Posttraumatic Stress Disorder and Substance Use Disorder Comorbidity Among Individuals With Physical Disabilities:Findings From the National Comorbidity Survey Replication

Authors

  • Melissa L. Anderson,

    Corresponding author
    1. Treatment Innovations, Newton Centre, Massachusetts, USA
    2. Department of Psychiatry, University of Massachusetts Medical School, Worcester, Massachusetts, USA
    • Correspondence concerning this article should be addressed to Melissa L. Anderson, Department of Psychiatry, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655. E-mail: melissa.anderson@umassmed.edu

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  • Douglas M. Ziedonis,

    1. Department of Psychiatry, University of Massachusetts Medical School, Worcester, Massachusetts, USA
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  • Lisa M. Najavits

    1. Treatment Innovations, Newton Centre, Massachusetts, USA
    2. Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA
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  • This research was supported by grants from the Department of Defense (#W81XWH-10-2-0073 and #W81XWH-10-2-0074).

Abstract

Co-occurring posttraumatic stress disorder (PTSD) and substance use disorder (SUD) affects multiple domains of functioning and presents complex challenges to recovery. Using data from the National Comorbidity Study Replication, a national epidemiological study of mental disorders (weighted N = 4,883), the current study sought to determine the prevalence of PTSD and SUD, the symptom presentation of these disorders, and help-seeking behaviors in relation to PTSD and SUD among individuals with physical disabilities (weighted n = 491; nondisabled weighted n = 4,392). Results indicated that individuals with physical disabilities exhibited higher rates of PTSD, SUD, and comorbid PTSD/SUD than nondisabled individuals. For example, they were 2.6 times more likely to meet criteria for lifetime PTSD, 1.5 times more likely for lifetime SUD, and 3.6 times more likely for lifetime PTSD/SUD compared to their nondisabled peers. Additionally, individuals with physical disabilities endorsed more recent/severe PTSD symptoms and more lifetime trauma events than nondisabled individuals with an average of 5 different trauma events compared to 3 in the nondisabled group. No significant pattern of differences was noted for SUD symptom presentation, or for receipt of lifetime or past-year PTSD or SUD treatment. Implications of these findings and recommendations for future research are discussed.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:全國共病性調查(複製)的結果:身體傷殘人士的創傷後壓力症與物質濫用共病性。

撮要:創傷後壓力症(PTSD)和物質濫用(SUD)的共同發生影響多方面功能及構成復原路上極複雜的挑戰。從全國共病性調查(複製)的數據(此乃全國精神病流行學調查(加權N=4,883))中,我們找出在身體傷殘人士中PTSD和SUD的流行率,它們的症狀表現,和求助行為的關係(加權n=491;非傷殘加權n=4,392)。結果指出身體傷殘人士有更高PTSD, SUD,和PTSD/SUD共病性的比率(比非傷殘人士)。例如:比對非傷殘人士,他們符合終生PTSD準則的是2.6倍,終生SUD為1.5倍,及终生PTSD/SUD為3.6倍。再者,身體傷殘人士有更多近期/嚴重PTSD症狀和終生創傷事件(如對比非傷殘組有3種而傷殘者有5種不同創傷事件)。SUD症狀表現,終生和去年接受PTSD和SUD治療都未見顯着差異模式。上述結果和未來研究建議都在本文加以論述。

标题:全国共病性调查(复制)的结果:身体伤残人士的创伤后压力症与物质滥用共病性。

撮要:创伤后压力症(PTSD)和物质滥用(SUD)的共同发生影响多方面功能及构成复原路上极复杂的挑战。从全国共病性调查(复制)的数据(此乃全国精神病流行学调查(加权N=4,883))中,我们找出在身体伤残人士中PTSD和SUD的流行率,它们的症状表现,和求助行为的关系(加权n=491;非伤残加权n=4,392)。结果指出身体伤残人士有更高PTSD, SUD,和PTSD/SUD共病性的比率(比非伤残人士)。例如:比对非伤残人士,他们符合终生PTSD准则的是2.6倍,终生SUD为1.5倍,及终生PTSD/SUD为3.6倍。再者,身体伤残人士有更多近期/严重PTSD症状和终生创伤事件(如对比非伤残组有3种而伤残者有5种不同创伤事件)。SUD症状表现,终生和去年接受PTSD和SUD治疗都未见显着差异模式。上述结果和未来研究建议都在本文加以论述。

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