Sullivan Tami P, Weiss Nicole H, Flanagan Julianne C, Willie Tiara C, Armeli Stephen, Tennen Howard
a Department of Psychiatry , Yale University School of Medicine , New Haven , Connecticut , USA.
b Department of Psychiatry and Behavioral Sciences , Medical University of South Carolina , Charleston , South Carolina , USA.
J Dual Diagn. 2016;12(1):36-42. doi: 10.1080/15504263.2016.1146516.
People with posttraumatic stress disorder (PTSD) are at high risk for substance use, and PTSD is common among women experiencing intimate partner violence. Considering the effects of both PTSD and substance use, such as poorer treatment outcomes and greater health/behavior problems, women experiencing intimate partner violence are a high-risk, under-researched group.
We utilized a micro-longitudinal study design to assess daily drug and alcohol use over 21 days among 41 women experiencing intimate partner violence recruited from the community.
Participants were about 45 years old (M = 45.1, SD = 8.5) and mostly African American (n = 32, 78%). Co-occurrence of drug and alcohol use was reported on 19.0% of days, while drug use alone occurred on 13.4% of days and alcohol use on 12.1%. Fifteen percent of participants met current PTSD criteria, with a mean symptom severity rating of 15.90 (SD = 10.94, range 0 to 47). Women with PTSD, compared to those without, were nearly 15 times more likely to have days of co-occurrence of drug and alcohol use (p = .037) and nearly 7 times more likely to have days of drug use alone (p = .044).
These findings indicate that the combination of intimate partner violence and PTSD may make women especially prone to daily co-occurring drug and alcohol use or drug use alone. Further research is needed to explore this association and examine the need for integrated programs to support victims' health, prevent the development of substance use problems, and facilitate recovery from PTSD and substance use.
创伤后应激障碍（PTSD）患者存在物质使用的高风险，且PTSD在遭受亲密伴侣暴力的女性中很常见。考虑到PTSD和物质使用的影响，如较差的治疗结果和更多的健康/行为问题，遭受亲密伴侣暴力的女性是一个高风险且研究不足的群体。
我们采用微观纵向研究设计，对从社区招募的41名遭受亲密伴侣暴力的女性在21天内的每日药物和酒精使用情况进行评估。
参与者年龄约为45岁（M = 45.1，SD = 8.5），大多为非裔美国人（n = 32，78%）。19.0%的日子报告有药物和酒精同时使用的情况，单独使用药物的情况出现在13.4%的日子，单独使用酒精的情况出现在12.1%的日子。15%的参与者符合当前PTSD标准，平均症状严重程度评分为15.90（SD = 10.94，范围0至47）。与没有PTSD的女性相比，患有PTSD的女性药物和酒精同时使用的天数几乎多15倍（p = 0.037），单独使用药物的天数几乎多7倍（p = 0.044）。
这些发现表明，亲密伴侣暴力和PTSD的结合可能使女性特别容易出现每日药物和酒精同时使用或单独使用药物的情况。需要进一步研究来探索这种关联，并研究是否需要综合项目来支持受害者的健康、预防物质使用问题的发展以及促进从PTSD和物质使用中恢复。
