Proposed pathways to problematic drinking via post-traumatic stress disorder symptoms, emotion dysregulation, and dissociative tendencies following child/adolescent sexual abuse

Alicia K. Klanecky, Dennis E. McChargue, Antover P. Tuliao

Research output: Contribution to journalArticle

3 Scopus citations


The relationship between early sexual abuse and college problem drinking was examined using an integration of the self-medication and vulnerability-stress models. Baseline survey data from parti-cipants (N = 213; 135 men and 78 college women) completing a mandated, brief alcohol intervention were utilized. Representative of the self-medication model, post-traumatic stress disorder symptoms mediated the early sexual abuse/problem drinking relationship. Two psychological vulnerability factors—emotion dysregulation and dissociative tendencies—were incorporated into self-medication findings via more advanced mediational models. Results highlighted that problem drinking increased as dissociative tendencies increased, and relations between the vulnerability factors and post-traumatic stress disorder symptoms were in an unexpected direction.

Original languageEnglish
Pages (from-to)180-193
Number of pages14
JournalJournal of Addictive Diseases
Issue number3
StatePublished - Jul 2 2016



  • PTSD
  • Problematic drinking
  • child/adolescent sexual abuse
  • college
  • vulnerability

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