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Crack users and violence. What is the relationship between trauma, antisocial personality disorder and posttraumatic stress disorder?
Addict Behav. 2019 11; 98:106012.AB

Abstract

TITLE

Crack users and violence. What is the relationship between trauma, antisocial personality disorder and posttraumatic stress disorder?

BACKGROUND

Crack use is frequently related to severe social and psychiatric conditions including Antisocial Personality Disorder (ASPD) and Posttraumatic Stress Disorder (PTSD). Social vulnerabilities increase the frequency of traumatic exposure. The relationship of trauma and psychiatric disorders among crack users is still unclear.

OBJECTIVES

To describe the characteristics of crack users with ASPD and to verify of the association between ASPD and PTSD, ASPD and each type of traumatic event and the temporality of these events.

METHODS

Data from a multicenter cross-sectional sample of 733 crack users under treatment in six Brazilian capitals was obtained via interviews with Addiction Severity Index (ASI) 6 and Mini International Neuropsychiatric Interview (MINI). Demographic characteristics, psychiatric diagnosis and trauma history were examined. Descriptive and bivariate analyses were used to assess the relationship between the studied variables.

RESULTS

More than 80% of crack users with ASPD and >65% without this diagnosis report traumatic experiences. The prevalence of PTSD disorder among those with ASPD (47.3%) is lower than among those without (52.7%) this diagnosis. The traumatic experiences occur either before or after the first episode of drug use.

CONCLUSIONS

The high prevalence of ASPD and PTSD among crack users and their frequent exposure to severe traumatic events was verified as well as the fact that they are often victims and sometimes perpetrators of violence illustrating the complexity of the relationships between crack use, trauma and comorbidities.

Authors+Show Affiliations

Institute of Psychiatry, Federal University of Rio de Janeiro, Brazil.Center for Drug and Alcohol Research, Federal University of Rio Grande do Sul, Brazil.Center for Drug and Alcohol Research, Federal University of Rio Grande do Sul, Brazil.Center for Drug and Alcohol Research, Federal University of Rio Grande do Sul, Brazil.Drug Abuse Research Program, Federal University of Brasilia, Brazil.Social Medicine Institute, State University of Rio de Janeiro, Brazil.No affiliation info availableInstitute of Psychiatry, Federal University of Rio de Janeiro, Brazil. Electronic address: marcelosantoscruz@ipub.ufrj.br.

Pub Type(s)

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

Language

eng

PubMed ID

31233950

Citation

Carolina Maria Motta Stoffel, Barbosa, et al. "Crack Users and Violence. what Is the Relationship Between Trauma, Antisocial Personality Disorder and Posttraumatic Stress Disorder?" Addictive Behaviors, vol. 98, 2019, p. 106012.
Carolina Maria Motta Stoffel B, Felix Henrique PK, Flavio P, et al. Crack users and violence. What is the relationship between trauma, antisocial personality disorder and posttraumatic stress disorder? Addict Behav. 2019;98:106012.
Carolina Maria Motta Stoffel, B., Felix Henrique, P. K., Flavio, P., Lisia, V. D., Maria Fátima Olivier, S., Tatiana, H. L., & Marcelo, S. C. (2019). Crack users and violence. What is the relationship between trauma, antisocial personality disorder and posttraumatic stress disorder? Addictive Behaviors, 98, 106012. https://doi.org/10.1016/j.addbeh.2019.06.001
Carolina Maria Motta Stoffel B, et al. Crack Users and Violence. what Is the Relationship Between Trauma, Antisocial Personality Disorder and Posttraumatic Stress Disorder. Addict Behav. 2019;98:106012. PubMed PMID: 31233950.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Crack users and violence. What is the relationship between trauma, antisocial personality disorder and posttraumatic stress disorder? AU - Carolina Maria Motta Stoffel,Barbosa, AU - Felix Henrique,Paim Kessler, AU - Flavio,Pechansky, AU - Lisia,von Diemen, AU - Maria Fátima Olivier,Sudbrack, AU - Tatiana,Henriques Leite, AU - ,, AU - Marcelo,Santos Cruz, Y1 - 2019/06/03/ PY - 2019/01/09/received PY - 2019/06/01/revised PY - 2019/06/02/accepted PY - 2019/6/25/pubmed PY - 2020/10/29/medline PY - 2019/6/25/entrez KW - Antisocial personality disorder KW - Crack/cocaine KW - Posttraumatic disorder KW - Trauma KW - Violence SP - 106012 EP - 106012 JF - Addictive behaviors JO - Addict Behav VL - 98 N2 - TITLE: Crack users and violence. What is the relationship between trauma, antisocial personality disorder and posttraumatic stress disorder? BACKGROUND: Crack use is frequently related to severe social and psychiatric conditions including Antisocial Personality Disorder (ASPD) and Posttraumatic Stress Disorder (PTSD). Social vulnerabilities increase the frequency of traumatic exposure. The relationship of trauma and psychiatric disorders among crack users is still unclear. OBJECTIVES: To describe the characteristics of crack users with ASPD and to verify of the association between ASPD and PTSD, ASPD and each type of traumatic event and the temporality of these events. METHODS: Data from a multicenter cross-sectional sample of 733 crack users under treatment in six Brazilian capitals was obtained via interviews with Addiction Severity Index (ASI) 6 and Mini International Neuropsychiatric Interview (MINI). Demographic characteristics, psychiatric diagnosis and trauma history were examined. Descriptive and bivariate analyses were used to assess the relationship between the studied variables. RESULTS: More than 80% of crack users with ASPD and >65% without this diagnosis report traumatic experiences. The prevalence of PTSD disorder among those with ASPD (47.3%) is lower than among those without (52.7%) this diagnosis. The traumatic experiences occur either before or after the first episode of drug use. CONCLUSIONS: The high prevalence of ASPD and PTSD among crack users and their frequent exposure to severe traumatic events was verified as well as the fact that they are often victims and sometimes perpetrators of violence illustrating the complexity of the relationships between crack use, trauma and comorbidities. SN - 1873-6327 UR - https://www.unboundmedicine.com/medline/citation/31233950/Crack_users_and_violence__What_is_the_relationship_between_trauma_antisocial_personality_disorder_and_posttraumatic_stress_disorder DB - PRIME DP - Unbound Medicine ER -