压力暴露和PTSD在一个横截面的住宅物质使用治疗样本
Rebecca L Schacht1, Laurel E Meyer1, Kevin R Wenzel1,2
1University of Maryland, Baltimore County, Baltimore, MD, USA.
Substance use & addiction journal
|May 8, 2024
概括
药物使用障碍治疗中的个人经历高压力. 创伤性压力因素,特别是那些符合诊断和统计手册 (DSM) 标准的压力因素,与非DSM压力因素不同,显著影响心理和身体健康.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 药物使用障碍 (SUD) 通常与创伤和与压力相关的疾病并发.
- 了解不同类型的压力因素的影响对于有效治疗至关重要.
研究的目的:
- 在接受住院SUD治疗的个体中记录压力暴露.
- 确定与可能的创伤后应激障碍 (PTSD) 相关的社会人口和健康差异.
- 评估诊断和统计手册 (DSM) 合适与DSM不合适的压力因素对心理和身体健康的差异影响.
主要方法:
- 一项横截面的观察性研究,涉及136名在住院SUD治疗中的个人.
- 评估DSM一致的创伤性压力因素,DSM不一致的生活压力因素,PTSD和抑郁症状,情绪调节,恢复资本和生活质量.
主要成果:
- 报告了对DSM一致的压力因素的高暴露 (平均值=9.76).
- 可能的PTSD与年轻的年龄和女同性恋,同性恋或双性恋 (LGB+) 相关.
- 与DSM一致的压力因素与较差的精神和身体健康结果有显著的相关性,而与DSM不一致的压力因素则没有.
结论:
- 住院SUD治疗中的个人面临相当大的压力,DSM一致的压力因素对心理和身体健康构成更大的风险.
- 在SUD治疗中的年轻人和LGB+个体可能需要针对性PTSD预防策略.
- 治疗方法应优先解决DSM一致的压力因素,以改善患者的治疗结果.
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