Childhood adversities as specific contributors to the co-occurrence of posttraumatic stress and alcohol use disorders

PSYCHIATRY RESEARCH

卷:228

Article

Mueller, Mario¹  Vandeleur, Caroline²  Rodgers, Stephanie¹  Roessler, Wulf^3,4,5  Castelao, Enrique²  Preisig, Martin²  Ajdacic-Gross, Vladeta¹ 

[1] Zurich Univ Hosp Psychiat, Dept Psychiat Psychotherapy & Psychosomat, CH-8021 Zurich, Switzerland

[2] CHU Vaudois, Dept Psychiat, Lausanne, Switzerland

[3] Univ Zurich, Collegium Helveticum, Zurich, Switzerland

[4] Swiss Fed Inst Technol, Zurich, Switzerland

[5] Univ Sao Paulo, Inst Psychiat, Lab Neurosci LIM 27, Sao Paulo, Brazil

关键词: Posttraumatic stress disorder;    Alcohol use disorder;    Comorbidity;    Childhood trauma and adversity;    Sexual abuse;   

DOI  :  10.1016/j.psychres.2015.06.034

来源: Elsevier

【 摘 要 】

There is much evidence that alcohol use disorders (AUD) often co-occur with posttraumatic stress disorders (PTSD), and that the comorbid condition is associated with a more severe clinical profile than that of PTSD without AUD. However, little is known about the role of childhood adversities as specific risk factors for the development of AUD in individuals presenting with PTSD. The aim of the study was to explore whether specific stressors from the spectrum of trauma and childhood adversities contribute to the development of AUD among subjects with PTSD. From a large community sample, of N=140 individuals with PTSD, N=24 (17.14%) received an additional diagnosis of AUD with an onset after the onset of PTSD. Those with comorbid PTSD/AUD and those with PTSD only were compared regarding type and features of their trauma, childhood adversities and psychiatric comorbidity. Compared to PTSD alone, PTSD/AUD was associated with higher levels of stress in terms of childhood adversities; in particular, sexual abuse below the age of 16, but also with having been brought up in a foster home. PTSD/AUD was also associated with an earlier age of adverse events. Treatment of AUD should include standardized assessments of trauma, especially of trauma experienced during childhood. (C) 2015 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

Free