SUBSTANCE-ABUSE AND POSTTRAUMATIC-STRESS-DISORDER COMORBIDITY

被引:174
作者
BROWN, PJ
WOLFE, J
机构
[1] VET AFFAIRS MED CTR,BOSTON,MA
[2] TUFTS UNIV,SCH MED,BOSTON,MA 02111
关键词
POSTTRAUMATIC STRESS DISORDER; SUBSTANCE ABUSE; COMORBIDITY; TREATMENT OUTCOME; TREATMENT INTERVENTIONS;
D O I
10.1016/0376-8716(94)90110-4
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
This article reviews the extant literature on substance abusers with and without a comorbid diagnosis of post-traumatic stress disorder (PTSD) and reveals the discontinuity between clinical lore and empirical research. Included is an overview of PTSD-substance abuse theoretical models and comorbidity prevalence rates, as well as an evaluation of the comparative data on treatment outcome and psychosocial factors, such as coping skills, for PTSD versus non-PTSD substance abusers. In addition, we discuss the controversy surrounding sequential versus simultaneous treatment approaches for such 'dually-diagnosed' patients. We conclude by identifying gaps in current knowledge about the nature and impact of PTSD on substance abuse treatment outcome and outlining needs for future research.
引用
收藏
页码:51 / 59
页数:9
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