Anxiety Sensitivity, Emotional Avoidance, and PTSD Symptom Severity Among Crack/Cocaine Dependent Patients in Residential Treatment.
Anxiety Sensitivity, Emotional Avoidance, and PTSD Symptom Severity Among Crack/Cocaine Dependent Patients in Residential Treatment.
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DOI：
10.1007/s10608-010-9337-8
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发表时间：
2012-06-01
影响因子：
2.8
通讯作者：
Gratz KL
中科院分区：
文献类型：
--
作者：
Naifeh JA;Tull MT;Gratz KL
在接受药物使用障碍（SUD）治疗的患者中，发现同时发生创伤后应激障碍（PTSD）的比例很高，有证据表明，这种特殊的同时发生与负面的SUD治疗结果有关。因此，在SUD人群中建立与PTSD相关的心理脆弱性的作用是有用的，目的是最终告知有针对性的干预措施并改善临床结果。焦虑敏感性（AS）和情绪回避（EA）可能是这方面的两个重要因素，因为在其他临床和非临床人群中，两者都被发现与创伤后应激有关。为了扩展这一文献，本研究在住院治疗的创伤性事件暴露的可卡因/可卡因依赖患者样本（n = 62）中检验了AS和EA与创伤后应激障碍症状严重程度之间的关系，以及EA在AS和创伤后应激障碍症状严重程度之间的作用。正如假设的那样，As和EA与PTSD症状严重程度的相关性高于性别和非特异性焦虑症状的影响。然而，EA介导AS与PTSD症状严重程度之间关系的假设仅得到部分支持。这些发现对理解和治疗并发的SUD-PTSD的意义进行了讨论。
High rates of co-occurring posttraumatic stress disorder (PTSD) have been found among patients receiving treatment for substance use disorders (SUD), and there is evidence that this particular co-occurrence is associated with negative SUD treatment outcomes. Thus, there is utility in establishing the role of psychological vulnerabilities related to PTSD within SUD populations, with the goal of ultimately informing targeted interventions and improving clinical outcomes. Anxiety sensitivity (AS) and emotional avoidance (EA) may be two important factors in this regard, as both have been found to demonstrate associations with posttraumatic stress in other clinical and nonclinical populations. To expand upon this literature, the current study examined the associations between AS and EA and PTSD symptom severity in a sample of traumatic event-exposed crack/cocaine dependent patients in residential SUD treatment (n = 62), as well as the extent to which EA mediated the relation between AS and PTSD symptom severity. As hypothesized, AS and EA were associated with PTSD symptom severity above and beyond the effects of gender and non-specific anxiety symptoms. However, the hypothesis that EA would mediate the relation between AS and PTSD symptom severity was only partially supported. Implications of these findings for understanding and treating co-occurring SUD-PTSD are discussed.
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DOI：
10.1023/a:1011095624717
发表时间：
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影响因子：
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