Mondriaan, MAIAR, Heerlen, The Netherlands ; Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands.
Department of Health, Ethics & Society, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Eur J Psychotraumatol. 2014 Feb 5;5. doi: 10.3402/ejpt.v5.22821. eCollection 2014.
Healthcare providers working in addiction facilities do not often implement integrated treatment of comorbid substance use disorder (SUD) and posttraumatic stress disorder (PTSD) while there is empirical evidence to do so.
This study aims to get insight into the views of clinicians with regard to the diagnosis and treatment of PTSD in SUD patients.
A qualitative research method was chosen. Fourteen treatment staff members of different wards of an addiction care facility were interviewed by an independent interviewer.
Despite acknowledging adverse consequences of trauma exposure on SUD, severe underdiagnosis of PTSD was mentioned and treatment of PTSD during SUD treatment was not supported. Obstacles related to the underestimation of PTSD among SUD patients and to the perceptions of SUD clinicians concerning the treatment of comorbid SUD/PTSD were reported.
It is concluded that SUD facilities should train their clinicians to enable them to provide for integrated treatment of SUD/PTSD.
尽管有实证证据表明，在成瘾治疗机构工作的医疗保健提供者通常不会同时实施共病物质使用障碍（SUD）和创伤后应激障碍（PTSD）的综合治疗，但他们确实这样做了。
本研究旨在深入了解临床医生对 SUD 患者 PTSD 的诊断和治疗的看法。
选择了定性研究方法。对成瘾治疗机构不同病房的 14 名治疗人员进行了独立访谈。
尽管承认创伤暴露对 SUD 的不良后果，但提到了 PTSD 的严重漏诊，并且不支持在 SUD 治疗期间治疗 PTSD。报告了与 SUD 患者中 PTSD 被低估以及 SUD 临床医生对共病 SUD/PTSD 治疗的看法相关的障碍。
结论是，SUD 设施应培训其临床医生，使他们能够提供 SUD/PTSD 的综合治疗。
