Historique
Périodique
Substance abuse and post-traumatic stress disorder comorbidity)
(Toxicomanie et troubles psychiatriques post-traumatiques)
Auteur(s) :
BROWN, P. J. ;
WOLFE, Y.
Année :
1994
Langue(s) :
Anglais
ISBN :
0376-8716
Refs biblio. :
100
Domaine :
Drogues illicites / Illicit drugs
Discipline :
PSY (Psychopathologie / Psychopathology)
Thésaurus mots-clés
ABUS
;
PSYCHIATRIE
;
PATHOLOGIE
;
ANXIETE
;
TRAUMATISME
;
PERSONNALITE
;
TRAITEMENT
;
EVOLUTION
;
MODELE
Note générale :
Drug and Alcohol Dependence, 1994, 35, 51-59
Résumé :
FRANÇAIS :
L'article fait la synthèse des pathologies anxieuses post-traumatiques associées à un diagnostic d'abus de substances et de la morbidité résultante. L'approche thérapeutique est discutée. Les lacunes dans les connaissances de la nature des troubles et dans le rapport avec l'évolution du traitement sont évoquées.
ENGLISH :
This article reviews the extant literature on substance abusers with and without a comorbid diagnosis of post-traumatic stress disorder (PTSD) and reveals the discontinuity between clinical lore and empirical research. Included is an overview of PTSD-substance abuse theoretical models and comorbidity prevalence rates, as well as an evaluation of the comparative data on treatment outcome and psychosocial factors, such as coping skills, for PTSD versus non-PTSD substance abusers. In addition, we discuss the controversy surrounding sequential versus simultaneous treatment approaches for such "dually diagnosed" patients. We conclude by identifying gaps in current knowledge about the nature and impact of PTSD on substance abuse treatment outcome and outlining needs for future research (Author's abstract)
L'article fait la synthèse des pathologies anxieuses post-traumatiques associées à un diagnostic d'abus de substances et de la morbidité résultante. L'approche thérapeutique est discutée. Les lacunes dans les connaissances de la nature des troubles et dans le rapport avec l'évolution du traitement sont évoquées.
ENGLISH :
This article reviews the extant literature on substance abusers with and without a comorbid diagnosis of post-traumatic stress disorder (PTSD) and reveals the discontinuity between clinical lore and empirical research. Included is an overview of PTSD-substance abuse theoretical models and comorbidity prevalence rates, as well as an evaluation of the comparative data on treatment outcome and psychosocial factors, such as coping skills, for PTSD versus non-PTSD substance abusers. In addition, we discuss the controversy surrounding sequential versus simultaneous treatment approaches for such "dually diagnosed" patients. We conclude by identifying gaps in current knowledge about the nature and impact of PTSD on substance abuse treatment outcome and outlining needs for future research (Author's abstract)
Affiliation :
Tufts Univ. Sch. Med., Boston
Etats-Unis. United States.
Etats-Unis. United States.