Posttraumatic Stress Symptoms and their Relationship to Drug and Alcohol use in an International Sample of Latino Immigrants
Posttraumatic Stress Symptoms and their Relationship to Drug and Alcohol use in an International Sample of Latino Immigrants
复制标题
DOI：
10.1007/s10903-016-0426-y
复制
发表时间：
2017-06-01
影响因子：
1.9
通讯作者：
Alegria, Margarita
中科院分区：
文献类型：
--
作者：
Ramos, Zorangeli;Fortuna, Lisa R.;Alegria, Margarita
我们确定了两个国家拉丁裔移民中创伤后应激障碍（PTSD）症状的患病率和相关因素及其与酒精和物质使用障碍（AUD/SUD）的关系。对562名在诊所招募的拉丁裔移民进行了PTSD症状（PCL-C）、酒精使用（AUDIT）、药物滥用（DAST）和心理测量的筛查。我们使用逻辑回归分析来评估PTSD症状与AUD/SUD之间的关系。PTSD症状升高的患病率很高（波士顿53.7%，马德里47.9%，巴塞罗那43.8%）。心理测量筛查阳性与PCL-C筛查阳性显著相关（p < 0.001）。AUD/SUD风险的显著性别差异被PTSD症状所缓和。任何PTSD症状的出现预示着苯二氮卓类药物滥用的问题。鉴于PTSD症状和AUD/SUD的高发病率，我们建议对有创伤史的拉丁裔移民进行双重病理的早期干预。
We identify the prevalence and correlates of posttraumatic stress (PTSD) symptoms and their relationship to alcohol and substance use disorders (AUD/SUD) among Latino immigrants in two countries. A screening battery assessing PTSD symptoms (PCL-C), alcohol use (AUDIT), drug abuse (DAST), and psychological measures was administered to 562 Latino immigrants recruited in clinics. We used logistical regression analyses to evaluate the relationship between PTSD symptoms and AUD/SUD. Prevalence of elevated PTSD symptoms was high (53.7 % in Boston, 47.9 % in Madrid and, 43.8 % in Barcelona). Screening positive for psychological measures was significantly correlated to screening positive on the PCL-C (p < 0.001). Significant gender differences in risk of AUD/SUD were moderated by PTSD symptoms. Presence of any PTSD symptoms predicted problems with benzodiazepine misuse. Given the high rates of co-morbidity between PTSD symptoms and AUD/SUD, we recommend early interventions for dual pathology for Latino immigrants with trauma history.