Article2000

Cocaine Dependence with and without Posttraumatic Stress Disorder: A Comparison of Substance Use, Trauma History and Psychiatric Comorbidity

Sudie E. Back · Bonnie S. Dansky · Scott F. Coffey · Michael E. Saladin · Susan C. Sonne · Kathleen T. Brady

180 citations0/0 files storedAmerican Journal on Addictions

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Posttraumatic Stress Disorder Research Substance Abuse Treatment and Outcomes Migration, Health and Trauma

Abstract

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.

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References

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Cited by

2011Integrated treatment programs for individuals with concurrent substance use disorders and trauma experiences: A systematic review and meta-analysis 2012Psychological treatments for concurrent posttraumatic stress disorder and substance use disorder: A systematic review 2005THE IMPACT OF EARLY LIFE STRESS ON PSYCHOPHYSIOLOGICAL, PERSONALITY AND BEHAVIORAL MEASURES IN 740 NON-CLINICAL SUBJECTS 2003Traumatic Life Events and PTSD Among Women With Substance Use Disorders and Schizophrenia 2009A cognitive behavioral therapy for co-occurring substance use and posttraumatic stress disorders

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