Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany.
Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany.
J Anxiety Disord. 2015 Jan;29:93-100. doi: 10.1016/j.janxdis.2014.11.009. Epub 2014 Dec 5.
This paper aimed to extend the existing knowledge on the association between PTSD symptoms, alcohol use disorders (AUD) and nicotine dependence (ND) by distinguishing between anxious and dysphoric arousal PTSD symptoms and by considering the putative contribution of additional comorbidity. Data stem from a cross-sectional study in a stratified, representative sample of 1483 recently deployed soldiers using standardized diagnostic interviews. All lifetime PTSD symptom clusters (occurrence of any symptom and number of symptoms) were associated with current AUD and ND in crude models except that anxious arousal was not related to AUD. Associations were reduced in magnitude when controlling for comorbidity. Current ND was related to the occurrence of any emotional numbing and to the number of re-experiencing symptoms above the contribution of other symptom clusters and comorbidity. In conclusion, associations between PTSD symptoms, AUD and ND may be partially attributable to additional comorbidity. Findings also yield further evidence for a role of emotional numbing and re-experiencing symptoms in the comorbidity between PTSD and ND and for a distinction between dysphoric and anxious arousal PTSD symptoms.
本文旨在通过区分焦虑性和抑郁性唤起的创伤后应激障碍症状，并考虑到其他合并症的潜在贡献，扩展关于创伤后应激障碍症状、酒精使用障碍 (AUD) 和尼古丁依赖 (ND) 之间关联的现有知识。数据来自一项横断面研究，该研究在分层、有代表性的 1483 名最近部署的士兵中使用标准化诊断访谈进行。在粗模型中，所有的创伤后应激障碍症状集群（任何症状的发生和症状的数量）都与当前的 AUD 和 ND 相关，除了焦虑性唤起与 AUD 无关。当控制共病时，关联的程度降低。当前的 ND 与任何情绪麻木的发生以及与其他症状集群和共病相关的再体验症状数量有关。总之，创伤后应激障碍症状、AUD 和 ND 之间的关联可能部分归因于其他合并症。研究结果还进一步证明了情绪麻木和再体验症状在创伤后应激障碍和 ND 之间的共病中的作用，以及区分抑郁性和焦虑性唤起的创伤后应激障碍症状的作用。
