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The development and initial validation of the Trauma-Related Alcohol Use Coping Measure (TRAC).

Antoine Lebeaut¹, Maya Zegel¹, Lynne Steinberg¹

¹Department of Psychology, University of Houston.

Psychology of Addictive Behaviors : Journal of the Society of Psychologists in Addictive Behaviors

|November 27, 2023

Summary

This study developed and validated the Trauma-Related Alcohol Use Coping (TRAC) measure to assess how individuals use alcohol to cope with posttraumatic stress disorder (PTSD) symptoms.

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Area of Science:

Psychiatry and Behavioral Sciences
Clinical Psychology
Addiction Research

Background:

Posttraumatic stress disorder (PTSD) and alcohol use frequently co-occur, representing a significant clinical challenge.
The self-medication/coping model is often used to explain the link between PTSD and alcohol use.
Existing self-report measures for assessing alcohol use motivations related to PTSD symptoms are limited.

Purpose of the Study:

To develop and validate a novel self-report measure assessing alcohol use for coping with specific PTSD symptoms.
To evaluate the measure's psychometric properties in two independent samples.

Main Methods:

Two samples were assessed: a university student sample (N=617) and a nationally representative adult sample (N=510).
Both samples completed online questionnaires, including the newly developed Trauma-Related Alcohol Use Coping (TRAC) measure.
Confirmatory factor analysis and other psychometric analyses were employed for validation.

Main Results:

The 18-item TRAC measure demonstrated a robust hierarchical structure across both samples.
The TRAC measure exhibited excellent internal consistency, convergent validity, and discriminant validity.
The measure showed known-groups validity and incremental validity in predicting coping-motivated drinking.

Conclusions:

The validated TRAC measure effectively assesses the degree to which alcohol use is motivated by coping with PTSD symptoms.
This measure can aid in understanding and addressing the complex relationship between PTSD and alcohol use.