Posttraumatic stress disorder and substance abuse: Use of research in a clinical setting

Bonnie S. Dansky · John C. Roitzsch · Kathleen T. Brady · Michael E. Saladin

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Posttraumatic Stress Disorder Research Child Abuse and Trauma Migration, Health and Trauma

Abstract

The goal of the present investigation was to evaluate whether the process of assessing posttraumatic stress disorder (PTSD) in substance abuse/dependence inpatients (N = 95) as part of a research protocol influenced the diagnostic assessment conducted by clinical staff. The prevalence of current crime-related PTSD (CR-PTSD) observed with a research interview was 40% (n = 38), whereas the rate of current CR-PTSD documented in (the same) patients' discharge summaries was 15% (n = 14). An even lower CR-PTSD prevalence rate of 8% (n = 5) was obtained from a new sample of patient discharge summaries (N = 59) collected after the cessation of the research project. On chart intake reports, clinical staff documented a history of sexual and/or physical assault in approximately one-half of these patients, but PTSD was not evaluated. PTSD appears to be under-diagnosed by clinical staff in patients with substance use disorders.

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References

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2002Victimization and Substance Abuse among Women: Contributing Factors, Interventions, and Implications 2002Early life sexual abuse as a risk factor for crack cocaine use in a sample of community-recruited women at high risk for illicit drug use 2004Exposure Therapy for Substance Abusers with PTSD 2013Substance abuse, memory, and post-traumatic stress disorder

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