Early Screening for Posttraumatic Stress Disorder in Inpatient Detoxification and Motivation Treatment: Results and Consequences.

Autor:	Proescholdt MG; University of Basel, Psychiatric Hospital, Basel, Switzerland., Müller SE; University of Basel, Psychiatric Hospital, Basel, Switzerland., Vogel M; University of Basel, Psychiatric Hospital, Basel, Switzerland., Lang U; University of Basel, Psychiatric Hospital, Basel, Switzerland., Wiesbeck GA; University of Basel, Psychiatric Hospital, Basel, Switzerland., Breit W; Psychiatric Services Aargau, Brugg, Switzerland., Linde A; Psychiatric Services Aargau, Brugg, Switzerland., Walter M; University of Basel, Psychiatric Hospital, Basel, Switzerland., Odenwald M; Department of Psychology, University of Konstanz, Konstanz, Germany.; Vivo International e.V., Konstanz, Germany.
Jazyk:	angličtina
Zdroj:	European addiction research [Eur Addict Res] 2018; Vol. 24 (3), pp. 128-136. Date of Electronic Publication: 2018 Jul 03.
DOI:	10.1159/000490382
Abstrakt:	Aims: Posttraumatic stress disorder (PTSD) is a significant comorbidity in substance use disorders (SUDs). While most studies have addressed trauma/PTSD in abstinent patients, little is known about trauma/PTSD in early detoxification treatment. The current study therefore addresses the systematic evaluation of trauma/PTSD in early inpatient detoxification. Methods: A cross-sectional survey was accomplished in three German-speaking clinics (n = 134) specialized in inpatient detoxification and motivation treatment. All measures are based on self-report using trauma-specific questionnaires and measures for general psychopathological burden. Results: Participation rate was 60.1% and patients did not show clinically obvious psychological distress during or after assessment. DSM-IV traumatic events were reported by 66.4%. Of the total sample, 38.1% screened positive for PTSD, and 14.9% screened positive for subsyndromal PTSD. PTSD patients reported significantly more childhood adversities and significantly higher scores in depression and -general psychopathology compared to subsyndromal PTSD and SUD-only patients. Conclusions: Early and systematic evaluation of PTSD in SUD inpatient detoxification treatment is largely safe and yields important information for individual treatment. The high PTSD-rate and the high symptom load in SUD patients during inpatient detoxification treatment highlight the need for a more stringent address of trauma/PTSD in early SUD treatment. (© 2018 S. Karger AG, Basel.)
Databáze:	MEDLINE
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