Grundmann Johanna, Lincoln Tania M, Lüdecke Daniel, Bong Sönke, Schulte Bernd, Verthein Uwe, Schäfer Ingo
a Centre for Interdisciplinary Addiction Research of Hamburg University, Department of Psychiatry and Psychotherapy , University Medical Center Hamburg-Eppendorf , Hamburg , Germany.
b Department of Clinical Psychology and Psychotherapy , Institute of Psychology, Universität Hamburg , Hamburg , Germany.
Subst Use Misuse. 2018 Mar 21;53(4):677-685. doi: 10.1080/10826084.2017.1361997. Epub 2017 Sep 27.
Traumatic experiences and posttraumatic stress disorder (PTSD) are prevalent in patients with alcohol use disorders (AUDs) and affect its course and outcome. Prior prevalence reports are limited by the inclusion of individuals with additional substance use disorders (SUDs), a focus on childhood events only and the use of self-ratings only.
To examine the prevalence of traumatic experiences, revictimization and PTSD in inpatients treated for alcohol dependence without other SUD, emphasizing interpersonal violence across the whole lifespan.
For this cross-sectional study alcohol-dependent patients without additional SUD (N = 230, 73% male, mean age 43 years) were recruited in an inpatient detoxification unit and were administered the Structured Trauma Interview, the Posttraumatic Diagnostic Scale, and the Structured Clinical Interview for DSM-IV. Data analysis comprised descriptive statistics and appropriate significance tests.
36.2% reported severe childhood physical or sexual abuse and 45.6% reported at least one of these types of abuse in adulthood. The lifetime rate of interpersonal violence was 61.1%. The prevalence of current PTSD was 13.2%. Women with a history of childhood abuse were about seven times as likely to be victimized in adulthood as women without these experiences, while in men revictimization was not significant.
Even in patients with alcohol dependence without additional SUD experiences of interpersonal violence and PTSD are frequent. In order to adequately respond to the needs of this population, trauma and PTSD should routinely be assessed in alcohol-dependence treatment and considered in treatment planning if necessary.
创伤经历和创伤后应激障碍（PTSD）在酒精使用障碍（AUDs）患者中普遍存在，并影响其病程和预后。先前的患病率报告受到以下因素的限制：纳入了患有其他物质使用障碍（SUDs）的个体、仅关注童年事件以及仅使用自我评定。
研究在没有其他SUD的酒精依赖住院患者中创伤经历、再次受害和PTSD的患病率，强调整个生命周期中的人际暴力。
在这项横断面研究中，在住院戒毒病房招募了没有其他SUD的酒精依赖患者（N = 230，73%为男性，平均年龄43岁），并对他们进行了结构化创伤访谈、创伤后诊断量表和DSM-IV结构化临床访谈。数据分析包括描述性统计和适当的显著性检验。
36.2%的患者报告童年时期遭受过严重的身体或性虐待，45.6%的患者报告成年后至少遭受过其中一种虐待。人际暴力的终生发生率为61.1%。当前PTSD的患病率为13.2%。有童年虐待史的女性成年后再次受害的可能性是没有这些经历的女性的约七倍，而男性再次受害的情况不显著。
即使在没有其他SUD的酒精依赖患者中，人际暴力和PTSD的经历也很常见。为了充分满足这一人群的需求，在酒精依赖治疗中应常规评估创伤和PTSD，并在必要时在治疗计划中予以考虑。
