Consistency of retrospective reports of DSM-IV criterion A traumatic stressors among substance use disorder patients.

Consistency of retrospective reports of DSM-IV criterion A traumatic stressors among substance use disorder patients.
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DSM-IV 标准 A 物质使用障碍患者创伤性应激源回顾性报告的一致性。

DOI:
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发表时间:
2005
影响因子:
3.3
通讯作者:
P. J. Brown
P. J. Brown
中科院分区:
医学3区
文献类型:
--
作者:
P. Ouimette;J. Read;P. J. Brown

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创伤后应激障碍(PTSD)在物质使用障碍(SUD)患者中很普遍。尽管A标准创伤对创伤后应激障碍诊断的形成至关重要,但很少有研究检验此类应激源和影响这些患者报告的因素的回溯性报告的可靠性。这项研究调查了SUD患者中的这些问题。参与者(N=120)在进入住院SUD治疗后和6个月的随访中通过访谈和问卷调查进行评估。大约40%的参与者符合当前创伤后应激障碍的诊断标准。结果显示,A标准创伤报告的稳定性中等,当A标准要求放松时(即,参与者被要求报告应激源,而不是标准A1和A2),这种稳定性有所改善。侵入性症状与随时间增加的压力源报告有关,而麻木症状和SUD戒断与随时间推移的压力源报告减少相关。分离症状与两个方向的报告变化有关。
Posttraumatic stress disorder (PTSD) is prevalent among substance use disorder (SUD) patients. Although Criterion A trauma is critical to the formulation of a PTSD diagnosis, little research has examined the reliability of retrospective reports of such stressors and factors that affect reporting among these patients. This study examined these issues among SUD patients. Participants (N = 120) were assessed by interviews and questionnaires after entering inpatient SUD treatment and at a 6-month follow-up. About 40% of participants met criteria for a current PTSD diagnosis. Results revealed moderate stability of Criterion A trauma reports, which improved when Criterion A requirements were relaxed (i.e., participants were required to report the stressor but not the Criteria A1 and A2). Intrusive symptoms were associated with increased stressor reporting over time, whereas numbing symptoms and SUD abstinence were associated with decreased stressor reporting over time. Dissociative symptoms were associated with changes in reporting in either direction.
优化酒精治疗的成本效益:扩大病例监测的理由。
DOI: 10.1016/s0306-4603(98)00029-x
发表时间: 1999
影响因子: 4.4
作者:
Stout,RL;Rubin,A;Zwick,W;Zywiak,W;Bellino,L
通讯作者: Bellino,L
国家药物滥用研究所合作可卡因治疗研究中受试者的可卡因依赖(伴或不伴 PTSD)。
DOI: 10.1176/ajp.155.2.214
发表时间: 1998
期刊: The American journal of psychiatry
影响因子: --
作者:
Najavits,LM;Gastfriend,DR;Barber,JP;Reif,S;Muenz,LR;Blaine,J;Frank,A;Crits-Christoph,P;Thase,M;Weiss,RD
通讯作者: Weiss,RD