创伤和ICD-11 PTSD在物质使用障碍治疗中:丹麦多地点研究
S Karsberg1, L Najavits2, M U Pedersen2
1Centre for Alcohol and Drug Research, Department of Psychology, Aarhus University, Aarhus, Denmark. sk.crf@psy.au.dk.
BMC psychiatry
|August 7, 2025
概括
大约25%的物质使用障碍 (SUD) 治疗中的个人可能患有创伤后应激障碍 (PTSD). 在药物使用障碍 (DUD) 治疗中,PTSD比酒精使用障碍 (AUD) 治疗更为普遍,突出了针对性干预的必要性.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 以前的研究表明,创伤后应激障碍 (PTSD) 和物质使用障碍 (SUD) 之间存在很高的并发症.
- 这项研究调查了丹麦SUD人口中PTSD的患病率,检查了社会人口统计学,创伤和与物质有关的因素.
- 在接受酒精使用障碍 (AUD) 和药物使用障碍 (DUD) 治疗的个人之间进行了比较分析.
研究的目的:
- 为了确定ICD-11 PTSD诊断在丹麦SUD治疗人口中的患病率.
- 为了确定社会人口统计学,创伤和与PTSD相关的物质相关的因素.
- 为了比较AUD和DUD治疗组之间的PTSD患病率和临床概况.
主要方法:
- 在五个丹麦SUD处理设施中采用了多个地点的方法.
- 对1347名接受SUD治疗初始查的成年人进行了结构化访谈.
- 参与者使用国际疾病分类第11版 (ICD-11) 标准对PTSD进行了评估.
主要成果:
- 据估计,SUD治疗中25%的患者符合可能的PTSD标准,另外15%的人表现出亚临床PTSD症状.
- 与AUD治疗患者相比,在DUD治疗患者中,PTSD患病率显著高于AUD治疗患者.
- 在AUD和DUD组之间,在社会功能和临床特征方面观察到实质性的差异.
结论:
- 在SUD患者中,PTSD症状的高患病率强调了针对性干预策略的必要性.
- 鉴于高脆弱性和症状流行率,PTSD在DUD治疗计划中需要特别注意.
- 解决SUD和PTSD的综合治疗方法对于改善患者的治疗结果至关重要.
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