Prevalence of post-traumatic stress disorder among patients with substance use disorder: it is higher than clinicians think it is

Gielen, Nele; Havermans, RemcoC.; Tekelenburg, Mignon; Jansen, Anita
January 2012
European Journal of Psychotraumatology;2012, Vol. 3, Special section p1
Academic Journal
Objectives: This study had three objectives. Firstly, the prevalence of post-traumatic stress disorder (PTSD) and trauma exposure was compared between individuals with and without substance use disorder (SUD). Secondly, we compared self-rating of PTSD and clinical judgement. Thirdly, an analysis of the characteristics of SUD/PTSD patients was performed. Methods: The sample consisted of 423 patients with SUD and 206 healthy controls. All individuals were screened on PTSD using the self-rating inventory for PTSD. Results: Significantly higher numbers of PTSD and trauma exposure were found in the SUD group (resp. 36.6 and 97.4%). PTSD went frequently unnoticed when relying on clinical judgement alone. Patients with SUD/PTSD were significantly more often unemployed and had a lower educational level. Axis I comorbidity and especially depressive disorders were more common in the SUD/PTSD group. Conclusion: It is concluded that patients with SUD/PTSD are a substantial and vulnerable subgroup in addiction treatment facilities and that a systematic screening for PTSD is required.


Related Articles

  • Creating trauma-informed correctional care: a balance of goals and environment. Miller, Niki A.; Najavits, Lisa M. // European Journal of Psychotraumatology;2012, Vol. 3, Special section p1 

    Background: Rates of posttraumatic stress disorder and exposure to violence among incarcerated males and females in the US are exponentially higher than rates among the general population; yet, abrupt detoxification from substances, the pervasive authoritative presence and sensory and...

  • Trauma and memory. Bisson, Jonathan I. // British Journal of Psychiatry;Jun2014, Vol. 204 Issue 6, p494 

    The author shares his views about experiencing trauma and mentions topics including the processing of most traumatic experiences through a normal response, post-traumatic stress disorder and trauma-focused psychological treatment.

  • Trauma, post-traumatic stress disorder and psychiatric disorders in a middle-income setting: prevalence and comorbidity. Dorrington, Sarah; Zavos, Helena; Ball, Harriet; McGuffin, Peter; Rijsdijk, Fruhling; Siribaddana, Sisira; Sumathipala, Athula; Hotopf, Matthew // British Journal of Psychiatry;Nov2014, Vol. 205 Issue 5, p383 

    Background Most studies of post-traumatic stress disorder (PTSD) in low- and middle-income countries (LMICs) have focused on 'high-risk' populations defined by exposure to trauma. Aims To estimate the prevalence of post-traumatic stress disorder (PTSD) in a LMIC, the conditional probability of...

  • Compulsive sexual behavior among male military veterans: Prevalence and associated clinical factors. SMITH, PHILIP H.; POTENZA, MARC N.; MAZURE, CAROLYN M.; MCKEE, SHERRY A.; PARK, CRYSTAL L.; HOFF, RANI A. // Journal of Behavioral Addictions;2014, Vol. 3 Issue 4, p214 

    Background and aims: Compulsive sexual behavior (CSB) is highly prevalent among men, often co-occurring with psychiatric disorders and traumatic experiences. Psychiatric disorders and trauma are highly prevalent among military veterans, yet there is a paucity of research on CSB among military...

  • PTSD in urban primary care: high prevalence and low physician recognition. Liebschutz, Jane; Saitz, Richard; Brower, Victoria; Keane, Terence M.; Lloyd-Travaglini, Christine; Averbuch, Tali; Samet, Jeffrey H. // JGIM: Journal of General Internal Medicine;Jun2007, Vol. 22 Issue 6, p719 

    Background: Posttraumatic stress disorder (PTSD) is associated with medical and psychological morbidity. The prevalence of PTSD in urban primary care has not been well described.Objective: To measure the prevalence of PTSD in primary care patients overall and among...

  • Weschler Adult Intelligence Scale i Posttraumatski stresni poremećaj. Sarač -- Hadžihalilović, Aida; Dilberović, Faruk; Kučukalić, Abdulah // HealthMed;Sep2007, Vol. 1 Issue 3, p82 

    Aim of our research is to exam cognitive functions persons with PTSD diagnosis. Results of last researches and theoretical definitions clearly shows that deficit exist on cognitive functions as memory, attention, initiation and inhibition. As a material for construction of this stady we tested...

  • Lifetime exposure to traumatic events among a sample of city bus drivers. Brunet, Alain; Boyer, Richard // Psychological Reports;Dec98 Part 2, Vol. 83 Issue 3, p1155 

    Presents data of lifetime exposure to traumatic events among a representative sample of city bus drivers from Montreal, Canada. Need for epidemiological research to devote more effort to assess fully the lifetime prevalence of traumatic events and not only cases of posttraumatic stress...

  • Initial evaluation of the secondary trauma questionnaire. Motta, Robert W.; Kefer, Joshua M. // Psychological Reports;Dec99 Part 1, Vol. 85 Issue 3, p997 

    Evaluates the reliability and validity of the Secondary Trauma Questionnaire, a method for assessing secondary traumatic stress disorder. Internal consistency of the questionnaire and significant correlation with known measures of trauma; Example of the Secondary Trauma Questionnaire.

  • After shock. Whigham-Déesir, Marjorie // Heart & Soul;Dec2001/Jan2002, Vol. 8 Issue 10, p47 

    Focuses on the advice given by experts regarding techniques to identify symptoms of the post-traumatic stress disorder and overcome the trauma. Description of the disorder; Identification of symptoms of the disorder; Higher susceptibility of women and the Afro-American community to the disease;...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics