Harvard Medical School, Boston, MA (JCM, JS); Department of Psychiatry, Brigham and Women's Hospital, Boston, MA (JS).
J Addict Med. 2022;16(1):7-9. doi: 10.1097/ADM.0000000000000840.
Amidst the ongoing opioid crisis, the number of individuals with substance use disorders being hospitalized for acute medical illnesses has increased. There is now a growing recognition that these events may be psychologically traumatic, leading to the development of acute stress reactions, and post-traumatic stress disorder. Patients who use drugs may be particularly susceptible to being traumatized due to their underlying psychiatric comorbidities, prior trauma histories, inadequate treatment of the underlying substance use disorders, and stigmatization. Interventions such as early identification and screening, trauma-informed care, and specialized addiction services may help to mitigate the risks of trauma amongst this population. More research is needed to better guide hospitals to ensure people who use drugs receive optimal care.
在阿片类药物危机持续之际，因急性内科疾病住院的物质使用障碍患者人数有所增加。现在人们越来越认识到，这些事件可能会造成心理创伤，导致急性应激反应和创伤后应激障碍。由于潜在的精神共病、既往创伤史、潜在物质使用障碍治疗不足和污名化，使用药物的患者可能更容易受到创伤。早期识别和筛查、以创伤为中心的护理和专门的成瘾服务等干预措施可能有助于降低这一人群的创伤风险。需要更多的研究来更好地指导医院，确保使用药物的人得到最佳的护理。
