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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...
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/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. |
format | Online Article Text |
id | pubmed-7466030 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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