ORCID

Alexa Deyo: 0000-0001-5098-0498

Kyle White:0000-0001-5781-3780

Joon Kyung Nam: 0000-0002-5022-5801

Victoria Carlin:0009-0009-5119-1939

Grant Ripley:0009-0006-6800-0922

Joseph Ditre: 0000-0002-8914-6908

Document Type

Poster

Date

4-10-2025

Keywords

Chronic pain, Alcohol, Veterans, Combat, Sleep disturbances

Department

Psychology

Campus Community

Center for Health Behavior Research and Innovation

Language

English

Disciplines

Military and Veterans Studies

Description/Abstract

Introduction: Pain-related sleep disturbances (PRSD) may contribute to patterns of alcohol consumption that elevate risk for negative health outcomes among U.S. military veterans with chronic pain, with this association potentially heightened among those who experienced combat. We are not aware of any prior research that examined either relations between PRSD and hazardous alcohol use among veterans, or the potential influence of combat exposure. The goal of this study was to test the hypothesis that PRSD would be positively associated with hazardous drinking among veterans, and that combat exposure would moderate this relationship. Method: Participants included 430 U.S. veterans (Mage = 56.71  14.8; 23.7% female) with chronic pain who endorsed past-month alcohol use and completed a Qualtrics Panel survey. Results: PRSD was positively associated with hazardous alcohol use (B = .357, p = .018) after controlling for age, sex, and chronic pain intensity. This relationship was moderated by combat exposure, with stronger associations observed among combat-exposed veterans (B = .909, p < .001) compared to deployed veterans without combat exposure (B = .633, p < .001) and veterans with no deployment history (B = .357, p = .018). Discussion: Results indicate that U.S. veterans with chronic pain may be at increased risk of hazardous alcohol use due to PRSD, perhaps especially among combat-exposed veterans. These findings underscore the need for routine PRSD screening and tailored interventions that address both sleep disturbances and hazardous drinking to improve health outcomes among veterans.

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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