The Link Between Substance Abuse and Posttraumatic Stress Disorder in Women:<i>A Research Review</i>

Najavits, Lisa M.; Weiss, Roger D.; Shaw, Sarah

doi:10.3109/10550499709005058

Cited by 153 publications

(20 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is well established that the severity of childhood trauma is associated both with levels of substance use and the severity of dissociation (Diseth, 2005;Najavits & Walsh, 2012;Najavits, Weiss, & Shaw, 1997). Three times higher rates of substance abuse in subjects with vs. without a history of childhood trauma have been reported in the general population (Kilpatrick, Saunders, & Smith, 2003), and the severity of childhood trauma is closely linked to the level of substance abuse (Khoury, Tang, Bradley, Cubells, & Ressler, 2010;Scheidell et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

The link between childhood trauma and dissociation in frequent users of classic psychedelics and dissociatives

Thal

Daniels

Jungaberle³

2019

Journal of Substance Use

View full text Add to dashboard Cite

Background: Childhood trauma severity is associated with the level of subsequent substance use as well as with the self-reported severity of dissociation. Classic psychedelics and dissociatives target neurotransmitter systems thought to be involved in the onset of dissociative symptoms and may evoke severe and long-lasting symptoms of depersonalization in some users. However, it is currently unclear whether drug use puts people with a history of childhood trauma at higher risk of developing dissociative symptoms. Objectives: The current study investigates whether the one-year prevalence of substance use significantly moderates the link between childhood trauma and the severity of depersonalization. Methods: Participants (n = 297, of which 80.2% were active users) filled out an online self-report questionnaire including the Childhood Trauma Questionnaire (CTQ), the Cambridge Depersonalisation Scale (CDS), and information about their substance use. Results: Results indicate that childhood trauma and substance use are significant individual predictors of dissociation scores in this sample, but no moderation of substance use on the link between childhood trauma and depersonalization was established. Conclusions: It is hypothesized that the quality (particularly the context) of the experience of substance use rather than the sheer quantity may be responsible for the manifestation of depersonalization.

show abstract

Section: Introductionmentioning

confidence: 99%

The link between childhood trauma and dissociation in frequent users of classic psychedelics and dissociatives

Thal

Daniels

Jungaberle³

2019

Journal of Substance Use

View full text Add to dashboard Cite

show abstract

“…This common comorbidity affects multiple domains of functioning and presents complex challenges to recovery (Najavits et al, 2008). The presence of either problem alone increases the risk of developing the other (Najavits, Weiss, & Shaw, 1997). Individuals with this comorbidity may enter high-risk environments when using substances, increasing their likelihood of further trauma.…”

mentioning

confidence: 99%

An outcome study of Seeking Safety with rural community-based women.

Patitz¹,

Anderson²,

Najavits³

2015

Journal of Rural Mental Health

Self Cite

View full text Add to dashboard Cite

This pilot study investigated the impact of Seeking Safety (SS) on rural women with comorbid substance abuse and trauma problems. SS is an evidence-based, presentfocused therapy that provides coping skills and psychoeducation. Despite its demonstrated effectiveness, this is the first known study using SS with rural women. Investigating the efficacy of evidence-based treatments with rural populations is especially important because, compared with urban residents, they are more likely to meet criteria for comorbid mental illness and substance abuse, exhibit more severe symptoms of both disorders, but are much less likely to receive formal treatment. Such disparities highlight the need for effective treatments to enhance coping skills and reduce unsafe behavior within this population. Data were collected from 23 community-based rural women who voluntarily participated in SS treatment groups twice weekly (a total of 24 1.5-hr sessions were offered). The Trauma Symptom Inventory (TSI) was administered pre-and posttreatment. Results showed reductions on all 10 TSI subscales. Effect sizes were large across all subscales, except sexual concerns, which was medium to large. Our findings align with previous SS outcome studies, which report consistent positive results among vulnerable populations with trauma symptoms and substance abuse.

show abstract

“…The link between posttraumatic stress disorder (PTSD) and substance use in women is well established (Kessler, 1995; Lisa M. Najavits, Weiss, & Shaw, 1997). However, this association has not been well studied during pregnancy.…”

Section: Literature Review and Discussionmentioning

confidence: 99%

“…Seeking Safety focuses on eliminating substance use, reducing PTSD symptoms and increasing safety from HIV risk, domestic violence and self-harm (Brown et al, 2007; L. M. Najavits et al, 1996; Lisa M. Najavits, Gallop, & Weiss, 2006; Lisa M. Najavits et al, 1997). Seeking Safety has been tested primarily in women, but with mixed results (Brown et al, 2007; McHugo & Fallot, 2011; Lisa M. Najavits et al, 2006).…”

Section: Literature Review and Discussionmentioning

confidence: 99%

A Multidisciplinary Approach to the Treatment of Co-occurring Opioid Use Disorder and Posttraumatic Stress Disorder in Pregnancy: A Case Report

Goodman

Milliken

Theiler

et al. 2015

Journal of Dual Diagnosis

View full text Add to dashboard Cite

Perinatal opioid use disorders negatively impact maternal and neonatal outcomes and are a public health problem of increasing severity. More than half of women with a substance use disorder have a history of posttraumatic stress disorder that, if not adequately addressed, can impede substance use disorder treatment. This case report describes complexities in the treatment of a pregnant woman with opioid use disorder and posttraumatic stress disorder and reviews the psychotherapeutic and pharmacologic approaches available to treat these co-occurring disorders in pregnancy. This case demonstrates the importance of early screening and intervention for cooccurring posttraumatic stress disorder in pregnant women who use substances, in a closely coordinated, multidisciplinary approach to improve outcomes for women and their infants.

show abstract

The Link Between Substance Abuse and Posttraumatic Stress Disorder in Women:A Research Review

Cited by 153 publications

References 35 publications

The link between childhood trauma and dissociation in frequent users of classic psychedelics and dissociatives

The link between childhood trauma and dissociation in frequent users of classic psychedelics and dissociatives

An outcome study of Seeking Safety with rural community-based women.

A Multidisciplinary Approach to the Treatment of Co-occurring Opioid Use Disorder and Posttraumatic Stress Disorder in Pregnancy: A Case Report

Contact Info

Product

Resources

About