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Gender differences in risk factors for trauma exposure and post-traumatic stress disorder among inner-city drug abusers in and out of treatment.
Compr Psychiatry. 2001 Mar-Apr; 42(2):111-7.CP

Abstract

Over the past two decades there has been a growing awareness of the comorbidity between post-traumatic stress disorder (PTSD) and substance use disorders in the general population. The purpose of these analyses was to examine, in a population of drug users, the role of gender in (1) predicting the nature of the traumatic event and PTSD symptoms, (2) patterns of substance use disorders in relation to trauma exposure and PTSD symptoms, (3) comorbidity of other psychiatric disorders with trauma exposure and PTSD, and (4) the temporal association of substance use disorder, exposure to trauma, and PTSD. Drug abusers (n = 464) were interviewed using the Diagnostic Interview Schedule for DSM-III-R (DIS) and the Composite International Diagnostic Interview-Substance Abuse Module (CIDI-SAM). Although more women than men met criteria for DSM-III-R PTSD, there were no gender differences on endorsement for a traumatic event. Adult antisocial behavior, affective disorder, schizophrenia, other anxiety disorder and polysubstance use predicted exposure to an event, whereas, only schizophrenia and other anxiety disorder predicted PTSD. In men, drug use preceded the exposure to an event, while in women, the onset age for both drug use and exposure to an event were nearly identical. This work suggests implications for gender-based education and prevention interventions.

Authors+Show Affiliations

Department of Psychiatry, Washington University School of Medicine, 40 N Kingshighway, Suite 4, St. Louis, MO 63108, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

11244146

Citation

Cottler, L B., et al. "Gender Differences in Risk Factors for Trauma Exposure and Post-traumatic Stress Disorder Among Inner-city Drug Abusers in and Out of Treatment." Comprehensive Psychiatry, vol. 42, no. 2, 2001, pp. 111-7.
Cottler LB, Nishith P, Compton WM. Gender differences in risk factors for trauma exposure and post-traumatic stress disorder among inner-city drug abusers in and out of treatment. Compr Psychiatry. 2001;42(2):111-7.
Cottler, L. B., Nishith, P., & Compton, W. M. (2001). Gender differences in risk factors for trauma exposure and post-traumatic stress disorder among inner-city drug abusers in and out of treatment. Comprehensive Psychiatry, 42(2), 111-7.
Cottler LB, Nishith P, Compton WM. Gender Differences in Risk Factors for Trauma Exposure and Post-traumatic Stress Disorder Among Inner-city Drug Abusers in and Out of Treatment. Compr Psychiatry. 2001 Mar-Apr;42(2):111-7. PubMed PMID: 11244146.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gender differences in risk factors for trauma exposure and post-traumatic stress disorder among inner-city drug abusers in and out of treatment. AU - Cottler,L B, AU - Nishith,P, AU - Compton,W M,3rd PY - 2001/3/13/pubmed PY - 2001/6/29/medline PY - 2001/3/13/entrez SP - 111 EP - 7 JF - Comprehensive psychiatry JO - Compr Psychiatry VL - 42 IS - 2 N2 - Over the past two decades there has been a growing awareness of the comorbidity between post-traumatic stress disorder (PTSD) and substance use disorders in the general population. The purpose of these analyses was to examine, in a population of drug users, the role of gender in (1) predicting the nature of the traumatic event and PTSD symptoms, (2) patterns of substance use disorders in relation to trauma exposure and PTSD symptoms, (3) comorbidity of other psychiatric disorders with trauma exposure and PTSD, and (4) the temporal association of substance use disorder, exposure to trauma, and PTSD. Drug abusers (n = 464) were interviewed using the Diagnostic Interview Schedule for DSM-III-R (DIS) and the Composite International Diagnostic Interview-Substance Abuse Module (CIDI-SAM). Although more women than men met criteria for DSM-III-R PTSD, there were no gender differences on endorsement for a traumatic event. Adult antisocial behavior, affective disorder, schizophrenia, other anxiety disorder and polysubstance use predicted exposure to an event, whereas, only schizophrenia and other anxiety disorder predicted PTSD. In men, drug use preceded the exposure to an event, while in women, the onset age for both drug use and exposure to an event were nearly identical. This work suggests implications for gender-based education and prevention interventions. SN - 0010-440X UR - https://www.unboundmedicine.com/medline/citation/11244146/Gender_differences_in_risk_factors_for_trauma_exposure_and_post_traumatic_stress_disorder_among_inner_city_drug_abusers_in_and_out_of_treatment_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0010-440X(01)30608-9 DB - PRIME DP - Unbound Medicine ER -