Chronic combat‐related PTSD and concurrent substance abuse: Implications for treatment of this frequent “dual diagnosis”

Abstract

V~tnam combat veterans suffering h m post-tmwnatic stress &o&r (PTSD)who

Substance Abuse in Patients With Comorbid Anxiety Disorder

“… use of lifetime prevalence rather than 1‐month‐during‐abstinence prevalence; 1,22 use of patient‐rated scales that require patients to make etiologic assessments regarding their symptoms, despite the complexity of making such assessments; 6,22 use of interview schedules poorly designed to differentiate SRD and AD, such as the Schedule for Affective Disorders and Schizophrenia (SADS); 1 failure to delay assessment until patients have gone through detoxification, which can mimic AD; 10 selection of subgroups of alcoholic patients in whom anxiety may be over‐represented, such as women, 4 American Indians, 23 and combat veterans; 13 and use of small sample sizes of subjects or patients with SRD 1,23 …”

“…selection of subgroups of alcoholic patients in whom anxiety may be over‐represented, such as women, 4 American Indians, 23 and combat veterans; 13 and…”

“…This rate has generally ranged from 10% to 44%, depending on differences in samples and diagnostic methods, 1–9 although Schuckit et al found an incidence of only 5% SRD‐AD 10 . ADs that are apt to accompany SRDs include panic disorder and phobic disorders (especially agoraphobia), although obsessive‐compulsive disorder and posttraumatic stress disorder also occur in certain selected groups 11–13 . One study has also shown patients with phobic anxiety to have more SRD than expected 2 .…”

Social Resources and Social Function in Comorbid Eating and Substance Disorder: A Matched‐Pairs Study

“…A research associate screened all patients for an Eating Disorder with the Eating Assessment 16 . An addiction psychiatrist made the Eating Disorder and Substance Related Disorder diagnoses using DSM III‐R.…”

Best Practices for Addressing Combat Operational Stress and Other Behavioral Health Conditions in Marine Corps Substance Abuse Counseling Centers

“…Thus, symptom severity may be a better indicator of immediate treatment needs, and how to best go about simultaneously treating both PTSD and substance abuse. of mental health treatment outcomes that has been well documented is the presence of substance abuse before, during, or after SA treatment (Boudewyns, Woods, Hyer, & Albrecht, 1991). Consequently, self-efficacy, readiness to change, and motivation to receive treatment should be fundamental to any treatment program, but only after demanding strict adherence to a substance abuse abstinence agreement (Hyer, McCranie, & Peralme, 1993).…”