Substance use and misuse in burn patients: Testing the classical hypotheses of the interaction between post-traumatic symptomatology and substance use

The authors aimed to test whether the three classical hypotheses of the interaction between post-traumatic symptomatology and substance use (high risk of trauma exposure, susceptibility for post-traumatic symptomatology, and self-medication of symptoms), may be useful in the understanding of substan...

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Autores: Eiroá Orosa, Francisco José, Giannoni-Pastor, Anna, Fidel-Kinori, Sara Guila, Arguello, José María
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2016
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/108471
Acceso en línea:https://hdl.handle.net/2445/108471
Access Level:acceso abierto
Palabra clave:Cremades
Pacients
Drogues
Ús terapèutic
Burns and scalds
Patients
Drugs of abuse
Therapeutic use
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spelling Substance use and misuse in burn patients: Testing the classical hypotheses of the interaction between post-traumatic symptomatology and substance useEiroá Orosa, Francisco JoséGiannoni-Pastor, AnnaFidel-Kinori, Sara GuilaArguello, José MaríaCremadesPacientsDroguesÚs terapèuticBurns and scaldsPatientsDrugs of abuseTherapeutic useThe authors aimed to test whether the three classical hypotheses of the interaction between post-traumatic symptomatology and substance use (high risk of trauma exposure, susceptibility for post-traumatic symptomatology, and self-medication of symptoms), may be useful in the understanding of substance use among burn patients. Substance use data (nicotine, alcohol, cannabis, amphetamines, cocaine, opiates, and tranquilizers) and psychopathology measures among burn patients admitted to a burn unit and enrolled in a longitudinal observational study were analyzed. Lifetime substance use information (n = 246) was incorporated to analyses aiming to test the high risk hypothesis. Only patients assessed for psychopathology in a 6-month follow-up (n = 183) were included in prospective analyses testing the susceptibility and self-medication hypotheses. Regarding the high risk hypothesis, results show a higher proportion of heroin and tranquilizer users compared to the general population. Furthermore, in line with the susceptibility hypothesis, higher levels of symptomatology were found in lifetime alcohol, tobacco, and drug users during recovery. The self-medication hypothesis could be tested partially due to the hospital stay cleaning effect, but severity of symptoms was linked to the amount of caffeine, nicotine, alcohol, and cannabis use after discharge. It was found that the 3 classical hypotheses could be used to understand the link between traumatic experiences and substance use explaining different patterns of burn patient's risk for trauma exposure and emergence of symptomatology.Taylor and Francis2017201720162017info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersion32 p.application/pdfhttps://hdl.handle.net/2445/108471Articles publicats en revistes (Psicologia Clínica i Psicobiologia)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésVersió postprint del document publicat a: https://doi.org/10.1080/10550887.2015.1127717Journal of Addictive Diseases, 2016, vol. 35, num. 3, p. 194-204https://doi.org/10.1080/10550887.2015.1127717(c) Taylor and Francis, 2016info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1084712026-05-29T05:05:01Z
dc.title.none.fl_str_mv Substance use and misuse in burn patients: Testing the classical hypotheses of the interaction between post-traumatic symptomatology and substance use
title Substance use and misuse in burn patients: Testing the classical hypotheses of the interaction between post-traumatic symptomatology and substance use
spellingShingle Substance use and misuse in burn patients: Testing the classical hypotheses of the interaction between post-traumatic symptomatology and substance use
Eiroá Orosa, Francisco José
Cremades
Pacients
Drogues
Ús terapèutic
Burns and scalds
Patients
Drugs of abuse
Therapeutic use
title_short Substance use and misuse in burn patients: Testing the classical hypotheses of the interaction between post-traumatic symptomatology and substance use
title_full Substance use and misuse in burn patients: Testing the classical hypotheses of the interaction between post-traumatic symptomatology and substance use
title_fullStr Substance use and misuse in burn patients: Testing the classical hypotheses of the interaction between post-traumatic symptomatology and substance use
title_full_unstemmed Substance use and misuse in burn patients: Testing the classical hypotheses of the interaction between post-traumatic symptomatology and substance use
title_sort Substance use and misuse in burn patients: Testing the classical hypotheses of the interaction between post-traumatic symptomatology and substance use
dc.creator.none.fl_str_mv Eiroá Orosa, Francisco José
Giannoni-Pastor, Anna
Fidel-Kinori, Sara Guila
Arguello, José María
author Eiroá Orosa, Francisco José
author_facet Eiroá Orosa, Francisco José
Giannoni-Pastor, Anna
Fidel-Kinori, Sara Guila
Arguello, José María
author_role author
author2 Giannoni-Pastor, Anna
Fidel-Kinori, Sara Guila
Arguello, José María
author2_role author
author
author
dc.subject.none.fl_str_mv Cremades
Pacients
Drogues
Ús terapèutic
Burns and scalds
Patients
Drugs of abuse
Therapeutic use
topic Cremades
Pacients
Drogues
Ús terapèutic
Burns and scalds
Patients
Drugs of abuse
Therapeutic use
description The authors aimed to test whether the three classical hypotheses of the interaction between post-traumatic symptomatology and substance use (high risk of trauma exposure, susceptibility for post-traumatic symptomatology, and self-medication of symptoms), may be useful in the understanding of substance use among burn patients. Substance use data (nicotine, alcohol, cannabis, amphetamines, cocaine, opiates, and tranquilizers) and psychopathology measures among burn patients admitted to a burn unit and enrolled in a longitudinal observational study were analyzed. Lifetime substance use information (n = 246) was incorporated to analyses aiming to test the high risk hypothesis. Only patients assessed for psychopathology in a 6-month follow-up (n = 183) were included in prospective analyses testing the susceptibility and self-medication hypotheses. Regarding the high risk hypothesis, results show a higher proportion of heroin and tranquilizer users compared to the general population. Furthermore, in line with the susceptibility hypothesis, higher levels of symptomatology were found in lifetime alcohol, tobacco, and drug users during recovery. The self-medication hypothesis could be tested partially due to the hospital stay cleaning effect, but severity of symptoms was linked to the amount of caffeine, nicotine, alcohol, and cannabis use after discharge. It was found that the 3 classical hypotheses could be used to understand the link between traumatic experiences and substance use explaining different patterns of burn patient's risk for trauma exposure and emergence of symptomatology.
publishDate 2016
dc.date.none.fl_str_mv 2016
2017
2017
2017
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/108471
url https://hdl.handle.net/2445/108471
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Versió postprint del document publicat a: https://doi.org/10.1080/10550887.2015.1127717
Journal of Addictive Diseases, 2016, vol. 35, num. 3, p. 194-204
https://doi.org/10.1080/10550887.2015.1127717
dc.rights.none.fl_str_mv (c) Taylor and Francis, 2016
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) Taylor and Francis, 2016
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 32 p.
application/pdf
dc.publisher.none.fl_str_mv Taylor and Francis
publisher.none.fl_str_mv Taylor and Francis
dc.source.none.fl_str_mv Articles publicats en revistes (Psicologia Clínica i Psicobiologia)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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