Co-occurring Posttraumatic Stress Disorder and Alcohol Use Disorders in Veteran Populations.
Co-occurring Posttraumatic Stress Disorder and Alcohol Use Disorders in Veteran Populations.
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DOI：
10.1080/15504263.2011.620453
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发表时间：
2011-10
影响因子：
2.2
通讯作者：
Short EE
中科院分区：
文献类型：
--
作者：
Carter AC;Capone C;Short EE
同时发生的创伤后应激障碍（PTSD）和酒精使用障碍在军人中变得越来越普遍。在过去的十年中，创伤后应激障碍已经成为在持久自由行动（OEF），伊拉克自由行动（OIF）和新黎明行动（OND）中部署到伊拉克和阿富汗的170万美国军事人员中最常见的精神病理学形式之一。在各个时代的退伍军人中，创伤后应激障碍的症状与危险饮酒高度相关，导致整体健康状况更差，更难适应平民生活。事实上，PTSD和酒精使用障碍并存的诊断已被证明比单独诊断PTSD或酒精使用障碍更有害。为了有效地解决共同发生的创伤后应激障碍和酒精使用障碍，临床和研究界都专注于更好地了解这种并发症，以及增加退伍军人群体的治疗效果。本文的目的有三个：（1）提出一个案例研究，强调创伤后应激障碍和酒精使用障碍共同发展的创伤暴露后的方式;（2）提出关于创伤后应激障碍和酒精使用障碍共同发生的科学理论;（3）目前的治疗方案，以解决这种常见的合并症。
Co-occurring posttraumatic stress disorder (PTSD) and alcohol use disorders have become increasingly prevalent in military populations. Over the past decade, PTSD has emerged as one of the most common forms of psychopathology among the 1.7 million American military personnel deployed to Iraq and Afghanistan in Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND). Among veterans from all eras, symptoms of PTSD have been highly correlated with hazardous drinking, leading to greater decreases in overall health and greater difficulties readjusting to civilian life. In fact, a diagnosis of co-occurring PTSD and alcohol use disorder has proven more detrimental than a diagnosis of PTSD or alcohol use disorder alone. In order to effectively address co-occurring PTSD and alcohol use disorder, both the clinical and research communities have focused on better understanding this comorbidity, as well as increasing treatment outcomes among the veteran population. The purpose of the present article is threefold: (1) present a case study that highlights the manner in which PTSD and alcohol use disorder co-develop after trauma exposure; (2) present scientific theories on co - occurrence of PTSD and alcohol use disorder; and (3) present current treatment options for addressing this common comorbidity.
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