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

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2018
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Proescholdt, Margit G
Müller, Sandra E
Vogel, Marc
Lang, Undine
Wiesbeck, Gerhard A
Breit, Wilhelm
Linde, Andreas
Walter, Marc
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European addiction research. 2018, 24(3), pp. 128-136. ISSN 1022-6877. eISSN 1421-9891. Available under: doi: 10.1159/000490382
Zusammenfassung

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.

Zusammenfassung in einer weiteren Sprache
Fachgebiet (DDC)
150 Psychologie
Schlagwörter
PTDS, Substance use disorders, Subsyndromal PTSD, Trauma, Inpatient detoxification treatment
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ISO 690PROESCHOLDT, Margit G, Sandra E MÜLLER, Marc VOGEL, Undine LANG, Gerhard A WIESBECK, Wilhelm BREIT, Andreas LINDE, Marc WALTER, Michael ODENWALD, 2018. Early Screening for Posttraumatic Stress Disorder in Inpatient Detoxification and Motivation Treatment : Results and Consequences. In: European addiction research. 2018, 24(3), pp. 128-136. ISSN 1022-6877. eISSN 1421-9891. Available under: doi: 10.1159/000490382
BibTex
@article{Proescholdt2018Early-43026,
  year={2018},
  doi={10.1159/000490382},
  title={Early Screening for Posttraumatic Stress Disorder in Inpatient Detoxification and Motivation Treatment : Results and Consequences},
  number={3},
  volume={24},
  issn={1022-6877},
  journal={European addiction research},
  pages={128--136},
  author={Proescholdt, Margit G and Müller, Sandra E and Vogel, Marc and Lang, Undine and Wiesbeck, Gerhard A and Breit, Wilhelm and Linde, Andreas and Walter, Marc and Odenwald, Michael}
}
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