Alcohol Alert Number  The Li k Betwee Stress a d Alcohol Today more a d more serviceme a d wome are leavi g active duty a d retur i g to civilia life
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Alcohol Alert Number The Li k Betwee Stress a d Alcohol Today more a d more serviceme a d wome are leavi g active duty a d retur i g to civilia life

That tra sitio ca be difcult The stresses associated with military service are ot easily shed But deali g with stress is ot limited to rece t Vetera s A ew job a death i the family movi g across the cou try a breakup or getti g marriedall are situat

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Alcohol Alert Number The Li k Betwee Stress a d Alcohol Today more a d more serviceme a d wome are leavi g active duty a d retur i g to civilia life

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Presentation on theme: "Alcohol Alert Number The Li k Betwee Stress a d Alcohol Today more a d more serviceme a d wome are leavi g active duty a d retur i g to civilia life"— Presentation transcript:

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Alcohol Alert Number 85 The Li k Betwee Stress a d Alcohol Today, more a d more serviceme a d wome are leavi g active duty a d retur i g to civilia life. That tra sitio ca be dif.cult. The stresses associated with military service are ot easily shed. But deali g with stress is ot limited to rece t Vetera s. A ew job, a death i the family, movi g across the cou try, a breakup, or getti g marriedall are situatio s that ca result i psychological a d physical symptoms collectively k ow as stress. On3 E/G B6/B p3op:3 m/G 16ooA3 Bo 1op3 E7B6 ABr3AA 7A 0G BCrn7n5 Bo /:1o6o:.

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p:/GA0oB6 7n /::3D7/B7n5 /n2 p3rp3BC/B7n5 ABr3AA. CommonT pesofStress MoAB 1/CA3A o4 ABr3AA 1/n 03 5roCp32 7nBo 4oCr 1/B35or73A: 53n3r/:-:743 ABr3AA, 1/B/ABrop671 3D3nBA, 167:26oo2 ABr3AA, /n2 r/17/:/3B6n71 m7nor7BG ABr3AA (A33 475Cr3 1). 1,2 E/16 o4 B63A3 4/1BorA D/rG or /r3 7n4:C3n132 7n / nCm03r o4 E/GA 0G A3D3r7BG, 2Cr/B7on, E63B63r B63 ABr3AA 7A 3Fp31B32 or noB, B63 BGp3 o4 B6r3/B (3moB7on/: or p6GA71/:), /n2 B63 7n27D72C/:MA m3nB/: 63/:B6 AB/BCA (For 3F/mp:3, 2o3A B63 p3rAon AC443r 4rom /nF73BG, 1o-o11Crr7n5 m3nB/: 63/:B6 27Aor23rA, or /:1o6o:7Am?). EF/mp:3A o4 Aom3 o4 B63 moAB

1ommon ABr3AAorA /r3 proD7232 03:oE /n2 ACmm/r7H32 7n 475Cr3 1. General-LifeStressors G3n3r/:-:743 ABr3AAorA 7n1:C23 53BB7n5 m/rr732 or 27Dor132, moD7n5, or AB/rB7n5 / n3E jo0. $ro0:3mA /B 6om3 or Eor9, / 23/B6 7n B63 4/m7:G, or /n 7::n3AA /:Ao 1/n :3/2 Bo ABr3AA. $3op:3 E7B6 /n /:1o6o: CA3 27Aor23r (A(D) m/G 03 /B p/rB71C:/r r7A9 4or B63A3 BGp3A o4 ABr3AA3A. For 3F/mp:3, 2r7n97n5 m/G 1/CA3 pro0:3mA /B Eor9, 7n p3rAon/: r3:/B7onA67pA, or BroC0:3 E7B6 po:713. CatastrophicEvents SBC273A 1onA7AB3nB:G A6oE B6/B /:1o6o: 1onACmpB7on 7n1r3/A3A 7n B63 47rAB G3/r /4B3r / 27A/AB3r, 7n1:C27n5 0oB6

m/nm/23 /n2 n/BCr/: 3D3nBA. AA B7m3 p/AA3A, B6/B r3:/B7onA67p 7A 2/mp3n32. HoE3D3r, mC16 o4 B67A r3A3/r16 4o1CA3A on 2r7n97n5 on:G /n2 noB on B63 pr3D/:3n13 o4 A(DA. In B63 ABC273A B6/B :oo932 Ap317471/::G /B B63 23D3:opm3nB o4 A(DA, B63 r3AC:BA /r3 :3AA 1onA7AB3nB. In Aom3 1/A3A, ABC273A 6/D3 NIHh.h.h.hTurninghDiscoveryhIntohHealth Natio al I stitute o Alcohol Abuse a d Alcoholism www. iaaa. 301.443.3860
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S3pB3m03r 11 ACrD7DorA 6/D3 4oCn2 B6/B A(DA 7n1r3/A32. T67A Br3n2 E/A A7m7:/r 7n ABC273A o4 HCrr71/n3K/Br7n/, B63 MoCnB SB. H3:3nA Do:1/no 3rCpB7on, /n2 oB63r 3D3nBA. MoAB o4 B63A3 ABC273A 7n1:C232 on:G /2C:BA. A227B7on/: ABC273A /r3 n33232 Bo 03BB3r Cn23rAB/n2 6oE /2o:3A13nBA /n2 GoCn5 p3op:3 r3Apon2 Bo 27A/AB3rA /n2 E63B63rB63r3 7A / :7n9 Bo /:1o6o: CA3. ChildhoodStress M/:Br3/Bm3nB 7n 167:26oo2 7n1:C23A 3FpoACr3 Bo 3moB7on/:, A3FC/:, /n2/or p6GA71/: /0CA3 or n35:31B 2Cr7n5 B63 47rAB 18 G3/rA o4 :743. A:B6oC56 B63G o11Cr 2Cr7n5 167:26oo2, B63A3 ABr3AAorA 6/D3 :on5-:/AB7n5 34431BA,

/11oCnB7n5 4or / A75n7471/nB proporB7on o4 /:: /2C:B pAG16op/B6o:o5G. 4,5 SBC273A BGp71/::G A6oE B6/B m/:Br3/Bm3nB 7n 167:26oo2 7n1r3/A3A B63 r7A9 4or 0oB6 /2o:3A13nB /n2 /2C:B /:1o6o: 1onACmpB7on /A E3:: /A 7n1r3/A32 /2C:B A(DA. HoE3D3r, 167:26oo2 m/:Br3/Bm3nB 7A mor3 :793:G Bo o11Cr /mon5 167:2r3n o4 /:1o6o:71A, E6o o4B3n CA3 poor p/r3nB7n5 pr/1B713A /n2 E6o /:Ao p/AA /:on5 53n3A Bo B637r o44Apr7n5 B6/B 7n1r3/A3 B63 r7A9 o4 A(DA. A227B7on/: r3A3/r16 7A n33232 Bo :3/rn 3F/1B:G 6oE B63 ABr3AA3A o4 167:26oo2 n35:31B /n2 /0CA3 r3:/B3 Bo /:1o6o: CA3. RacialandEthnicMinorit Stress SBr3AA /:Ao

1/n /r7A3 /A / r3AC:B o4 / p3rAonMA m7nor7BG AB/BCA, 3Ap317/::G /A 7B p3rB/7nA Bo pr3jC2713 /n2 27A1r7m7n/B7on. SC16 ABr3AA m/G r/n53 4rom m7:2 (3.5., 6/AA:3A AC16 /A 037n5 4o::oE32 7n / ABor3) Bo A3D3r3 (3.5., 037n5 B63 D71B7m o4 / D7o:3nB 1r7m3). T63 ABr3AA m/G 03 3moB7on/: (3.5., Eor9p:/13 6/r/AAm3nB) or p6GA71/: (3.5., 6/B3 1r7m3A). T63 r3:/B7onA67p o4 B63A3 ABr3AA 4/1BorA Bo /:1o6o: CA3 7A 1omp:71/B32 0G oB63r r7A9 4/1BorA /A E3::, AC16 /A 2r7n97n5 p/BB3rnA /n2 7n27D72C/: 27443r3n13A 7n 6oE B63 0o2G 0r3/9A 2oEn (or m3B/0o:7H3A) /:1o6o:. CopingWithStress T63 /07:7BG Bo 1op3 E7B6 ABr3AA

(9noEn /A r3A7:73n13) r34:31BA 6oE E3:: Aom3on3 7A /0:3 Bo /2/pB Bo B63 pAG16o:o571/: /n2 p6GA7o:o571/: r3AponA3A 7nDo:D32 7n B63 ABr3AA r3AponA3. W63n 16/::3n532 0G ABr3AA4C: 3D3nBA, B63 0o2G r3Apon2A r/p72:G, A674B7n5 norm/: m3B/0o:71 pro13AA3A 7nBo 6756 53/r. To m/93 B67A r/p72 r3AponA3 poAA70:3, B63 0o2G r3:73A on /n 7nBr71/B3 AGAB3mB63 6GpoB6/:/m71Ip7BC7B/rGI/2r3n/: (H$A) /F7AB6/B 7nDo:D3A B63 0r/7n /n2 93G 16/n53A 7n B63 :3D3:A o4 6ormon/: m3AA3n53rA 7n B63 0o2G. T63 AGAB3m B/r53BA Ap317471 or5/nA, pr3p/r7n5 B63 0o2G 37B63r Bo 4756B B63 ABr3AA 4/1Bor (ABr3AAor) or Bo 4:33 4rom 7B

(7.3., B63 4756B-or-4:756B r3AponA3). 8,9 T63 6ormon3 1orB7Ao: 6/A / 93G ro:3 7n B63 0o2GMA r3AponA3 Bo ABr3AA. On3 o4 1orB7Ao:MA pr7m/rG 34431BA 7A Bo 7n1r3/A3 /D/7:/0:3 3n3r5G 0G 7n1r3/A7n5 0:oo2 AC5/r (7.3., 5:C1oA3) :3D3:A /n2 mo07:7H7n5 4/B /n2 proB37n m3B/0o:7Am Bo 7n1r3/A3 nCBr73nB ACpp:73A Bo B63 mCA1:3A, pr3p/r7n5 B63 0o2G Bo r3Apon2 ?C719:G /n2 3447173nB:G. A 63/:B6G ABr3AA r3AponA3 7A 16/r/1B3r7H32 0G /n 7n7B7/: Ap793 7n 1orB7Ao: :3D3:A 4o::oE32 0G / r/p72 4/:: 7n B6oA3 :3D3:A /A Aoon /A B63 B6r3/B 7A oD3r. Figure31 The four categories of stress. General3Life3Stressors ,

Divorce/break-up , Job loss , Cha gi g jobs or movi g , Problems at work or school , Trouble with a eighbor , Family member i poor health Fateful/Catastrophic3Events , September 11, 2001 attacks , Other terrorist attacks , Fires, floods, earthquakes, hurrica es, a d other atural disasters , Nuclear disasters Childhood3Maltreatment , Emotio al abuse , Emotio al eglect , Physical abuse , Physical eglect , Sexual abuse Minorit 3Stress , Racial/eth ic mi ority , Sexual mi ority , Female
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/ 1oAB on B63 0o2G 7n B3rmA o4 E3/r /n2 B3/r, 7n p6GA7o:o571/: 0/:/n13. InBro2C17n5 /:1o6o: /n2 m/G 7n1r3/A3 B63 r7A9 o4 A3r7oCA 27A3/A3, 7nBo B67A m7F B6roEA o44 / p3rAonMA p6GA7o:o571/: 7n1:C27n5 /:1o6o: CA3 27Aor23rA. 0/:/n13 (A33 475Cr3 2), 1ompoCn27n5 B63 Stressor (e.g., alcohol) A. Short Term B. Long Term Figure32 In the short term A), when faced with a stressful situation (such as a night of hea y drinking), the bodys normal physiological balance is altered but quickly reco ers once the stressor is remo ed. If the stressor continues o er time (such as long-term hea y drinking) B), the

demands on the bodys systems are increased, making it harder for the body to regain its physiological balance. In response, the body simply resets its balance point, to a less optimal le el of functioning.
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r3A3/r16 7A n33232 Bo 03BB3r Cn23rAB/n2 6oE /:1o6o: /:B3rA B63 0r/7n /n2 B63 D/r7oCA 17r1C7BA 7nDo:D32 E7B6 B63 H$A /F7A. $oE3r4C: 53n3B71 mo23:A /n2 0r/7n-7m/57n5 B316n7?C3A, /A E3:: /A /n 7mproD32 Cn23rAB/n27n5 o4 6oE Bo Br/nA:/B3 r3A3/r16 CA7n5 /n7m/:A Bo B63 Br3/Bm3nB o4 6Cm/nA, A6oC:2 63:p r3A3/r163rA Bo 4CrB63r 2347n3 B63 1omp:3F r3:/B7onA67p 03BE33n ABr3AA /n2 /:1o6o:. 26 References Ke;e5,0K.M.;0Ha6ze1b7e,le4,0M.L.;0G4a16,0B.F.;0a1d0Ha5-1,0D.S. SBr3AA /n2 /:1o6o:: Ep723m7o:o571 3D723n13. Alcohol.Research:.Curren Reviews 34(4):391I400, 2012. Sc,700,0J.A.,0a1d0C,a4d,0K.M. A:1o6o: /n2

ABr3AA 7n B63 m7:7B/rG. Alcohol.Research:.Curren .Reviews 34(4):401I407, 2012 S0-6,,0J.P.,0a1d0Ra1dall,0C.I. AnF73BG /n2 /:1o6o: CA3 27Aor23rA: Comor0727BG /n2 Br3/Bm3nB 1onA723r/B7onA. Alcohol Research:.Curren .Reviews 34(4):414I431, 2012 Af-f-,0T.O.;0E115,0M.W.;0C2x,0B.J.;0e60al. $opC:/B7on /BBr70CB/0:3 4r/1B7onA o4 pAG167/Br71 27Aor23rA /n2 AC71723 723/B7on /n2 /BB3mpBA /AAo17/B32 E7B6 /2D3rA3 167:26oo2 3Fp3r73n13A. American.Journal.of.Public.Heal h 98:946I952, 2008. $MID: 18381992 G4ee1,0J.G.;0McLa7g,l-1,0K.A.;0Be4gl71d,0P.A.;0e60al. C67:26oo2 /2D3rA7B73A /n2 /2C:B pAG167/Br71 27Aor23rA 7n

B63 n/B7on/: 1omor0727BG ACrD3G r3p:71/B7on. I: AAAo17/B7onA E7B6 47rAB onA3B o4 DSMII) 27Aor23rA. Archives.of.General.Psychia ry 67:113I123, 2010. $MID: 20124111 E12c,,0M.A.;0H2dgk-1521,0C.A.;0Y7a1,0Q.;0e60al. T63 7n4:C3n13 o4 GABrA2, 167:26oo2 Br/Cm/, /n2 B637r 7nB3r/1B7on on /:1o6o:, 63ro7n, /n2 1o1/7n3 23p3n23n13. Biological.Psychia ry 67:20I27, 2010. $MID: 19833324 Al-0,0T.N.;0La9521,0W.B.;0Fede4,0A.;0e60al. R3- A7:73n13 Bo m33B B63 16/::3n53 o4 /2271B7on: $AG16o07o:o5G /n2 1:7n71/: 1onA723r/B7onA. Alcohol.Research:.Curren .Reviews 34(4):506I515, 2012. S6ep,e15,0M.C.,0a1d0Wa1d,0G. SBr3AA

/n2 B63 H$A /F7A: Ro:3 o4 5:C1o1orB71o72A 7n /:1o6o: 23p3n23n13. Alcohol.Research:.Curren .Reviews 34(4):468I483, 2012. He40a1,0J.P. N3Cr/: p/B6E/GA o4 ABr3AA 7nB35r/B7on: R3:3D/n13 Bo /:1o6o: /0CA3. Alcohol.Research:.Curren .Reviews 34(4):441I447, 2012. 10 A,0ad,0S.;0Fede4,0A.;0Lee,0E.J.;0e60al. E/rB6?C/93 7mp/1B 7n / r3moB3 SoCB6 AA7/n popC:/B7on: $AG16oAo17/: 4/1BorA /n2 poABBr/Cm/B71 AGmpBomA. Journal.of.Trauma ic.S ress 233:408I412, 2010. $MID: 20564375 11 Al-0,0T.N.;0Fede4,0A.;0G4a8e5,0R.E.;0e60al. Tr/Cm/, r3A7:73n13, /n2 r31oD3rG 7n / 6756-r7A9 A4r71/n-Am3r71/n popC:/B7on.

American.Journal.of.Psychia ry 16512:1566I1575, 2008. $MID: 19015233 12 Cla4ke,0T.-K.;0N;0be4g,0C.;0a1d0Sc,70a11,0G. G3n3B71 /n2 3nD7ronm3nB/: 23B3rm7n/nBA o4 ABr3AA r3Apon27n5. Alcohol.Research: Curren .Reviews 34(4):484I494, 2012. 13 M221a6,0S.,0a1d0Pa1de;,0S.C. SBr3AA, 3p753n3B71A, /n2 /:1o6o:7Am. Alcohol.Research:.Curren .Reviews 34(4):495I505, 2012. 14 S,e4,0K.J.;0Ge45,71;,0B.S.;0Pe6e4521,0L.;0a1d0Ra5k-1,0G. B63 ro:3 o4 167:26oo2 ABr3AAorA 7n B63 7nB3r53n3r/B7on/: Br/nAm7AA7on o4 /:1o6o: CA3 27Aor23rA. JoCrn/: o4 SBC273A on A:1o6o: 58(4):414I427, 1997. $MID: 9203123 15

He-0,0C.,0a1d0Ne0e42ff,0C.B. T63 ro:3 o4 167:26oo2 Br/Cm/ 7n B63 n3Cro07o:o5G o4 moo2 /n2 /nF73BG 27Aor23rA: $r31:7n71/: /n2 1:7n71/: ABC273A. B7o:o571/: $AG167/BrG 4912:1023I1039, 2001. $MID: 11430844 16 T,20a5,0S.;0Bac21,0A.K.;0S-1,a,0R.;0e60al. C:7n71/: :/0or/BorG ABr3AAorA CA32 Bo ABC2G /:1o6o:I ABr3AA r3:/B7onA67pA. Alcohol.Research:.Curren .Reviews 34(4):459I467, 2012 17 Seal,0K.H.;0Me6zle4,0T.J.;0G-0a,0K.S.;0e60al.0 Tr3n2A /n2 r7A9 4/1BorA 4or m3nB/: 63/:B6 27/5noA3A /mon5 Ir/? /n2 A456/n7AB/n )3B3r/nA CA7n5 D3p/rBm3nB o4 )3B3r/nA A44/7rA 63/:B6 1/r3, 2002I2008. American

Journal.of.Public.Heal h 99(9):1651I1658, 2009. $MID: 19608954 18 Ta1el-a1,0T.0,0a1d0Ja;c2x,0L.H.,0Ed5. InD7A70:3 WoCn2A o4 W/r: $AG16o:o571/: /n2 Co5n7B7D3 InjCr73A, T637r ConA3?C3n13A, /n2 S3rD713A Bo AAA7AB R31oD3rG [/rB71:3 on:7n3], 2008. S/nB/ Mon71/, CA: R/n2 Corpor/B7on. AD/7:/0:3 4rom: 6BBp://r/n2.or5. A113AA32 AC5CAB 29, 2008. 19 H-gle;,0A.E;0K22b,0G.F.;0a1d0Ma521,0B.J. Tr3/Bm3nB o4 /:1o6o: 23p3n23n13 E7B6 2rC5 /nB/5on7ABA o4 B63 ABr3AA r3AponA3. Alcohol.Research:.Curren .Reviews 34(4):516I521, 2012. 20 S-1,a,0R. HoE 2o3A ABr3AA :3/2 Bo r7A9 o4 /:1o6o: r3:/pA3?

Alcohol.Research:.Curren .Reviews 34(4)432I440, 2012. 21 S-1,a,0R.;0F2x,0H.C.;0H21g,0K.A.;0e60al En6/n132 n35/B7D3 3moB7on /n2 /:1o6o: 1r/D7n5, /n2 /:B3r32 p6GA7o:o571/: r3AponA3A 4o::oE7n5 ABr3AA /n2 1C3 3FpoACr3 7n /:1o6o: 23p3n2- 3nB 7n27D72C/:A. Neuropsychopharmacology 34(5):1198I1208, 2009. $MID: 18563062 22 Sinha,tR.;tFox,tH.C.;tHong,tK.A.;tettal. E4431BA o4 /2r3n/: A3nA7B7D7BG, ABr3AA- /n2 1C3-7n2C132 1r/D7n5, /n2 /nF73BG on AC0A3?C3nB /:1o6o: r3:/pA3 /n2 Br3/Bm3nB oCB1om3A. Archives.of.General Psychia ry 68(9):942-952, 2011. $MID: 21536969 23 Wa1d,0G.S. A:1o6o:, B63

6GpoB6/:/m71-p7BC7B/rG-/2r3n/: /F7A /n2 B63 6ormon/: Bo:3r/n13. In: Z/96/r7, S., 32. Alcohol.and. he.Endocrine.Sys em. NIAAA R3A3/r16 Mono5r/p6 No. 23. B3B63A2/, MD: N/B7on/: InAB7BCB3 on A:1o6o: A0CA3 /n2 A:1o6o:7Am, 1993, pp. 251I270. 24 D-ck56e-1,0B.D.;0S78ak,0M.;0L-6z,0B.T.;0Adle4,0A.B. H3B3ro53n37BG 7n B63 1oCrA3 o4 poABBr/Cm/B71 ABr3AA 27Aor23r: Tr/j31Bor73A o4 AGmpBom/Bo:o5G. Journal.of.Trauma ic.S ress 233:331I339, 2010. $MID: 20564365 25 B4ad;,0K.T.,0a1d0Back,0S.E. C67:26oo2 Br/Cm/, poABBr/Cm/B71 ABr3AA 27Aor23r, /n2 /:1o6o: 23p3n23n13. Alcohol.Research:.Curren .Reviews 34(4):408I413,

2012. 26 A16,e1ell-, R.A. OD3rD73E: SBr3AA /n2 /:1o6o: CA3 27Aor23rA r3D7A7B32. Alcohol.Research:.Curren .Reviews 34(4):386I390, 2012. 27 G2ld56e-1,0D.S.,0a1d K2p-1,0I.J. EDo:CB7on o4 1on13pBA o4 ABr3AA. S ress 102:109I120, 2007. $MID: 17514579 28 K22b,0G.F.,0a1d0Le0M2al,0M. DrC5 /2271B7on, 2GAr35C:/B7on o4 r3E/r2, /n2 /::oAB/A7A. Neuropsychopharmacology 24(2):97I129, 2001. $MID: 11120394
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