دورية أكاديمية

Early Screening for Posttraumatic Stress Disorder in Inpatient Detoxification and Motivation Treatment: Results and Consequences.

التفاصيل البيبلوغرافية
العنوان: Early Screening for Posttraumatic Stress Disorder in Inpatient Detoxification and Motivation Treatment: Results and Consequences.
المؤلفون: Proescholdt MG; University of Basel, Psychiatric Hospital, Basel, Switzerland., Müller SE; University of Basel, Psychiatric Hospital, Basel, Switzerland., Vogel M; University of Basel, Psychiatric Hospital, Basel, Switzerland., Lang U; University of Basel, Psychiatric Hospital, Basel, Switzerland., Wiesbeck GA; University of Basel, Psychiatric Hospital, Basel, Switzerland., Breit W; Psychiatric Services Aargau, Brugg, Switzerland., Linde A; Psychiatric Services Aargau, Brugg, Switzerland., Walter M; University of Basel, Psychiatric Hospital, Basel, Switzerland., Odenwald M; Department of Psychology, University of Konstanz, Konstanz, Germany.; Vivo International e.V., Konstanz, Germany.
المصدر: European addiction research [Eur Addict Res] 2018; Vol. 24 (3), pp. 128-136. Date of Electronic Publication: 2018 Jul 03.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Karger Country of Publication: Switzerland NLM ID: 9502920 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1421-9891 (Electronic) Linking ISSN: 10226877 NLM ISO Abbreviation: Eur Addict Res Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Basel ; New York : Karger, c1995-
مواضيع طبية MeSH: Early Diagnosis* , Motivation*, Inpatients/*psychology , Stress Disorders, Post-Traumatic/*diagnosis , Stress Disorders, Post-Traumatic/*epidemiology , Substance-Related Disorders/*epidemiology, Adult ; Comorbidity ; Cross-Sectional Studies ; Female ; Humans ; Male ; Prodromal Symptoms ; Risk Factors ; Switzerland/epidemiology ; Young Adult
مستخلص: Aims: Posttraumatic stress disorder (PTSD) is a significant comorbidity in substance use disorders (SUDs). While most studies have addressed trauma/PTSD in abstinent patients, little is known about trauma/PTSD in early detoxification treatment. The current study therefore addresses the systematic evaluation of trauma/PTSD in early inpatient detoxification.
Methods: A cross-sectional survey was accomplished in three German-speaking clinics (n = 134) specialized in inpatient detoxification and motivation treatment. All measures are based on self-report using trauma-specific questionnaires and measures for general psychopathological burden.
Results: Participation rate was 60.1% and patients did not show clinically obvious psychological distress during or after assessment. DSM-IV traumatic events were reported by 66.4%. Of the total sample, 38.1% screened positive for PTSD, and 14.9% screened positive for subsyndromal PTSD. PTSD patients reported significantly more childhood adversities and significantly higher scores in depression and -general psychopathology compared to subsyndromal PTSD and SUD-only patients.
Conclusions: Early and systematic evaluation of PTSD in SUD inpatient detoxification treatment is largely safe and yields important information for individual treatment. The high PTSD-rate and the high symptom load in SUD patients during inpatient detoxification treatment highlight the need for a more stringent address of trauma/PTSD in early SUD treatment.
(© 2018 S. Karger AG, Basel.)
فهرسة مساهمة: Keywords: Inpatient detoxification treatment; PTDS; Substance use disorders; Subsyndromal PTSD; Trauma
تواريخ الأحداث: Date Created: 20180704 Date Completed: 20181022 Latest Revision: 20181022
رمز التحديث: 20221213
DOI: 10.1159/000490382
PMID: 29969761
قاعدة البيانات: MEDLINE
الوصف
تدمد:1421-9891
DOI:10.1159/000490382