Cocaine dependence with and without post-traumatic stress disorder: a comparison of substance use, trauma history and psychiatric comorbidity.
Cocaine dependence with and without post-traumatic stress disorder: a comparison of substance use, trauma history and psychiatric comorbidity.
复制标题
患有和不患有创伤后应激障碍的可卡因依赖：物质使用、创伤史和精神共病的比较。
DOI：
10.1080/10550490050172227
复制
发表时间：
2000
期刊：
影响因子：
--
通讯作者：
Brady,KT
中科院分区：
文献类型：
--
作者：
Back,S;Dansky,BS;Coffey,SF;Saladin,ME;Sonne,S;Brady,KT
这项研究调查了在寻求治疗的可卡因依赖者样本(N=91)中，物质使用、创伤病史、创伤后应激障碍(PTSD)和精神共病之间的关系。结构化临床访谈显示，42.9%的样本符合终生创伤后应激障碍的DSM-III-R标准。对患有终生创伤后应激障碍和没有终生创伤后应激障碍的个体进行比较发现，患有创伤后应激障碍的个体暴露于创伤性事件的比率明显更高，首次发作的年龄更早，症状更严重，Axis I和Axis II的诊断率更高。结果表明，在可卡因依赖者中，创伤后应激障碍的发生率很高。对创伤病史和创伤后应激障碍的常规评估可能有助于确定需要特别预防和治疗的可卡因吸毒者亚群。
This study examined the relationship between substance use, trauma history, post-traumatic stress disorder (PTSD), and psychiatric comorbidity in a treatment seeking sample of cocaine dependent individuals (N = 91). Structured clinical interviews revealed that 42.9% of the sample met DSM-III-R criteria for lifetime PTSD. Comparisons between individuals with and without lifetime PTSD revealed that individuals with PTSD had significantly higher rates of exposure to traumatic events, earlier age of first assault, more severe symptomatology, and higher rates of Axis I and Axis II diagnoses. The results illustrate a high incidence of PTSD among cocaine dependent individuals. Routine assessment of trauma history and PTSD may assist in the identification of a subgroup of cocaine users in need of special prevention and treatment efforts.