Discrepancies between clinical needs and helpseeking behaviors in co-occurring posttraumatic stress and alcohol use disorders.

Détails

Ressource 1Télécharger: BIB_F74FC03B43B4.P001.pdf (234.68 [Ko])
Etat: Public
Version: de l'auteur
ID Serval
serval:BIB_F74FC03B43B4
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Discrepancies between clinical needs and helpseeking behaviors in co-occurring posttraumatic stress and alcohol use disorders.
Périodique
Comprehensive Psychiatry
Auteur(s)
Müller M., Rodgers S., Rössler W., Castelao E., Preisig M., Ajdacic-Gross V., Vandeleur C.
ISSN
1532-8384 (Electronic)
ISSN-L
0010-440X
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
62
Pages
209-217
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
OBJECTIVE: The aim of the study was to compare subjects dually diagnosed with posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD) to those with only one or none of these conditions regarding helpseeking needs and behaviors.
METHOD: Data from a large community sample (N=3694) were used to assess the associations among lifetime PTSD and AUD, other psychiatric disorders, clinical characteristics and lifetime helpseeking behaviors derived from a semi-structured interview.
RESULTS: Comorbid individuals had more severe clinical profiles and were more impaired than individuals with either PTSD or AUD alone or those with no/other psychiatric conditions. However, they did not differ in overall helpseeking behavior from any other group. Those with comorbid PTSD/AUD were even less likely than the other groups to seek help for depression and anxiety disorders through specific treatment facilities or the use of prescribed psychotropic drugs.
CONCLUSIONS: Despite a greater need for treatment the comorbid group did not seek more help than the others. Their lower use of prescribed drugs supports the self-medication hypothesis, suggesting that those individuals relieve their symptoms through higher alcohol use instead. Our findings underline the need for health care facilities to encourage helpseeking behavior in the aftermath of stressful life events.
Mots-clé
Adult, Aged, Alcohol-Related Disorders/psychology, Anxiety Disorders/psychology, Cohort Studies, Comorbidity, Depression/psychology, Female, Help-Seeking Behavior, Humans, Life Change Events, Male, Middle Aged, Stress Disorders, Post-Traumatic/psychology, Switzerland
Pubmed
Web of science
Open Access
Oui
Création de la notice
11/09/2015 9:05
Dernière modification de la notice
20/08/2019 17:23
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