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Traumatic Events in Dual Disorders: Prevalence and Clinical Characteristics

Psychological trauma has been identified in substance use disorders (SUD) as a major etiological risk factor. However, detailed and systematic data about the prevalence and types of psychological trauma in dual disorders have been scarce to date. In this study, 150 inpatients were recruited and cros...

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Autores principales: Blanco, Laura, Sió, Albert, Hogg, Bridget, Esteve, Ricard, Radua, Joaquim, Solanes, Aleix, Gardoki-Souto, Itxaso, Sauras, Rosa, Farré, Adriana, Castillo, Claudio, Valiente-Gómez, Alicia, Pérez, Víctor, Torrens, Marta, Amann, Benedikt L., Moreno-Alcázar, Ana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7466030/
https://www.ncbi.nlm.nih.gov/pubmed/32781718
http://dx.doi.org/10.3390/jcm9082553
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author Blanco, Laura
Sió, Albert
Hogg, Bridget
Esteve, Ricard
Radua, Joaquim
Solanes, Aleix
Gardoki-Souto, Itxaso
Sauras, Rosa
Farré, Adriana
Castillo, Claudio
Valiente-Gómez, Alicia
Pérez, Víctor
Torrens, Marta
Amann, Benedikt L.
Moreno-Alcázar, Ana
author_facet Blanco, Laura
Sió, Albert
Hogg, Bridget
Esteve, Ricard
Radua, Joaquim
Solanes, Aleix
Gardoki-Souto, Itxaso
Sauras, Rosa
Farré, Adriana
Castillo, Claudio
Valiente-Gómez, Alicia
Pérez, Víctor
Torrens, Marta
Amann, Benedikt L.
Moreno-Alcázar, Ana
author_sort Blanco, Laura
collection PubMed
description Psychological trauma has been identified in substance use disorders (SUD) as a major etiological risk factor. However, detailed and systematic data about the prevalence and types of psychological trauma in dual disorders have been scarce to date. In this study, 150 inpatients were recruited and cross-sectionally screened on their substance use severity, psychological trauma symptoms, comorbidities, and clinical severity. One hundred patients fulfilled criteria for a dual disorder, while 50 patients were diagnosed with only SUD. Ninety-four percent of the whole sample suffered from at least one lifetime traumatic event. The prevalence rates of Posttraumatic Stress Disorder diagnosis for dual disorder and only SUD was around 20% in both groups; however, patients with dual disorder presented more adverse events, more childhood trauma, more dissociative symptoms, and a more severe clinical profile than patients with only SUD. Childhood maltreatment can also serve as a predictor for developing a dual disorder diagnosis and as a risk factor for developing a more complex and severe clinical profile. These data challenge our current clinical practice in the treatment of patients suffering from dual disorder or only SUD diagnosis and favor the incorporation of an additional trauma-focused therapy in this population. This may improve the prognosis and the course of the illness in these patients.
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spelling pubmed-74660302020-09-14 Traumatic Events in Dual Disorders: Prevalence and Clinical Characteristics Blanco, Laura Sió, Albert Hogg, Bridget Esteve, Ricard Radua, Joaquim Solanes, Aleix Gardoki-Souto, Itxaso Sauras, Rosa Farré, Adriana Castillo, Claudio Valiente-Gómez, Alicia Pérez, Víctor Torrens, Marta Amann, Benedikt L. Moreno-Alcázar, Ana J Clin Med Article Psychological trauma has been identified in substance use disorders (SUD) as a major etiological risk factor. However, detailed and systematic data about the prevalence and types of psychological trauma in dual disorders have been scarce to date. In this study, 150 inpatients were recruited and cross-sectionally screened on their substance use severity, psychological trauma symptoms, comorbidities, and clinical severity. One hundred patients fulfilled criteria for a dual disorder, while 50 patients were diagnosed with only SUD. Ninety-four percent of the whole sample suffered from at least one lifetime traumatic event. The prevalence rates of Posttraumatic Stress Disorder diagnosis for dual disorder and only SUD was around 20% in both groups; however, patients with dual disorder presented more adverse events, more childhood trauma, more dissociative symptoms, and a more severe clinical profile than patients with only SUD. Childhood maltreatment can also serve as a predictor for developing a dual disorder diagnosis and as a risk factor for developing a more complex and severe clinical profile. These data challenge our current clinical practice in the treatment of patients suffering from dual disorder or only SUD diagnosis and favor the incorporation of an additional trauma-focused therapy in this population. This may improve the prognosis and the course of the illness in these patients. MDPI 2020-08-06 /pmc/articles/PMC7466030/ /pubmed/32781718 http://dx.doi.org/10.3390/jcm9082553 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
Blanco, Laura
Sió, Albert
Hogg, Bridget
Esteve, Ricard
Radua, Joaquim
Solanes, Aleix
Gardoki-Souto, Itxaso
Sauras, Rosa
Farré, Adriana
Castillo, Claudio
Valiente-Gómez, Alicia
Pérez, Víctor
Torrens, Marta
Amann, Benedikt L.
Moreno-Alcázar, Ana
Traumatic Events in Dual Disorders: Prevalence and Clinical Characteristics
title Traumatic Events in Dual Disorders: Prevalence and Clinical Characteristics
title_full Traumatic Events in Dual Disorders: Prevalence and Clinical Characteristics
title_fullStr Traumatic Events in Dual Disorders: Prevalence and Clinical Characteristics
title_full_unstemmed Traumatic Events in Dual Disorders: Prevalence and Clinical Characteristics
title_short Traumatic Events in Dual Disorders: Prevalence and Clinical Characteristics
title_sort traumatic events in dual disorders: prevalence and clinical characteristics
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7466030/
https://www.ncbi.nlm.nih.gov/pubmed/32781718
http://dx.doi.org/10.3390/jcm9082553
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