在患有PTSD和SUD同时发生的患者中,与创伤相关的内,耻辱和创伤类型
Nathalie N M Faber1, Sera A Lortye1, Loes A Marquenie1
1Arkin Mental Health Care, Jellinek, Amsterdam Institute for Addiction Research, Amsterdam, The Netherlands.
Alcohol, clinical & experimental research
|March 26, 2025
概括
与创伤相关的羞耻感,而不是内感,与同时出现物质使用和PTSD障碍的个体的药物使用问题有关. 羞耻是治疗创伤后应激障碍的关键焦点,特别是在人际关系创伤后.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
背景情况:
- 药物使用障碍 (SUD) 和创伤后应激障碍 (PTSD) 经常同时发生.
- 羞耻和内的感觉与SUD和PTSD单独相关,但在同时发生的病例中未经检查.
- 创伤特征会影响PTSD的严重程度和与创伤相关的羞耻感.
研究的目的:
- 调查创伤相关的内和羞耻感对SUD和PTSD严重性的影响.
- 检查指数创伤特征在SUD和PTSD同时发生中的作用.
主要方法:
- 评估了209名寻求SUD治疗,同时患有PTSD的患者.
- 这些措施包括临床医生管理的PTSD尺度 (CAPS-5),AUDIT,DUDIT,创伤相关的内清单 (TRGI) 和创伤相关的羞耻清单 (TRSI).
- 用回归分析和ANOVA来确定预测关系.
主要成果:
- 创伤后应激障碍的严重程度与药物使用障碍 (DUD) 的严重程度相关,并显示与酒精使用障碍 (AUD) 的严重程度有曲线联系.
- 与创伤相关的羞耻感,而不是内感,与DUD严重程度有关.
- 与创伤相关的羞耻感独立地预测了PTSD的严重程度,而内则没有.
- 人际创伤,特别是性创伤,增加了内和羞耻感;童年创伤增加了创伤后应激障碍的严重程度.
结论:
- 与创伤相关的羞耻感是SUD和PTSD同时发生的重要因素,特别是DUD和PTSD严重程度.
- 在PTSD治疗中,羞耻似乎比内更为关键,特别是在人际创伤方面.
- 儿童创伤需要注意,因为它们与同时发生的SUD-PTSD中更高的PTSD严重程度有关.
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