PTSD symptoms and hazardous drinking indicators among trauma-exposed sexual minority women during heightened societal stress


Trauma-exposed sexual minority women (SMW) are at elevated risk of posttraumatic stress disorder (PTSD) and hazardous drinking compared to trauma-exposed heterosexual women. To understand whether these problems might be exacerbated during times of elevated societal stress, we collected data from a New York-based sample of trauma-exposed SMW between April 2020 and August 2020, a period of notable, compounding societal stressors, including: (a) living in or near one of the first epicenters of the coronavirus disease 2019 (COVID-19) epidemic in the United States and (b) living through multiple high-profile occurrences of racism-related police violence and subsequent racial unrest. SMW (n?=?68) completed online self-report questionnaires related to trauma, PTSD symptoms, and alcohol use, and a subset (n?=?29) completed semi-structured qualitative interviews. PsycINFO was searched with terms related to SMW, PTSD, and alcohol use to identify studies with samples of SMW from articles published within the last 10?years to which we could compare our sample; this produced nine studies. Welch?s t-tests and Chi-square analyses revealed that SMW within our sample reported significantly higher PTSD symptom severity, probable PTSD, and hazardous drinking indicators (i.e., alcohol use disorder and heavy episodic drinking) between April 2020 and August 2020 compared to similar samples (i.e., trauma-exposed SMW and general samples of SMW) assessed previously. Qualitative reports also indicated that the societal stressors of 2020 contributed to mental and behavioral health concerns. These results underscore the need for integrated PTSD and alcohol use prevention and intervention efforts for trauma-exposed SMW during times of heightened societal stress.Supplemental data for this article is available online at .

In Behavioral Medicine
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Cory J. Cascalheira
Cory J. Cascalheira
Doctoral Candidate in Counseling Psychology

Research interests include (1) the examination of stress-based, multilevel determinants and mechanisms conferring risk for LGBTQ+ health disparities (e.g., substance misuse); (2) the use of computational methods (i.e., artificial intelligence) and big data to understand LGBTQ+ health behaviors and outcomes; and (3) the development of innovative interventions (e.g., digital health). Clinical interests include ACT, CBT, COPE, PE, CPT, and MI for substance use disorders and posttraumatic stress disorder.