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Substance use disorders and psychological trauma

  • Shaheen Shora (a1), Elizabeth Stone (a2) and Keron Fletcher (a3)
Abstract
Aims and Method

The Impact of Events Scale was administered to 104 in-patients detoxing from alcohol or opiates to determine the prevalence of psychological trauma, the severity of its symptoms and the types of trauma responsible for symptoms.

Results

Out of the 104 in-patients undergoing detoxification, 75 had symptoms of psychological trauma; in 60 patients the symptoms were in the treatable range. Patients with alcohol-dependence were more severely affected. ‘Life events’ traumatised a higher proportion of individuals than ‘traumatic events’.

Clinical Implications

Psychological trauma requiring treatment is commonly found in substance misusers. This is rarely addressed despite the cormorbid disorder running a complicated clinical course. There are conflicting opinions about best practice, but consideration should be given to providing patients with accessible treatments for psychological trauma.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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1 Cottler, LB, Compton, WM III, Mager, D, Spitznagel, EL, Janca, A. Posttraumatic stress disorder among substance users from the general population. Am J Psychiatry 1992; 149: 664–70.
2 Dansky, BS, Saladin, ME, Brady, KT, Kilpatrick, DG, Resnick, HS. Prevalence of victimization and posttraumatic stress disorder among women with substance use disorders: comparison of telephone and in-person assessment samples. Int J Addict 1995; 30: 1079–99.
3 Thompson, MP, Kingree, JB. The frequency and impact of violent trauma among pregnant substance abusers. Addict Behav 1998; 23: 257–62.
4 Reynolds, M, Mezey, G, Chapman, M, Wheeler, M, Drummond, C, Baldacchino, A. Co-morbid post-traumatic stress disorder in a substance misusing clinical population. Drug Alcohol Depend 2005; 77: 251–8.
5 Deykin, EY, Buka, SL. Prevalence and risk factors for posttraumatic stress disorder among chemically dependent adolescents. Am J Psychiatry 1997; 154: 752–7.
6 Kessler, RC, Sonnega, A, Bromet, E, Hughes, M, Nelson, CB. Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry 1995; 52: 1048–60.
7 Breslau, N, Davis, GC, Andreski, P, Peterson, E. Traumatic events and posttraumatic stress disorder in an urban population of young adults. Arch Gen Psychiatry 1991; 48: 216–22.
8 Breslau, N, Davis, GC, Peterson, EL, Schultz, L. Psychiatric sequelae of posttraumatic stress disorder in women. Arch Gen Psychiatry 1997; 54: 81–7.
9 Kulka, RA, Schlenger, WE, Fairbank, JA, Hough, RL, Jordan, BK, Marmar, CR, et al. Trauma and the Vietnam War Generation: Report of Findings from the National Vietnam Veterans Readjustment Study. Brunner/ Mazel, 1990.
10 Fletcher, KD. Combat stress (the Ex-Servicemen's Mental Welfare Society) and war veterans. In War and Health: Lessons from the Gulf War: 89112. Wiley, 2007.
11 Najavits, LM, Gastfriend, DR, Barber, JP, Reif, S, Muenz, LR, Blaine, J, et al. Cocaine dependence with and without PTSD among subjects in the National Institute on Drug Abuse Collaborative Cocaine Treatment Study. Am J Psychiatry 1998; 155: 214–9.
12 Kelly, L, Regan, L, Burton, S. An Exploratory Study of the Prevalence of Sexual Abuse in a Sample of 16–21 Year Olds. University of North London, 1991.
13 López, F, Carpintero, E, Hernàndez, A, Martín, MJ, Fuertes, A. Prevalence and sequelae of childhood sexual abuse in Spain. Child Abuse Negl 1995; 19: 1039–50.
14 Windle, M, Windle, R, Scheidt, DM, Miller, GB. Physical and sexual abuse and associated mental disorders among alcoholic in-patients. Am J Psychiatry 1995; 152: 1322–8.
15 Moncrieff, J, Drummond, DC, Candy, B, Checinski, K, Farmer, R. Sexual abuse in people with alcohol problems. A study of the prevalence of sexual abuse and its relationship to drinking behaviour. Br J Psychiatry 1996; 169: 355–60.
16 Stone, EA. Childhood Sexual Abuse and Substance Misuse (MSc dissertation). Imperial College London, 2005.
17 Horowitz, M, Wilner, N, Alvarez, W. Impact of Events Scale. Psychosom Med 1979; 41: 209–18.
18 Sundin, EC, Horowitz, ML. Horowitz's Impact of Event Scale evaluation of 20 years of use. Psychosom Med 2003; 65: 870–6.
19 National Institute for Health and Clinical Excellence. Management of Post-Traumatic Stress Disorder in Adults in Primary, Secondary and Community Care. Clinical guideline 26. NICE, 2005.
20 Corniel, W, Beaton, R, Murphy, S, Johnson, C, Pike, K. Exposure to traumatic incidents and prevalence of post-traumatic stress symptomatology in urban firefighters in two countries. J Occup Health Psychol 1999; 4, 131–41.
21 Mol, SSL, Arntz, A, Metsemakers, JFM, Dinant, G-J, Vilters-van Montfort, PAP, Knottnerus, JA. Symptoms of post-traumatic stress disorder after non-traumatic events: evidence from an open population study. Br J Psychiatry 2005; 186: 494–9.
22 Rosen, GM, Spitzer, RL, McHugh, PR. Problems with the post-traumatic stress disorder diagnosis and its future in DSM–V. Br J Psychiatry 2008; 192: 34.
23 Triffleman, EG, Marmar, CR, Delucchi, KL, Ronfeldt, H. Childhood trauma and PTSD in substance abuse in-patients. J Nerv Ment Dis 1995; 183: 172–6.
24 Ouimette, PC, Brown, KT, Najavits, LM. Course and treatment of patients with both substance use and posttraumatic stress disorders. Addict Behav 1998; 23: 785–95.
25 Alcohol Concern. Mental Health and Alcohol Misuse Project, Factsheet 6: Post-Traumatic Stress Disorder and Alcohol. Alcohol Concern, 2004 (http://www.alcoholconcern.org.uk/files/20040709_145809_ptsd%20factsheet.pdf).
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Substance use disorders and psychological trauma

  • Shaheen Shora (a1), Elizabeth Stone (a2) and Keron Fletcher (a3)
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