Associations among trauma, depression, and alcohol use profiles and treatment motivation and engagement in college students

J Am Coll Health. 2018 Oct;66(7):644-654. doi: 10.1080/07448481.2018.1446438. Epub 2018 May 24.

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; PTSD; college students; depression; treatment seeking.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Alcohol Drinking / epidemiology*
  • Alcohol Drinking / psychology
  • Alcohol Drinking in College / psychology
  • Depression / epidemiology
  • Depression / psychology
  • Female
  • Health Behavior
  • Humans
  • Male
  • Mental Disorders / epidemiology*
  • Mental Disorders / psychology
  • Motivation
  • New England / epidemiology
  • Patient Acceptance of Health Care / psychology
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Reproducibility of Results
  • Stress Disorders, Post-Traumatic / epidemiology
  • Stress Disorders, Post-Traumatic / psychology
  • Students / psychology*
  • Universities
  • Young Adult