Comparative Profiles Of Women With Ptsd And Comorbid Cocaine Or Alcohol Dependence

Sudie E. Back · Susan C. Sonne · Therese K. Killeen · Bonnie S. Dansky · Kathleen T. Brady

71 citations0/0 files storedThe American Journal of Drug and Alcohol Abuse

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Posttraumatic Stress Disorder Research Substance Abuse Treatment and Outcomes Child Abuse and Trauma

Abstract

This study examined differences in substance abuse severity, trauma history, posttraumatic stress disorder (PTSD) symptomatology and psychiatric comorbidity among treatment-seeking women (N= 74) with PTSD and either comorbid cocaine or alcohol dependence. Women in the cocaine/PTSD group, compared with the alcohol/PTSD group, demonstrated greater occupational impairment (e.g., greater severity on the employment subscale of the Addiction Severity Index, less monthly income, fewer days worked in past month), more legal problems (e.g., greater number of months incarcerated and arrests for prostitution), and greater social impairment (e.g., fewer number of close friends, less likely to be married). Women in the alcohol/PTSD group evidenced higher rates of exposure to serious accidents, other situations involving serious injury, and other extraordinarily stressful life events. Rates of major depression and social phobia were higher among the alcohol/PTSD group than the cocaine/PTSD group. Women in the alcohol/PTSD group scored higher on the CAPS avoidance, hyperarousal, and total subscale scores. The current findings enhance our understanding of the substance-specific profiles of women with PTSD and comorbid substance use disorders and may have important implications for the design of dual-diagnosis interventions.

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References

1995Posttraumatic Stress Disorder in the National Comorbidity Survey 1979Impact of Event Scale: A Measure of Subjective Stress 1995The development of a Clinician-Administered PTSD Scale 1997Structured Clinical Interview for DSM-IV Axis I Disorders 1993Prevalence of civilian trauma and posttraumatic stress disorder in a representative national sample of women.1988Mississippi Scale for Combat-Related Posttraumatic Stress Disorder: Three studies in reliability and validity.1990A clinician rating scale for assessing current and lifetime PTSD. The CAPS-1 1998Comparative efficacy of treatments for post-traumatic stress disorder: a meta-analysis

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2016Network approach to the symptom-level association between alcohol use disorder and posttraumatic stress disorder 2011Posttraumatic Stress and Alcohol Use Motives 2008Complex posttraumatic stress disorder in trauma-exposed adults receiving public sector outpatient substance abuse disorder treatment 2010The role of alcohol misuse in PTSD outcomes for women in community treatment: A secondary analysis of NIDA's Women and Trauma Study

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