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Record W4416370685 · doi:10.3138/jmvfh-2025-0010

PTSD symptom clusters and alcohol use among midlife women Veterans

2025· article· en· W4416370685 on OpenAlexvenueno aff
Mary O. Shapiro, Mara L. Ferrie, Dragana Lovre, Amanda M. Raines

Bibliographic record

VenueJournal of Military Veteran and Family Health · 2025
Typearticle
Languageen
FieldPsychology
TopicPosttraumatic Stress Disorder Research
Canadian institutionsnot available
Fundersnot available
KeywordsGeneralizability theoryMental healthVeterans AffairsPosttraumatic stressAlcohol use disorderMental health careAlcoholOccupational safety and healthArousal

Abstract

fetched live from OpenAlex

Introduction: There are high rates of co-occurring posttraumatic stress disorder (PTSD) and alcohol use among women Veterans. Given the growing number of midlife women Veterans utilizing Veterans Health Administration (VHA) care and their unique stressors, the purpose of the current study was to examine the unique relationships between PTSD symptom clusters and alcohol use among this group of women. Methods: = 50.00; 72% Black/African American) completed self-report measures on demographics, alcohol use and behaviours, and PTSD symptoms as part of their intake at a Veterans Affairs (VA) general mental health clinic. Results: Findings indicated that alcohol use was associated with PTSD symptom severity, as well as the intrusions, negative cognitions and mood, and arousal PTSD symptom clusters, but not the avoidance PTSD symptom cluster, after accounting for branch of service. Discussion: Findings of the current study are in line with previous research highlighting the unique relationship between alcohol use and PTSD symptoms. Our sample was primarily Black/African American midlife women, which may limit the generalizability of our findings. Given high rates of alcohol use and mental health symptoms among women at midlife, providers and researchers alike should aim to better understand the intersection of perimenopause/menopause and mental health outcomes to provide comprehensive health care for at-risk Veterans.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.005
Threshold uncertainty score0.010

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0030.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.073
GPT teacher head0.388
Teacher spread0.315 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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