly explained the association between PTSD symptoms and alcohol misuse. Furthermore, fear of self-compassion explained this relation after adjusting for levels of self-compassion.

Conclusions: These results suggest that both self-compassion and a fear of self-compassion may be important considerations in the PTSD-alcohol misuse relation; future work should extend these findings in longitudinal and intervention frameworks. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

MeSH terms

  • Adult
  • Alcohol-Related Disorders / epidemiology*
  • Female
  • Humans
  • Male
  • Military Personnel / statistics & numerical data
  • Stress Disorders, Post-Traumatic / epidemiology*
  • Veterans / statistics & numerical data*