Historique
Périodique
Substance use disorder-PTSD comorbidity. Patients' perceptions of symptom interplay and treatment issues
(La comorbidité trouble d'usage de drogue - trouble de stress posttraumatique. La perception de l'interaction des symptômes par les patients et les problèmes de traitement)
Auteur(s) :
BROWN, P. J. ;
STOUT, R. L. ;
GANNON-ROWLEY, J.
Année
1998
Langue(s) :
Anglais
ISBN :
0740-5472
Refs biblio. :
17
Domaine :
Drogues illicites / Illicit drugs
Note générale :
Journal of Substance Abuse Treatment, 1998, 15, (5), 445-448
Résumé :
FRANÇAIS :
Dans le but de comprendre la comorbidité trouble d'usage de drogue (TUS) et trouble de stress post-traumatique (TSPT), 42 patients ont été interrogés sur leur perception des interactions entre ces deux problèmes et sur les traitements. Il apparaît qu'ils perçoivent les deux troubles comme liés : si l'un s'aggrave l'autre aussi ; si l'un s'améliore, l'autre aussi. Ils semblent préférer un traitement simultané de leurs troubles, bien que la majorité n'ait jamais suivie de traitement du TSPT (le principal facteur dissuassif pour ce type de traitement étant le manque de confiance).
ENGLISH :
42 patients with both a current substance use disorder (SUD) and posttraumatic stress disorder (PTSD) were asked about the interrelationship of their 2 disorders, their treatment preferences and experiences, as well as possible deterrents to receiving PTSD treatment. Patients perceived their 2 disorders to be functionally related. They reported that when one disorder worsened, their other was more likely to worsen ; when one improved, the other similarly improved. Consistent with these perceptions, SUD-PTSD patients favored simultaneous treatment of their 2 disorders. The majority of SUD-PTSD patients were never referred to PTSD treatment. Although several possible deterrents to PTSD treatment were identified, only lack of trust appeared to differentiate PTSD treatment compliers versus noncompliers. Implications of these findings on referral and treatment practices are discussed. (Authors'abstract)
Dans le but de comprendre la comorbidité trouble d'usage de drogue (TUS) et trouble de stress post-traumatique (TSPT), 42 patients ont été interrogés sur leur perception des interactions entre ces deux problèmes et sur les traitements. Il apparaît qu'ils perçoivent les deux troubles comme liés : si l'un s'aggrave l'autre aussi ; si l'un s'améliore, l'autre aussi. Ils semblent préférer un traitement simultané de leurs troubles, bien que la majorité n'ait jamais suivie de traitement du TSPT (le principal facteur dissuassif pour ce type de traitement étant le manque de confiance).
ENGLISH :
42 patients with both a current substance use disorder (SUD) and posttraumatic stress disorder (PTSD) were asked about the interrelationship of their 2 disorders, their treatment preferences and experiences, as well as possible deterrents to receiving PTSD treatment. Patients perceived their 2 disorders to be functionally related. They reported that when one disorder worsened, their other was more likely to worsen ; when one improved, the other similarly improved. Consistent with these perceptions, SUD-PTSD patients favored simultaneous treatment of their 2 disorders. The majority of SUD-PTSD patients were never referred to PTSD treatment. Although several possible deterrents to PTSD treatment were identified, only lack of trust appeared to differentiate PTSD treatment compliers versus noncompliers. Implications of these findings on referral and treatment practices are discussed. (Authors'abstract)
Affiliation :
Brown Univ., Providence, RI 02912
Etats-Unis. United States.
Etats-Unis. United States.