Dworkin Emily R, Bergman Hannah E, Walton Thomas O, Walker Denise D, Kaysen Debra L
Emily R. Dworkin, Ph.D., is a postdoctoral fellow in the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington. Hannah E. Bergman, Ph.D., is a postdoctoral fellow in the School of Social Work, University of Washington, Seattle, Washington. Thomas O. Walton, M.S.W., is a graduate student in the School of Social Work, University of Washington, Seattle, Washington. Denise D. Walker, Ph.D., is an associate professor in the School of Social Work, University of Washington, Seattle, Washington. Debra L. Kaysen, Ph.D., is a professor in the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington.
Alcohol Res. 2018;39(2):161-169.
Co-occurring post-traumatic stress disorder (PTSD) and alcohol use disorder (AUD) are costly and consequential public health problems that negatively affect the health and well-being of U.S. military service members and veterans. The disproportionate burden of comorbid PTSD and AUD among U.S. military service members and veterans may be due to unique factors associated with military service, such as aspects of military culture, deployment, and trauma exposure. This review addresses the prevalence of co-occurring PTSD and AUD in military and veteran populations, population-specific factors that contribute to development of the comorbid conditions, and evidence-based treatments that have promise for addressing these conditions in military and veteran populations. Future directions for research and practice relevant to military and veteran populations are discussed.
创伤后应激障碍（PTSD）与酒精使用障碍（AUD）共病是代价高昂且影响重大的公共卫生问题，会对美国军人和退伍军人的健康与福祉产生负面影响。美国军人和退伍军人中PTSD与AUD共病的负担过重，可能是由于与军事服役相关的独特因素，如军事文化、部署和创伤暴露等方面。本综述探讨了军人和退伍军人中PTSD与AUD共病的患病率、导致共病情况发生的特定人群因素，以及有望治疗军人和退伍军人这些病症的循证治疗方法。还讨论了与军人和退伍军人相关的研究及实践的未来方向。
