Kaysen Debra, Simpson Tracy, Dillworth Tiara, Larimer Mary E, Gutner Cassidy, Resick Patricia A
University of Washington, Department of Psychiatry and Behavior Sciences, Seattle, WA 98195-6560, USA.
J Trauma Stress. 2006 Jun;19(3):399-403. doi: 10.1002/jts.20122.
Comorbidity between alcohol use and posttraumatic stress disorder (PTSD) has been well documented. However, there are few longitudinal studies with acute trauma samples. The present study examined symptoms of alcohol use disorders (AUDs) and PTSD longitudinally after assault. Female sexual (n = 69) and physical assault victims (n = 39) were assessed 2 to 4 weeks and 3 months post trauma. Women who had lifetime AUD had higher intrusive and avoidance symptoms than those who did not have AUD. Women who had any alcohol problems had higher PTSD symptoms. Participants who had alcohol problems had the same pattern of symptom recovery as those who did not have alcohol problems but remained more symptomatic over the 3 months. These findings suggest that early intervention strategies for women who have previous histories of alcohol problems and seek medical attention early post trauma may be indicated.
酒精使用与创伤后应激障碍（PTSD）之间的共病现象已有充分记录。然而，针对急性创伤样本的纵向研究却很少。本研究纵向考察了攻击事件后酒精使用障碍（AUDs）和PTSD的症状。对69名女性性侵犯受害者和39名身体攻击受害者在创伤后2至4周以及3个月时进行了评估。有终生酒精使用障碍的女性比没有酒精使用障碍的女性有更高的侵入性和回避症状。有任何酒精问题的女性有更高的PTSD症状。有酒精问题的参与者与没有酒精问题的参与者症状恢复模式相同，但在3个月内症状更明显。这些发现表明，对于有酒精问题病史且在创伤后早期寻求医疗帮助的女性，可能需要采取早期干预策略。
