From the Department of Psychiatry (K.T.B., S.E.B., M.E.S.), and Mental Health Service Line (K.T.B., P.T., H.M.), Ralph H. Johnson VA Medical Center, Medical University of South Carolina, Charleston, SC; and PTSD Clinical Team (A.E.W.), San Francisco VAMC, University of California, San Francisco, CA.
J Addict Med. 2009 Dec;3(4):179-88. doi: 10.1097/ADM.0b013e3181aa244f.
Among both civilian and veteran populations, substance use disorders (SUDs) and anxiety disorders frequently co-occur. One of the most common comorbid anxiety disorder is posttraumatic stress disorder (PTSD), a condition which may develop after exposure to traumatic events, such as military combat. In comparison with the general population, rates of both SUDs and PTSD are elevated among veterans. Recent data show that soldiers returning from Iraq and Afghanistan demonstrate high rates of co-occurring SUDs, PTSD, and traumatic brain injury. Careful assessment of these conditions is critical and may be complicated by symptom overlap. More research targeting integrated interventions for these conditions is needed to establish optimal treatments.
在平民和退伍军人群体中，物质使用障碍（SUDs）和焦虑障碍经常同时发生。最常见的共病焦虑障碍之一是创伤后应激障碍（PTSD），这种疾病可能是在经历创伤事件后发展而来的，例如军事战斗。与普通人群相比，退伍军人中 SUDs 和 PTSD 的发病率都较高。最近的数据显示，从伊拉克和阿富汗返回的士兵表现出 SUDs、PTSD 和创伤性脑损伤共病的高发病率。对这些病症进行仔细评估至关重要，但可能会因症状重叠而变得复杂。需要更多针对这些病症的综合干预措施的研究，以确定最佳治疗方法。
