Trauma und Sucht: Implikationen für die Psychotherapie

Potthast, Nadine; Catani, Claudia

doi:10.1024/0939-5911.a000191

Cited by 13 publications

(7 citation statements)

References 70 publications

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“…Childhood adversities, particularly sexual abuse below the age of 16, but also having been raised in a foster home have recently been identified as specific contributors for the co-occurrence of PTSD and alcohol use disorders in a Swiss community sample [39]. Since childhood adversities and particularly childhood abuse are risk factors for both, the development of PTSD [40] and SUDs, our data add to the evidence linking childhood adversities and abuse to substance use and PTSD [2,15,39].…”

Section: Discussionmentioning

confidence: 49%

“…Notably, the proportion of DSM IV traumatic events (66.4%) reported by our patients during acute detoxification was almost identical to the rate of traumatic events reported by abstinent SUD patients in an earlier German multicenter study ("two-thirds of all patients", [3]). Although methodological issues must be considered [15], the proportion of reported traumatic events in our SUD patients is substantially higher than that reported for the Swiss (21-35%, [33]) and German general population (20-25%, [34]). Therefore, our results are in line with high proportions of traumatic events in SUD patients worldwide [5,35,36], emphasizing the particular burden of traumatic exposure in SUD patients.…”

Section: Discussionmentioning

confidence: 50%

“…Thus, in view of high PTSD rates in SUD inpatients and high dropout rates during detoxification treatment [11], not addressing trauma/PTSD in early detoxification treatment bears a substantial risk of leaving patients without adequate diagnosis and treatment and putting them at an increased risk for dropout and a less favorable treatment outcome [15,16].…”

Section: Introductionmentioning

confidence: 99%

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Early Screening for Posttraumatic Stress Disorder in Inpatient Detoxification and Motivation Treatment: Results and Consequences

et al. 2018

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Aims: Posttraumatic stress disorder (PTSD) is a significant comorbidity in substance use disorders (SUDs). While most studies have addressed trauma/PTSD in abstinent patients, little is known about trauma/PTSD in early detoxification treatment. The current study therefore addresses the systematic evaluation of trauma/PTSD in early inpatient detoxification. Methods: A cross-sectional survey was accomplished in three German-speaking clinics (n = 134) specialized in inpatient detoxification and motivation treatment. All measures are based on self-report using trauma-specific questionnaires and measures for general psychopathological burden. Results: Participation rate was 60.1% and patients did not show clinically obvious psychological distress during or after assessment. DSM-IV traumatic events were reported by 66.4%. Of the total sample, 38.1% screened positive for PTSD, and 14.9% screened positive for subsyndromal PTSD. PTSD patients reported significantly more childhood adversities and significantly higher scores in depression and general psychopathology compared to subsyndromal PTSD and SUD-only patients. Conclusions: Early and systematic evaluation of PTSD in SUD inpatient detoxification treatment is largely safe and yields important information for individual treatment. The high PTSD-rate and the high symptom load in SUD patients during inpatient detoxification treatment highlight the need for a more stringent address of trauma/PTSD in early SUD treatment.

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Section: Discussionmentioning

confidence: 49%

Section: Discussionmentioning

confidence: 50%

Section: Introductionmentioning

confidence: 99%

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Early Screening for Posttraumatic Stress Disorder in Inpatient Detoxification and Motivation Treatment: Results and Consequences

et al. 2018

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“…The high-risk hypothesis claims that people with a substance disorder have a higher likelihood of developing PTSD because their risky lifestyle is likely to lead to adverse, stressful, and negative life experiences, which can then lead to PTSD [12, 13]. The vulnerability may be influenced by a lack of coping strategies or neurochemical brain changes caused by substance use [14].…”

Section: Introductionmentioning

confidence: 99%

Trauma exposure and alcohol use disorder among prisoners in Jimma Zone correctional institution, Southwest Ethiopia: a cross-sectional study

et al. 2019

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ObjectiveTrauma exposure and alcohol use are closely related, and large proportion of trauma-exposed individuals use alcohol. The data presented in this paper were obtained as part of a study on substance use disorder and associated factors among prisoners in the correctional institution in Jimma, Southwest Ethiopia. Therefore, in this study we examined comorbidity of traumatic life experiences and alcohol use disorder in inmates of correctional institution in Jimma, Southwest Ethiopia.ResultsThe overall prevalence of lifetime alcohol use disorder was 40.1%, and the prevalence of alcohol use disorder among prisoners with lifetime trauma exposure was 44.0%. Participants with multiple trauma exposures had 2.5-fold higher odds of association for alcohol use disorder than their counterparts (AOR = 2.47 [1.23–4.94]). Living in urban areas (AOR = 4.86 [2.38–9.94]), presence of psychopathy (AOR = 3.33 [1.25–8.86]), khat abuse (AOR = 7.39 [3.99–13.68]), and nicotine dependence (AOR = 2.49 [1.16–5.34]) were also positively associated with alcohol use disorder. The prevalence of alcohol use disorder was higher among prisoners with lifetime trauma exposure. Also, this study indicates that prisoners with multiple trauma exposures had higher odds of association for alcohol use disorder than those with no trauma exposure. A public health intervention targeting survivors of traumatic experiences needs to be designed and implemented.

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“…To our knowledge, this diversity has not yet been systematically characterized. Moreover, extant reviews focus on a small number of substance-related addictions, specific age groups or sexes, and/or use a narrative rather than a systematic approach [ 5 , 8 , 12 – 15 ]. A systematic overview of the methods and empirical findings in this area is also needed because of the large amount of data accumulated and in light of inconsistent findings observed across studies [ 1 , 16 – 19 ].…”

Section: Introductionmentioning

confidence: 99%

Relationship between interpersonal trauma exposure and addictive behaviors: a systematic review

et al. 2017

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BackgroundThe aim of this study was to systematically summarize knowledge on the association between exposure to interpersonal trauma and addictive behaviors. Extant reviews on this association focused on a restricted range of substance-related addictions, and/or used a narrative instead of a systematic approach.MethodsSystematic searches of 8 databases yielded 29,841 studies, of which 3054 studies were included and subsequently classified in relation to study design (scoping review). A subset of observational studies (N = 181) prospectively investigating the relationship between exposure to interpersonal traumata and subsequent behavioral or substance-related addiction problems were characterized. Heterogeneity in study methodologies and types of addictive behaviors and traumatic experiences assessed precluded meta-analysis. Instead, the proportions of associations tested in this literature that revealed positive, negative, or null relationships between trauma exposure and subsequent addictive behaviors were recorded, along with other methodological features.ResultsOf 3054 included studies, 70.7% (n = 2160) used a cross-sectional design. In the 181 prospective observational studies (407,041 participants, 98.8% recruited from developed countries), 35.1% of the tested associations between trauma exposure and later addictive behaviors was positive, 1.3% was negative, and 63.6% was non-significant. These results were primarily obtained among non-treatment seeking samples (80.7% of studies; n = 146), using single and multi-item measures of addictive behaviors of unknown psychometric quality (46.4% of studies). Positive associations were more frequently observed in studies examining childhood versus adult traumatization (39.7% vs. 29.7%).ConclusionsLongitudinal research in this area emphasizes alcohol abuse, and almost no research has examined behavioral addictions. Results provide some support for a positive association between exposure to interpersonal trauma and subsequent addictive behaviors but this relationship was not consistently reported. Longitudinal studies typically assessed trauma exposure retrospectively, often after addictive behavior onset, thus precluding robust inferences about whether traumatization affects initial onset of addictive behaviors.Electronic supplementary materialThe online version of this article (doi:10.1186/s12888-017-1323-1) contains supplementary material, which is available to authorized users.

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Trauma und Sucht: Implikationen für die Psychotherapie

Cited by 13 publications

References 70 publications

Early Screening for Posttraumatic Stress Disorder in Inpatient Detoxification and Motivation Treatment: Results and Consequences

Early Screening for Posttraumatic Stress Disorder in Inpatient Detoxification and Motivation Treatment: Results and Consequences

Trauma exposure and alcohol use disorder among prisoners in Jimma Zone correctional institution, Southwest Ethiopia: a cross-sectional study

Relationship between interpersonal trauma exposure and addictive behaviors: a systematic review

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