Posttraumatic stress disorder in substance abuse patients: Relationship to 1-year posttreatment outcomes.

Ouimette, Paige; Ahrens, Courtney; Moos, Rudolf H.; Finney, John W.

doi:10.1037/0893-164x.11.1.34

Cited by 129 publications

(107 citation statements)

References 39 publications

(39 reference statements)

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“…[1][2][3] Relatively high rates of comorbid PTSD have been reported and associated with poor treatment outcome and prognosis. [4][5][6][7] In the USA, rates of comorbid PTSD and substance misuse range from 19 to 35%, and comorbid alcohol misuse from 36 to 52%. 1,2 In individuals with substance use disorder, lifetime PTSD has been reported in 30-58%, and current PTSD in 20-38%.…”

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confidence: 99%

Trauma and post-traumatic stress disorder in a drug treatment community service

et al. 2011

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Aims and methodA cross-sectional study aiming to assess the prevalence of trauma and post-traumatic stress disorder (PTSD) in a community substitution treatment sample, and to assess and compare the characteristics of traumatic experience, substance use, and psychological and social factors in those with and without PTSD. All assessments were completed during the interview which took approximately 1.5 h.ResultsThe prevalence for current PTSD was 26.2% and for lifetime PTSD 42.9%. Traumatic experiences were extremely common, with two or more reported by 92.9% of the sample. The two groups differed significantly on the majority of psychological functioning and social variables, with women experiencing higher rates of PTSD and the non-PTSD group having lower rates of psychological impairment.Clinical implicationsThe research supported findings from previous studies. The very high incidence of traumatic experiences has not been reported before. Training and information about trauma and PTSD for substance misuse workers are therefore necessary so that PTSD can be more easily detected and treated.

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confidence: 99%

Trauma and post-traumatic stress disorder in a drug treatment community service

et al. 2011

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“…Zudem besteht die Gefahr, dass unbehandelte PTBSymptome die Drogentherapie stören, so dass die logische Schlussfolgerung besteht, Patienten könnten aufgrund dieser unbehandelten Symptome rückfällig werden. Somit könnte eine frühe Behandlung der traumatischen Ereignisse die Chancen für eine erfolgreiche Drogentherapie erhöhen (Ouimette, Ahrens & Moos 1997). Auch könnten einige der bestehenden Behandlungsmethoden für PTBS allein und Drogenabhängigkeit allein problematisch sein, wenn die jeweils andere Störung unbehandelt weiterbesteht (Najavits, Weiss, Shaw & Muenz, 1998).…”

Section: Theoretischer Und Empirischer Hintergrundunclassified

Neurowissenschaften und Traumatherapie

2009

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“…In one study of urban primary care patients, the number of traumatic events and a history of cocaine dependence both predicted current PTSD symptomatology, and this effect was independent of exposure to trauma during adulthood (Khoury et al, 2010). Comorbid PTSD has also been found to predict poorer outcomes of treatment for substance abuse (Ouimette et al, 1997). The clear implications for clinical practice are that all patients with a substance use disorder should be evaluated for PTSD, and vice versa.…”

Section: Substance Abusementioning

confidence: 99%