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Childhood Trauma Predicts Less Remission from PTSD among Patients with Co-Occurring Alcohol Use Disorder and PTSD
Post-traumatic stress disorder (PTSD) is highly prevalent among patients hospitalized for an alcohol use disorder (AUD). Hospitalization can improve PTSD and AUD outcomes in some but not all patients, but we lack data on the baseline predictors of PTSD non-remission. This study aimed to determine th...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7408730/ https://www.ncbi.nlm.nih.gov/pubmed/32629872 http://dx.doi.org/10.3390/jcm9072054 |
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author | Brunault, Paul Lebigre, Kevin Idbrik, Fatima Maugé, Damien Adam, Philippe Barrault, Servane Baudin, Grégoire Courtois, Robert El Ayoubi, Hussein Grall-Bronnec, Marie Hingray, Coraline Ballon, Nicolas El-Hage, Wissam |
author_facet | Brunault, Paul Lebigre, Kevin Idbrik, Fatima Maugé, Damien Adam, Philippe Barrault, Servane Baudin, Grégoire Courtois, Robert El Ayoubi, Hussein Grall-Bronnec, Marie Hingray, Coraline Ballon, Nicolas El-Hage, Wissam |
author_sort | Brunault, Paul |
collection | PubMed |
description | Post-traumatic stress disorder (PTSD) is highly prevalent among patients hospitalized for an alcohol use disorder (AUD). Hospitalization can improve PTSD and AUD outcomes in some but not all patients, but we lack data on the baseline predictors of PTSD non-remission. This study aimed to determine the baseline risk factors for non-remitted PTSD in patients hospitalized for an AUD. Of 298 AUD inpatients recruited in a rehabilitation center (Le Courbat, France), we included 91 AUD inpatients with a co-occurring PTSD and a longitudinal assessment at baseline (T1) and before discharge (T2: 8 weeks later). Patients were assessed for PTSD diagnosis/severity (PCL-5=PTSD Checklist for DSM-5), different types of trauma including childhood trauma (LEC-5=Life Events Checklist for DSM-5/CTQ-SF=Childhood Trauma Questionnaire, Short-Form), and AUD diagnosis/severity (clinical interview/AUDIT=Alcohol Use Disorders Identification Test). Rate of PTSD remission between T1 and T2 was 74.1%. Non-remitted PTSD at T2 was associated with a history of childhood trauma (physical, emotional or sexual abuse, physical negligence), but not with other types of trauma experienced, nor baseline PTSD or AUD severity. Among patients hospitalized for an AUD with co-occurring PTSD, PTSD remission was more strongly related to the existence of childhood trauma than to AUD or PTSD severity at admission. These patients should be systematically screened for childhood trauma in order to tailor evidence-based interventions. |
format | Online Article Text |
id | pubmed-7408730 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-74087302020-08-13 Childhood Trauma Predicts Less Remission from PTSD among Patients with Co-Occurring Alcohol Use Disorder and PTSD Brunault, Paul Lebigre, Kevin Idbrik, Fatima Maugé, Damien Adam, Philippe Barrault, Servane Baudin, Grégoire Courtois, Robert El Ayoubi, Hussein Grall-Bronnec, Marie Hingray, Coraline Ballon, Nicolas El-Hage, Wissam J Clin Med Article Post-traumatic stress disorder (PTSD) is highly prevalent among patients hospitalized for an alcohol use disorder (AUD). Hospitalization can improve PTSD and AUD outcomes in some but not all patients, but we lack data on the baseline predictors of PTSD non-remission. This study aimed to determine the baseline risk factors for non-remitted PTSD in patients hospitalized for an AUD. Of 298 AUD inpatients recruited in a rehabilitation center (Le Courbat, France), we included 91 AUD inpatients with a co-occurring PTSD and a longitudinal assessment at baseline (T1) and before discharge (T2: 8 weeks later). Patients were assessed for PTSD diagnosis/severity (PCL-5=PTSD Checklist for DSM-5), different types of trauma including childhood trauma (LEC-5=Life Events Checklist for DSM-5/CTQ-SF=Childhood Trauma Questionnaire, Short-Form), and AUD diagnosis/severity (clinical interview/AUDIT=Alcohol Use Disorders Identification Test). Rate of PTSD remission between T1 and T2 was 74.1%. Non-remitted PTSD at T2 was associated with a history of childhood trauma (physical, emotional or sexual abuse, physical negligence), but not with other types of trauma experienced, nor baseline PTSD or AUD severity. Among patients hospitalized for an AUD with co-occurring PTSD, PTSD remission was more strongly related to the existence of childhood trauma than to AUD or PTSD severity at admission. These patients should be systematically screened for childhood trauma in order to tailor evidence-based interventions. MDPI 2020-06-30 /pmc/articles/PMC7408730/ /pubmed/32629872 http://dx.doi.org/10.3390/jcm9072054 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Brunault, Paul Lebigre, Kevin Idbrik, Fatima Maugé, Damien Adam, Philippe Barrault, Servane Baudin, Grégoire Courtois, Robert El Ayoubi, Hussein Grall-Bronnec, Marie Hingray, Coraline Ballon, Nicolas El-Hage, Wissam Childhood Trauma Predicts Less Remission from PTSD among Patients with Co-Occurring Alcohol Use Disorder and PTSD |
title | Childhood Trauma Predicts Less Remission from PTSD among Patients with Co-Occurring Alcohol Use Disorder and PTSD |
title_full | Childhood Trauma Predicts Less Remission from PTSD among Patients with Co-Occurring Alcohol Use Disorder and PTSD |
title_fullStr | Childhood Trauma Predicts Less Remission from PTSD among Patients with Co-Occurring Alcohol Use Disorder and PTSD |
title_full_unstemmed | Childhood Trauma Predicts Less Remission from PTSD among Patients with Co-Occurring Alcohol Use Disorder and PTSD |
title_short | Childhood Trauma Predicts Less Remission from PTSD among Patients with Co-Occurring Alcohol Use Disorder and PTSD |
title_sort | childhood trauma predicts less remission from ptsd among patients with co-occurring alcohol use disorder and ptsd |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7408730/ https://www.ncbi.nlm.nih.gov/pubmed/32629872 http://dx.doi.org/10.3390/jcm9072054 |
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