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Associations among trauma,depression, and alcohol use profiles and treatment motivation and engagement in college students
Authors:Brian Borsari  Matthew M Yalch  Paola Pedrelli  Sharon Radomski  Rachel L Bachrach  Jennifer P Read
Institution:1. Mental Health Service (116B), San Francisco VA Medical Center, San Francisco, California, USA;2. Department of Psychiatry, University of California, San Francisco, California, USAbrian.borsari@va.gov brian.borsari@ucsf.edu;4. Massachusetts General Hospital, Boston, Massachusetts, USA;5. Harvard Medical School, Massachusetts, USA;6. Department of Psychology, University at Buffalo, State University of New York, Buffalo, New York, USA;7. VA Pittsburgh Healthcare System, University Drive C, Pittsburgh, Pennsylvania, USA
Abstract:ABSTRACT

Objective: This study examined how profiles of alcohol use and symptoms of common mental health disorders (depression and posttraumatic stress disorder PTSD]) influenced the perceived need for and actual seeking of different types of treatment (for alcohol versus psychological distress) in college student drinkers. Participants: Undergraduate students (n = 164) were assessed between September 2009 and August 2015. Methods: We classified students into different symptom profiles using model-based clustering and compared these profiles on a variety of variables. Results: The cluster model yielded three profiles: Low Risk (n = 66), Concomitant (n = 35), and Heavy Drinking (n = 63). Students in these profiles significantly differed in alcohol consumption, alcohol-related cognitions and problems, and perceptions of need and prior engagement in treatment. Conclusion: A variety of strategies can be used to engage students experiencing heavy drinking and/or mental health problems into treatment on campus.
Keywords:Alcohol  college students  depression  PTSD  treatment seeking
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