Childhood adversities as specific contributors to the co-occurrence of posttraumatic stress and alcohol use disorders.

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State: Public
Version: Author's accepted manuscript
Serval ID
serval:BIB_73C0BC4BA267
Type
Article: article from journal or magazin.
Collection
Publications
Title
Childhood adversities as specific contributors to the co-occurrence of posttraumatic stress and alcohol use disorders.
Journal
Psychiatry Research
Author(s)
Müller M., Vandeleur C., Rodgers S., Rössler W., Castelao E., Preisig M., Ajdacic-Gross V.
ISSN
1872-7123 (Electronic)
ISSN-L
0165-1781
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
228
Number
3
Pages
251-256
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish
Abstract
There is much evidence that alcohol use disorders (AUD) often co-occur with posttraumatic stress disorders (PTSD), and that the comorbid condition is associated with a more severe clinical profile than that of PTSD without AUD. However, little is known about the role of childhood adversities as specific risk factors for the development of AUD in individuals presenting with PTSD. The aim of the study was to explore whether specific stressors from the spectrum of trauma and childhood adversities contribute to the development of AUD among subjects with PTSD. From a large community sample, of N=140 individuals with PTSD, N=24 (17.14%) received an additional diagnosis of AUD with an onset after the onset of PTSD. Those with comorbid PTSD/AUD and those with PTSD only were compared regarding type and features of their trauma, childhood adversities and psychiatric comorbidity. Compared to PTSD alone, PTSD/AUD was associated with higher levels of stress in terms of childhood adversities; in particular, sexual abuse below the age of 16, but also with having been brought up in a foster home. PTSD/AUD was also associated with an earlier age of adverse events. Treatment of AUD should include standardized assessments of trauma, especially of trauma experienced during childhood.
Pubmed
Web of science
Open Access
Yes
Create date
05/11/2015 11:16
Last modification date
20/08/2019 15:31
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