在患有SUD和PTSD同时发生的患者的治疗期间,复杂化的风险因素
Nathalie N M Faber1,2,3, Christin Kühner1,2,3, Carolien Christ3
1Department of Research, Arkin Mental Health Care, Amsterdam Institute for Addiction Research, Amsterdam, the Netherlands.
European journal of psychotraumatology
|February 3, 2026
概括
年龄是物质使用障碍 (SUD) 和创伤后应激障碍 (PTSD) 患者重新受害的主要危险因素. 未来的干预措施应该探索与年龄相关的因素,如冲动性,以减少反复发生的人际暴力.
科学领域:
- 精神病学和行为科学
- 临床心理学 临床心理学
- 成 药物 药物 药物 药物
背景情况:
- 问题性物质使用和创伤后压力症状是大学人口中反复发生的人际暴力 (再受害) 的已知的危险因素.
- 对于在被诊断患有物质使用障碍 (SUD) 和创伤后应激障碍 (PTSD) 患者中预测重新受害的因素的理解有限.
研究的目的:
- 为了确定与SUD和PTSD同时发生的患者的再受害相关的风险因素.
- 为发展有针对性的干预措施提供信息,以预防精神疾病患者之间的暴力行为.
主要方法:
- 分析来自治疗PTSD和成 (TOPA) 研究的数据,这是一个随机对照试验.
- 包括203名基线人际受害者的参与者,在9个月内评估重新受害 (身体,枪支暴力,性暴力,其他不必要的性经历).
- 用多重归因的后勤回归来分析PTSD严重程度,SUD严重程度,人际关系困难,性别,年龄和再受害之间的关联.
主要成果:
- 身体暴力 (26.0%) 和"其他不必要的性经历" (20.0%) 是最常见的再受害形式.
- 统一分析表明,PTSD严重程度和年龄是重新受害的预测因素.
- 后勤回归显示,在控制其他变量时,年龄是重新受害的唯一可靠预测因素.
结论:
- 重度受害是一个重要的临床问题,在9个月的时间里,大约有五分之二的SUD和PTSD同时发生的人受到影响.
- 在这个样本中,年龄成为重新受害的主要风险因素.
- 未来的研究应该调查可修改的与年龄相关的因素 (例如,冲动性,寻找新奇事物) 对于潜在的干预目标来降低再受害风险.
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