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February 12, 2026Journal of American College Health0 citations

Predictors of alcohol use and consequences among college women reporting adult sexual violence: Posttraumatic stress symptoms, urgency, and drinking motives

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CHChristine K. HahnSSSelime R. SalimHZHeidi M. Zinzow

Key Points

  • This research aims to explore how post-traumatic stress symptoms, impulsivity, and drinking motives affect alcohol use and consequences in college women who have faced sexual violence.
  • Analyzed data from 122 college women who reported adult sexual violence and consumed alcohol weekly.
  • Utilized validated measures for post-traumatic stress symptoms, drinking motives, and alcohol use outcomes.
  • Conducted path analysis to identify direct and indirect relationships among the variables.
  • PTSS directly influenced negative urgency and coping motives.
  • A significant indirect effect of PTSS on alcohol consequences was found through negative urgency and coping motives.
  • Positive urgency significantly impacted enhancement motives, correlating with alcohol outcomes.
  • Coping motives negatively correlated with alcohol use but positively with consequences.

Abstract

Objective: To examine associations between post-traumatic stress symptoms (PTSS), impulsivity, drinking motives, and alcohol outcomes among college women who experienced adult sexual violence. Participants: 122 college women from a large southeastern university, predominantly White (90.2%), ages 18-24, reporting adult sexual violence and weekly alcohol consumption. Methods: Participants completed validated measures assessing PTSS, positive and negative urgency, coping and enhancement drinking motives, alcohol use, and alcohol consequences. Path analysis tested direct and indirect associations among these variables. Results: PTSS had significant direct effects on negative urgency and coping motives, and indirect effects on alcohol consequences via these variables. Positive urgency had a significant effect on enhancement motives, which subsequently was significantly associated with alcohol outcomes. Standardized coefficients ranged from β = .22 to .47 across significant pathways, indicating moderate effect sizes. Coping motives, unexpectedly, correlated negatively with alcohol use but positively with consequences. Conclusions: Findings underscore the distinct roles of negative and positive urgency and drinking motives in influencing alcohol outcomes among college women survivors of sexual violence, highlighting implications for targeted interventions.

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Cite This Study

Hahn et al. (2026) studied this question.

synapsesocial.com/papers/698d6d695be6419ac0d523dahttps://doi.org/10.1080/07448481.2026.2619943
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