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Co-morbid post-traumatic stress disorder in a substance misusing clinical population.
Drug Alcohol Depend. 2005 Mar 07; 77(3):251-8.DA

Abstract

BACKGROUND

USA studies have reported high rates of co-morbid post-traumatic stress disorder (PTSD) and substance (drugs and alcohol) dependence/misuse. Avoidance of trauma reminders and associated distress may be achieved by the use of drugs and alcohol, alternatively a substance abusing lifestyle might predispose such individuals to experience traumatic events. This may have implications for treatment and management of patients with co-morbid substance misuse and PTSD. There have been no British studies looking at the extent of traumatic life events and post-traumatic stress disorder amongst substance misusers, although high rates of reported sexual and physical abuse have been reported in two recent UK studies with drug- and alcohol-dependent patients in clinical settings.

AIMS

(i) To investigate the prevalence of co-morbid PTSD in a UK substance use disorder (SUD) inpatient clinical population; (ii) to identify the characteristics, severity and types of trauma experienced; (iii) to compare SUD patients with and without co-morbid PTSD on substance use and history, psychological/psychiatric and social variables

METHOD

This is a cross-sectional study involving interviews with patients and case note review. SUD inpatients were interviewed about traumatic experiences, PTSD, and addiction.

RESULTS

Ninety-four percentage reported experiencing one or more PTSD criterion A traumatic experiences. 38.5% met criteria for current PTSD and 51.9% for lifetime PTSD. Significant differences between the PTSD and non-PTSD groups were found in PTSD and trauma-related variables, notably social variables and distress associated with traumatic experiences, but few differences were found in addiction severity (medical and psychiatric composite scores of the ASI) and psychiatric symptomatology.

CONCLUSIONS

This study highlights not only the importance of assessment of trauma and PTSD amongst substance misusers but, conversely the need for the assessment of substance abuse among victims of PTSD. Co-morbid psychopathology is common, so trauma histories and PTSD symptoms may become embedded in other co-morbid psychopathology.

Authors+Show Affiliations

School of Social Sciences and Law, Brunel University, Uxbridge, Middlesex, UB8 3PH, UK. martina.reynolds@brunel.ac.ukNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15734225

Citation

Reynolds, Martina, et al. "Co-morbid Post-traumatic Stress Disorder in a Substance Misusing Clinical Population." Drug and Alcohol Dependence, vol. 77, no. 3, 2005, pp. 251-8.
Reynolds M, Mezey G, Chapman M, et al. Co-morbid post-traumatic stress disorder in a substance misusing clinical population. Drug Alcohol Depend. 2005;77(3):251-8.
Reynolds, M., Mezey, G., Chapman, M., Wheeler, M., Drummond, C., & Baldacchino, A. (2005). Co-morbid post-traumatic stress disorder in a substance misusing clinical population. Drug and Alcohol Dependence, 77(3), 251-8.
Reynolds M, et al. Co-morbid Post-traumatic Stress Disorder in a Substance Misusing Clinical Population. Drug Alcohol Depend. 2005 Mar 7;77(3):251-8. PubMed PMID: 15734225.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Co-morbid post-traumatic stress disorder in a substance misusing clinical population. AU - Reynolds,Martina, AU - Mezey,Gillian, AU - Chapman,Murray, AU - Wheeler,Mike, AU - Drummond,Colin, AU - Baldacchino,Alex, PY - 2004/01/20/received PY - 2004/07/28/revised PY - 2004/08/17/accepted PY - 2005/3/1/pubmed PY - 2005/8/24/medline PY - 2005/3/1/entrez SP - 251 EP - 8 JF - Drug and alcohol dependence JO - Drug Alcohol Depend VL - 77 IS - 3 N2 - BACKGROUND: USA studies have reported high rates of co-morbid post-traumatic stress disorder (PTSD) and substance (drugs and alcohol) dependence/misuse. Avoidance of trauma reminders and associated distress may be achieved by the use of drugs and alcohol, alternatively a substance abusing lifestyle might predispose such individuals to experience traumatic events. This may have implications for treatment and management of patients with co-morbid substance misuse and PTSD. There have been no British studies looking at the extent of traumatic life events and post-traumatic stress disorder amongst substance misusers, although high rates of reported sexual and physical abuse have been reported in two recent UK studies with drug- and alcohol-dependent patients in clinical settings. AIMS: (i) To investigate the prevalence of co-morbid PTSD in a UK substance use disorder (SUD) inpatient clinical population; (ii) to identify the characteristics, severity and types of trauma experienced; (iii) to compare SUD patients with and without co-morbid PTSD on substance use and history, psychological/psychiatric and social variables METHOD: This is a cross-sectional study involving interviews with patients and case note review. SUD inpatients were interviewed about traumatic experiences, PTSD, and addiction. RESULTS: Ninety-four percentage reported experiencing one or more PTSD criterion A traumatic experiences. 38.5% met criteria for current PTSD and 51.9% for lifetime PTSD. Significant differences between the PTSD and non-PTSD groups were found in PTSD and trauma-related variables, notably social variables and distress associated with traumatic experiences, but few differences were found in addiction severity (medical and psychiatric composite scores of the ASI) and psychiatric symptomatology. CONCLUSIONS: This study highlights not only the importance of assessment of trauma and PTSD amongst substance misusers but, conversely the need for the assessment of substance abuse among victims of PTSD. Co-morbid psychopathology is common, so trauma histories and PTSD symptoms may become embedded in other co-morbid psychopathology. SN - 0376-8716 UR - https://www.unboundmedicine.com/medline/citation/15734225/Co_morbid_post_traumatic_stress_disorder_in_a_substance_misusing_clinical_population_ DB - PRIME DP - Unbound Medicine ER -