Health problems of substance-dependent veterans with and those without trauma history

Tate, Susan R.; Norman, Sonya B.; McQuaid, John R.; Brown, Sandra A.

doi:10.1016/j.jsat.2006.11.006

Cited by 57 publications

(35 citation statements)

References 30 publications

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“…PTSD and alcohol dependence are highly comorbid, such that individuals with PTSD also have cooccurring alcohol dependence in rates as high as 41-79% (Pietrzak, Goldstein, Southwick, & Grant, 2011;Scherrer et al, 2008). Additionally, patients with comorbid PTSD and substance use disorder are at a greater risk for health problems, suicide attempts, violent behavior, and legal problems (Driessen et al, 2008;Tate, Norman, McQuaid, & Brown, 2007). Patients with comorbid substance use disorder are less likely to benefit from treatment and more likely to relapse when compared to patients who have PTSD alone (Mills et al, 2005;Norman, Tate, Anderson, & Brown, 2007;Ouimette, Goodwin, & Brown, 2006).…”

Section: Nih-pa Author Manuscriptmentioning

confidence: 99%

Experience-Sampling Study of PTSD and Alcohol-Related Problems

Gaher¹,

Simons²,

Buchkoski³

et al. 2013

PsycEXTRA Dataset

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Posttraumatic stress disorder (PTSD) represents a debilitating psychiatric condition that is affecting the lives of many returning veterans. PTSD and alcohol use and dependence are highly comorbid. The purpose of this study was to understand the functional mechanisms between PTSD and alcohol use and problems. Specifically, the role of negative urgency and emotional intelligence were investigated as vulnerability and resiliency factors, respectively. This study utilized experience sampling to test associations between PTSD symptoms and alcohol use and related problems in a sample of 90 OIF/OEF veterans. Participants completed eight brief questionnaires daily for two weeks on palmtop computers. Elevations in PTSD symptoms during the day were associated with subsequent increases in alcohol use and associated problems that night. PTSD symptoms were associated with greater problems above and beyond the effect of drinking level at both the within-and between-person level. Emotional intelligence was associated with lower negative urgency, fewer PTSD symptoms, and less alcohol use and associated problems. The effects of emotional intelligence were primarily indirect via negative * The contents of this manuscript do not represent the views of the Department of Veterans Affairs or the United States Government.Correspondence concerning this article should be addressed to Raluca M. Gaher, Department of Psychology, The University of South Dakota, 414 East Clark St. Vermillion, SD 57069. rgaher@usd.edu. NIH Public Access Author ManuscriptPsychol Addict Behav. Author manuscript; available in PMC 2015 December 01. Published in final edited form as:Psychol Addict Behav. 2014 December ; 28(4): 1013-1025. doi:10.1037/a0037257. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript urgency and the effects of negative urgency on alcohol use and problems were indirect via its positive association with PTSD symptoms. Hypothesized cross-level effects of emotional intelligence and negative urgency were not supported. The findings suggest a functional association between PTSD symptoms and alcohol consumption. The association between PTSD symptoms and alcohol consumption is consistent with a self-medication model. However, the significant associations between PTSD symptoms and alcohol problems, after controlling for use level, suggest a broader role of dysregulation.Posttraumatic stress disorder (PTSD) represents a debilitating psychiatric condition that is affecting the lives of many returning veterans. This disorder has significant social and financial implications for society as well as the affected individuals and their families. PTSD is associated with increased rates of a range of problematic behaviors including alcoholrelated problems as well as difficulties in social and occupational functioning (Mills, Teesson, Ross, Darke, & Shanahan, 2005;Mills, Teesson, Ross, & Darke, 2007). PTSD and alcohol dependence are highly comorbid, such that individuals with PTSD also have cooccurring alcohol dependence in ra...

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Section: Nih-pa Author Manuscriptmentioning

confidence: 99%

Experience-Sampling Study of PTSD and Alcohol-Related Problems

Gaher¹,

Simons²,

Buchkoski³

et al. 2013

PsycEXTRA Dataset

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“…Individuals with concurrent PTSD and SUD tend to present with a more complicated clinical picture, experiencing more severe symptoms (Driessen et al, 2008), higher rates of additional psychiatric disorders (Brady, Killeen, Saladin, Dansky, & Becker, 1994), and poorer physical health (Tate, Norman, McQuaid, & Brown, 2007) than individuals without this comorbidity. Clients with PTSD also do not appear to benefit optimally from standard SUD intervention programs; they demonstrate poorer treatment outcome and higher relapse rates than substance-abusing individuals without PTSD (Mills, Teesson, Ross, Darke, & Shanahan, 2005;Norman, Tate, Anderson, & Brown, 2007;Ouimette, Finney, & Moos, 1999).…”

Section: Introductionmentioning

confidence: 99%

Integrated treatment programs for individuals with concurrent substance use disorders and trauma experiences: A systematic review and meta-analysis

Torchalla¹,

Nosen²,

Rostam³

et al. 2012

Journal of Substance Abuse Treatment

145

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“…Specifically, individuals with co-occurring SUD and PTSD have worse treatment outcomes and experience more psychiatric, medical, legal, and social problems than those with just one of these disorders (Driessen et al, 2008;Najavits et al, 1998;Najavits, Weiss, & Shaw, 1997;Norman, Tate, Anderson, & Brown, 2007;Ouimette & Brown, 2002;Ouimette, Brown, & Najavits, 1998;Tate, Norman, McQuaid, & Brown, 2007). When compared to SUD-only patients, patients with PTSD and SUD tend to relapse sooner (Brown, Stout, & Mueller, exacerbation of PTSD symptoms (Brown, Stout, GannonRowley, 1998).…”

Section: Introductionmentioning

confidence: 99%