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Childhood Trauma Predicts Less Remission from PTSD among Patients with Co-Occurring Alcohol Use Disorder and PTSD.

作者信息

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

机构信息

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.

出版信息

J Clin Med. 2020 Jun 30;9(7):2054. doi: 10.3390/jcm9072054.


DOI:10.3390/jcm9072054
PMID:32629872
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7408730/
Abstract

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.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ead0/7408730/5c4c0056c973/jcm-09-02054-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ead0/7408730/5c4c0056c973/jcm-09-02054-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ead0/7408730/5c4c0056c973/jcm-09-02054-g001.jpg

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Childhood Trauma Predicts Less Remission from PTSD among Patients with Co-Occurring Alcohol Use Disorder and PTSD.

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引用本文的文献

[1]
Markers of Negative Emotionality in Individuals With Comorbid Alcohol Use Disorder and Post-Traumatic Stress Disorder: Role of Childhood Trauma.

Addict Biol. 2025-4

[2]
Special Issue: Diagnosis and Management of Addiction and Other Mental Disorders (Dual Disorders).

J Clin Med. 2021-3-22

本文引用的文献

[1]
Childhood maltreatment and clinical severity of treatment-resistant depression in a French cohort of outpatients (FACE-DR): One-year follow-up.

Depress Anxiety. 2020-1-30

[2]
Alcohol use disorders.

Lancet. 2019-8-31

[3]
The Relationship of Posttraumatic Stress Disorder with Childhood Traumas, Personality Characteristics, Depression and Anxiety Symptoms in Patients with Diagnosis of Mixed Anxiety-Depression Disorder.

Psychiatr Danub. 2018-9

[4]
The burden of co-occurring alcohol use disorder and PTSD in U.S. Military veterans: Comorbidities, functioning, and suicidality.

Psychol Addict Behav. 2018-3

[5]
The relationship between DSM-5 PTSD symptom clusters and alcohol misuse among military veterans.

Am J Addict. 2017-12-18

[6]
Predictors of remission from PTSD symptoms after sexual and non-sexual trauma in the community: A mediated survival-analytic approach.

Psychiatry Res. 2017-12-2

[7]
Traumatic Experiences, Revictimization and Posttraumatic Stress Disorder in German Inpatients Treated for Alcohol Dependence.

Subst Use Misuse. 2018-3-21

[8]
Genetics of generalized anxiety disorder and related traits.

Dialogues Clin Neurosci. 2017-6

[9]
PTSD symptom presentation among people with alcohol and drug use disorders: Comparisons by substance of abuse.

Addict Behav. 2017-8-18

[10]
Recovery from DSM-IV post-traumatic stress disorder in the WHO World Mental Health surveys.

Psychol Med. 2017-7-19

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