Posttraumatic Stress Disorder and Substance Use in Inner-City Adolescent Girls
Autor: | Steven M. Southwick, Eileen Billingslea, Deborah S. Lipschitz, Polly F. Cromwell, Walter Anyan, Ralitza Gueorguieva, Ann M. Rasmusson |
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Rok vydání: | 2003 |
Předmět: |
Adult
medicine.medical_specialty Adolescent Urban Population Substance-Related Disorders Comorbidity Severity of Illness Index behavioral disciplines and activities Life Change Events Stress Disorders Post-Traumatic Nicotine Surveys and Questionnaires mental disorders Severity of illness medicine Humans Risk factor Psychiatry medicine.disease Diagnostic and Statistical Manual of Mental Disorders Psychiatry and Mental health Posttraumatic stress Female Age of onset Substance use Psychology Anxiety disorder medicine.drug |
Zdroj: | Journal of Nervous & Mental Disease. 191:714-721 |
ISSN: | 0022-3018 |
Popis: | The purpose of this study is to examine rates of nicotine, marijuana, and alcohol use as well as patterns of problematic substance use and posttraumatic stress disorder (PTSD) symptoms in inner-city adolescent girls. One hundred four adolescents who obtained medical care at a hospital-based adolescent clinic were systematically surveyed for trauma exposure, posttraumatic stress symptoms, and substance use. A subset (N = 54, 52%) of girls completed a semistructured psychiatric diagnostic interview (K-SADS-PL) to ascertain timing of PTSD symptoms relative to substance use. Compared with traumatized girls without PTSD, girls with full and partial PTSD were significantly more likely to use nicotine, marijuana, and/or alcohol on a regular basis. Fifteen girls met criteria for both PTSD and a substance-use disorder. For 80% of these girls, the age of onset of PTSD was either before or concurrent with the onset of their substance-use disorder. Inner-city adolescent girls with PTSD exhibit problematic substance use and may be at high risk of developing a comorbid substance-use disorder. |
Databáze: | OpenAIRE |
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