Tate Susan R, Norman Sonya B, McQuaid John R, Brown Sandra A
Veterans Affairs San Diego Healthcare System, San Diego, CA, USA.
J Subst Abuse Treat. 2007 Jul;33(1):25-32. doi: 10.1016/j.jsat.2006.11.006. Epub 2007 Jan 16.
Substance use disorders (SUDs) and posttraumatic stress disorder (PTSD) are associated with an increased risk for health problems. We examined whether trauma history and PTSD were related to physical health in patients with an SUD. We compared health stressors, health service utilization, and self-rated health status in three groups of male veterans receiving SUD treatment: (1) no trauma exposure (SUD-only group), n = 55; (2) with PTSD (SUD-PTSD group), n = 32; and (3) trauma exposure without PTSD (SUD-trauma group), n = 34. The veterans were assessed quarterly for 1 year. Groups differed in their likelihood of experiencing chronic health stressors at all time points. The SUD-only group consistently had the lowest rates of chronic health stressors, the SUD-PTSD group had the highest rates, and the SUD-trauma group fell in between. In contrast, groups did not differ in rates of acute health problems. Chronic health stressors appear to be associated with trauma exposure and psychologic response to the trauma. Substance use disorder interventions may benefit from incorporation of primary care services.
物质使用障碍（SUDs）和创伤后应激障碍（PTSD）与健康问题风险增加相关。我们研究了创伤史和PTSD是否与患有SUD的患者的身体健康有关。我们比较了三组接受SUD治疗的男性退伍军人的健康压力源、医疗服务利用情况和自评健康状况：（1）无创伤暴露（仅SUD组），n = 55；（2）患有PTSD（SUD - PTSD组），n = 32；以及（3）有创伤暴露但无PTSD（SUD - 创伤组），n = 34。对退伍军人进行了为期1年的季度评估。在所有时间点，各组经历慢性健康压力源的可能性不同。仅SUD组的慢性健康压力源发生率始终最低，SUD - PTSD组发生率最高，SUD - 创伤组则介于两者之间。相比之下，各组急性健康问题的发生率没有差异。慢性健康压力源似乎与创伤暴露及对创伤的心理反应有关。物质使用障碍干预措施可能会因纳入初级保健服务而受益。
