Traumatic events in dual disorders

Psychological trauma has been identified in substance use disorders (SUD) as a major etiological risk factor. However, detailed and systematic data about the prevalence and types of psychological trauma in dual disorders have been scarce to date. In this study, 150 inpatients were recruited and cros...

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Autores: Blanco Presas, Laura|||0000-0001-6272-4416, Sió, Albert, Hogg, Bridget|||0000-0002-2405-0593, Esteve-Puig, R.|||0000-0003-0547-1752, Radua, Joaquim|||0000-0003-1240-5438, Solanes, Aleix|||0000-0002-2491-200X, Gardoki-Souto, Itxaso|||0000-0002-0775-1275, Sauras, Rosa, Farré Martínez, Adriana|||0000-0001-5399-9389, Castillo, Claudio, Valiente Gomez, Alicia|||0000-0003-0220-2397, Pérez Solà, Víctor|||0000-0002-5825-2337, Torrens, Marta, Amann, Benedikt L.|||0000-0002-4407-1519, Moreno Alcázar, Ana|||0000-0002-3392-5590
Tipo de documento: artigo
Data de publicação:2020
País:España
Recursos:Universitat Autònoma de Barcelona
Repositório:Dipòsit Digital de Documents de la UAB
Idioma:inglês
OAI Identifier:oai:ddd.uab.cat:233337
Acesso em linha:https://ddd.uab.cat/record/233337
https://dx.doi.org/urn:doi:10.3390/jcm9082553
Access Level:Acceso aberto
Palavra-chave:Psychological trauma
Posttraumatic stress disorder
Substance use disorders
Dual diagnosis
Prevalence
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spelling Traumatic events in dual disordersprevalence and clinical characteristicsBlanco Presas, Laura|||0000-0001-6272-4416Sió, AlbertHogg, Bridget|||0000-0002-2405-0593Esteve-Puig, R.|||0000-0003-0547-1752Radua, Joaquim|||0000-0003-1240-5438Solanes, Aleix|||0000-0002-2491-200XGardoki-Souto, Itxaso|||0000-0002-0775-1275Sauras, RosaFarré Martínez, Adriana|||0000-0001-5399-9389Castillo, ClaudioValiente Gomez, Alicia|||0000-0003-0220-2397Pérez Solà, Víctor|||0000-0002-5825-2337Torrens, MartaAmann, Benedikt L.|||0000-0002-4407-1519Moreno Alcázar, Ana|||0000-0002-3392-5590Psychological traumaPosttraumatic stress disorderSubstance use disordersDual diagnosisPrevalencePsychological trauma has been identified in substance use disorders (SUD) as a major etiological risk factor. However, detailed and systematic data about the prevalence and types of psychological trauma in dual disorders have been scarce to date. In this study, 150 inpatients were recruited and cross-sectionally screened on their substance use severity, psychological trauma symptoms, comorbidities, and clinical severity. One hundred patients fulfilled criteria for a dual disorder, while 50 patients were diagnosed with only SUD. Ninety-four percent of the whole sample suffered from at least one lifetime traumatic event. The prevalence rates of Posttraumatic Stress Disorder diagnosis for dual disorder and only SUD was around 20% in both groups; however, patients with dual disorder presented more adverse events, more childhood trauma, more dissociative symptoms, and a more severe clinical profile than patients with only SUD. Childhood maltreatment can also serve as a predictor for developing a dual disorder diagnosis and as a risk factor for developing a more complex and severe clinical profile. These data challenge our current clinical practice in the treatment of patients suffering from dual disorder or only SUD diagnosis and favor the incorporation of an additional trauma-focused therapy in this population. This may improve the prognosis and the course of the illness in these patients.Universitat Autònoma de Barcelona. Departament de Psiquiatria i de Medicina Legal 22020-01-0120202020-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/233337https://dx.doi.org/urn:doi:10.3390/jcm9082553reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengAgència de Gestió d'Ajuts Universitaris i de Recerca https://doi.org/10.13039/501100003030 SLT006-17-00038open accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2333372026-06-06T12:50:31Z
dc.title.none.fl_str_mv Traumatic events in dual disorders
prevalence and clinical characteristics
title Traumatic events in dual disorders
spellingShingle Traumatic events in dual disorders
Blanco Presas, Laura|||0000-0001-6272-4416
Psychological trauma
Posttraumatic stress disorder
Substance use disorders
Dual diagnosis
Prevalence
title_short Traumatic events in dual disorders
title_full Traumatic events in dual disorders
title_fullStr Traumatic events in dual disorders
title_full_unstemmed Traumatic events in dual disorders
title_sort Traumatic events in dual disorders
dc.creator.none.fl_str_mv Blanco Presas, Laura|||0000-0001-6272-4416
Sió, Albert
Hogg, Bridget|||0000-0002-2405-0593
Esteve-Puig, R.|||0000-0003-0547-1752
Radua, Joaquim|||0000-0003-1240-5438
Solanes, Aleix|||0000-0002-2491-200X
Gardoki-Souto, Itxaso|||0000-0002-0775-1275
Sauras, Rosa
Farré Martínez, Adriana|||0000-0001-5399-9389
Castillo, Claudio
Valiente Gomez, Alicia|||0000-0003-0220-2397
Pérez Solà, Víctor|||0000-0002-5825-2337
Torrens, Marta
Amann, Benedikt L.|||0000-0002-4407-1519
Moreno Alcázar, Ana|||0000-0002-3392-5590
author Blanco Presas, Laura|||0000-0001-6272-4416
author_facet Blanco Presas, Laura|||0000-0001-6272-4416
Sió, Albert
Hogg, Bridget|||0000-0002-2405-0593
Esteve-Puig, R.|||0000-0003-0547-1752
Radua, Joaquim|||0000-0003-1240-5438
Solanes, Aleix|||0000-0002-2491-200X
Gardoki-Souto, Itxaso|||0000-0002-0775-1275
Sauras, Rosa
Farré Martínez, Adriana|||0000-0001-5399-9389
Castillo, Claudio
Valiente Gomez, Alicia|||0000-0003-0220-2397
Pérez Solà, Víctor|||0000-0002-5825-2337
Torrens, Marta
Amann, Benedikt L.|||0000-0002-4407-1519
Moreno Alcázar, Ana|||0000-0002-3392-5590
author_role author
author2 Sió, Albert
Hogg, Bridget|||0000-0002-2405-0593
Esteve-Puig, R.|||0000-0003-0547-1752
Radua, Joaquim|||0000-0003-1240-5438
Solanes, Aleix|||0000-0002-2491-200X
Gardoki-Souto, Itxaso|||0000-0002-0775-1275
Sauras, Rosa
Farré Martínez, Adriana|||0000-0001-5399-9389
Castillo, Claudio
Valiente Gomez, Alicia|||0000-0003-0220-2397
Pérez Solà, Víctor|||0000-0002-5825-2337
Torrens, Marta
Amann, Benedikt L.|||0000-0002-4407-1519
Moreno Alcázar, Ana|||0000-0002-3392-5590
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona. Departament de Psiquiatria i de Medicina Legal
dc.subject.none.fl_str_mv Psychological trauma
Posttraumatic stress disorder
Substance use disorders
Dual diagnosis
Prevalence
topic Psychological trauma
Posttraumatic stress disorder
Substance use disorders
Dual diagnosis
Prevalence
description Psychological trauma has been identified in substance use disorders (SUD) as a major etiological risk factor. However, detailed and systematic data about the prevalence and types of psychological trauma in dual disorders have been scarce to date. In this study, 150 inpatients were recruited and cross-sectionally screened on their substance use severity, psychological trauma symptoms, comorbidities, and clinical severity. One hundred patients fulfilled criteria for a dual disorder, while 50 patients were diagnosed with only SUD. Ninety-four percent of the whole sample suffered from at least one lifetime traumatic event. The prevalence rates of Posttraumatic Stress Disorder diagnosis for dual disorder and only SUD was around 20% in both groups; however, patients with dual disorder presented more adverse events, more childhood trauma, more dissociative symptoms, and a more severe clinical profile than patients with only SUD. Childhood maltreatment can also serve as a predictor for developing a dual disorder diagnosis and as a risk factor for developing a more complex and severe clinical profile. These data challenge our current clinical practice in the treatment of patients suffering from dual disorder or only SUD diagnosis and favor the incorporation of an additional trauma-focused therapy in this population. This may improve the prognosis and the course of the illness in these patients.
publishDate 2020
dc.date.none.fl_str_mv 2
2020-01-01
2020
2020-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/233337
https://dx.doi.org/urn:doi:10.3390/jcm9082553
url https://ddd.uab.cat/record/233337
https://dx.doi.org/urn:doi:10.3390/jcm9082553
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv Agència de Gestió d'Ajuts Universitaris i de Recerca https://doi.org/10.13039/501100003030 SLT006-17-00038
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
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