Brunault Paul, Lebigre Kevin, Idbrik Fatima, Maugé Damien, Adam Philippe, Barrault Servane, Baudin Grégoire, Courtois Robert, El Ayoubi Hussein, Grall-Bronnec Marie, Hingray Coraline, Ballon Nicolas, El-Hage Wissam
CHRU de Tours, Service d'Addictologie Universitaire, Équipe de Liaison et de Soins en Addictologie, 37044 Tours, France.
CHRU de Tours, Clinique Psychiatrique Universitaire, 37044 Tours, France.
J Clin Med. 2020 Jun 30;9(7):2054. doi: 10.3390/jcm9072054.
Post-traumatic stress disorder (PTSD) is highly prevalent among patients hospitalized for an alcohol use disorder (AUD). Hospitalization can improve PTSD and AUD outcomes in some but not all patients, but we lack data on the baseline predictors of PTSD non-remission. This study aimed to determine the baseline risk factors for non-remitted PTSD in patients hospitalized for an AUD. Of 298 AUD inpatients recruited in a rehabilitation center (Le Courbat, France), we included 91 AUD inpatients with a co-occurring PTSD and a longitudinal assessment at baseline (T1) and before discharge (T2: 8 weeks later). Patients were assessed for PTSD diagnosis/severity (PCL-5=PTSD Checklist for DSM-5), different types of trauma including childhood trauma (LEC-5=Life Events Checklist for DSM-5/CTQ-SF=Childhood Trauma Questionnaire, Short-Form), and AUD diagnosis/severity (clinical interview/AUDIT=Alcohol Use Disorders Identification Test). Rate of PTSD remission between T1 and T2 was 74.1%. Non-remitted PTSD at T2 was associated with a history of childhood trauma (physical, emotional or sexual abuse, physical negligence), but not with other types of trauma experienced, nor baseline PTSD or AUD severity. Among patients hospitalized for an AUD with co-occurring PTSD, PTSD remission was more strongly related to the existence of childhood trauma than to AUD or PTSD severity at admission. These patients should be systematically screened for childhood trauma in order to tailor evidence-based interventions.
J Fam Trauma Child Custody Child Dev. 2020
Lancet. 2019-8-31
Dialogues Clin Neurosci. 2017-6