|
| | |
|
Am J Psychiatry 1997; 154:752-757
Copyright © 1997 by American Psychiatric Association
Prevalence and risk factors for posttraumatic stress disorder among chemically dependent adolescents
EY Deykin and SL Buka
Department of Psychiatry, Harvard Medical School, Boston, USA. Deykin.Eva_Y@Boston.VA.-Gov or Dandeykin@aol.com
OBJECTIVE: This study ascertained the prevalence of posttraumatic stress
disorder (PTSD) among chemically dependent adolescents and identified
factors that influence the risk of PTSD after a qualifying trauma. METHOD:
The study group consisted of 297 adolescents aged 15-19 years who met the
DSM-III-R criteria for dependence on alcohol or other drugs and who were
receiving treatment in seven publicly funded Massachusetts facilities. PTSD
and other axis I diagnoses were assessed by the Diagnostic Interview
Schedule. Data on risk factors were collected by a specially constructed
interview schedule. RESULTS: The lifetime prevalence of PTSD was 29.6%
(24.3% for males and 45.3% for females), and the current prevalence was
19.2% (12.2% for males and 40.0% for females). These prevalences reflect a
high occurrence of traumatic exposures and a high case rate among those who
experienced trauma. The risk of PTSD varied with the nature of the trauma,
the number of traumas experienced, psychiatric comorbidity, and familial
characteristics. The higher rate of PTSD among females was due to a greater
frequency of rape, which carries a high risk of PTSD development, and to a
high rate of comorbid conditions. CONCLUSIONS: The lifetime prevalence of
PTSD among these chemically dependent adolescents is five times that
reported for a community sample of adolescents. This extremely high rate
provides new understanding of the etiologic connection between PTSD and
chemical dependence and has implications for their treatment.
This article has been cited by other articles:
|
|
|
|
 
K. T. Mueser and J. Taub
Trauma and PTSD Among Adolescents With Severe Emotional Disorders Involved in Multiple Service Systems
Psychiatr Serv,
June 1, 2008;
59(6):
627 - 634.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. M. Abram, J. J. Washburn, L. A. Teplin, K. M. Emanuel, E. G. Romero, and G. M. McClelland
Posttraumatic Stress Disorder and Psychiatric Comorbidity Among Detained Youths
Psychiatr Serv,
October 1, 2007;
58(10):
1311 - 1316.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. Godeau, C. Vignes, F. Navarro, R. Iachan, J. Ross, C. Pasquier, and A. Guinard
Effects of a Large-Scale Industrial Disaster on Rates of Symptoms Consistent With Posttraumatic Stress Disorders Among Schoolchildren in Toulouse
Arch Pediatr Adolesc Med,
June 1, 2005;
159(6):
579 - 584.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. A. Dawes and B. A. Johnson
PHARMACOTHERAPEUTIC TRIALS IN ADOLESCENT ALCOHOL USE DISORDERS: OPPORTUNITIES AND CHALLENGES
Alcohol Alcohol.,
May 1, 2004;
39(3):
166 - 177.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. Walker, T. Logan, C. E. Jordan, and J. C. Campbell
An Integrative Review of Separation in the Context of Victimization: Consequences and Implications for Women
Trauma Violence Abuse,
April 1, 2004;
5(2):
143 - 193.
[Abstract]
[PDF]
|
|
|
|
|
|
|
S. Belenko, J. B. Sprott, and C. Petersen
Drug and Alcohol Involvement among Minority and Female Juvenile Offenders: Treatment and Policy Issues
Criminal Justice Policy Review,
March 1, 2004;
15(1):
3 - 36.
[Abstract]
[PDF]
|
|
|
|
|
|
|
K. M. Abram, L. A. Teplin, G. M. McClelland, and M. K. Dulcan
Comorbid Psychiatric Disorders in Youth in Juvenile Detention
Arch Gen Psychiatry,
November 1, 2003;
60(11):
1097 - 1108.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. Vermeiren, M. Schwab-Stone, D. Deboutte, P. E. Leckman, and V. Ruchkin
Violence Exposure and Substance Use in Adolescents: Findings From Three Countries
Pediatrics,
March 1, 2003;
111(3):
535 - 540.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. E. Grella and V. Joshi
Treatment Processes and Outcomes Among Adolescents With a History of Abuse Who Are in Drug Treatment
Child Maltreat,
February 1, 2003;
8(1):
7 - 18.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. C. Titus, M. L. Dennis, W. L. White, C. K. Scott, and R. R. Funk
Gender Differences in Victimization Severity and Outcomes Among Adolescents Treated for Substance Abuse
Child Maltreat,
February 1, 2003;
8(1):
19 - 35.
[Abstract]
[PDF]
|
|
|
|
|
|
|
R. R. Funk, M. Mcdermeit, S. H. Godley, and L. Adams
Maltreatment Issues by Level of Adolescent Substance Abuse Treatment: The Extent of the Problem at Intake and Relationship to Early Outcomes
Child Maltreat,
February 1, 2003;
8(1):
36 - 45.
[Abstract]
[PDF]
|
|
|
|
|
|
|
S. J. Stevens, B. S. Murphy, and K. Mcknight
Traumatic Stress and Gender Differences in Relationship to Substance Abuse, Mental Health, Physical Health, and HIV Risk Behavior in a Sample of Adolescents Enrolled in Drug Treatment
Child Maltreat,
February 1, 2003;
8(1):
46 - 57.
[Abstract]
[PDF]
|
|
|
|
|
|
|
L. K. Jacobsen, S. M. Southwick, and T. R. Kosten
Substance Use Disorders in Patients With Posttraumatic Stress Disorder: A Review of the Literature
Am J Psychiatry,
August 1, 2001;
158(8):
1184 - 1190.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
U. Schneider, A. Altmann, M. Baumann, J. Bernzen, B. Bertz, U. Bimber, T. Broese, A. Broocks, W. Burtscheidt, K. F. Cimander, et al.
Comorbid anxiety and affective disorder in alcohol-dependent patients seeking treatment: the first Multicentre Study in Germany
Alcohol Alcohol.,
May 1, 2001;
36(3):
219 - 223.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
H. E. Hutton, G. J. Treisman, W. R. Hunt, M. Fishman, N. Kendig, A. Swetz, and C. G. Lyketsos
HIV Risk Behaviors and Their Relationship to Posttraumatic Stress Disorder Among Women Prisoners
Psychiatr Serv,
April 1, 2001;
52(4):
508 - 513.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. R. Silva, M. Alpert, D. M. Munoz, S. Singh, F. Matzner, and S. Dummit
Stress and Vulnerability to Posttraumatic Stress Disorder in Children and Adolescents
Am J Psychiatry,
August 1, 2000;
157(8):
1229 - 1235.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
M. D. De Bellis, D. B. Clark, S. R. Beers, P. H. Soloff, A. M. Boring, J. Hall, A. Kersh, and M. S. Keshavan
Hippocampal Volume in Adolescent-Onset Alcohol Use Disorders
Am J Psychiatry,
May 1, 2000;
157(5):
737 - 744.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
PTSD in Substance-Abusing Adolescents
Journal Watch Psychiatry,
August 1, 1997;
1997(801):
7 - 7.
[Full Text]
|
|
|
|
|
|
|
Chemical Dependence? Check for PTSD!
Journal Watch Women's Health,
July 1, 1997;
1997(701):
18 - 18.
[Full Text]
|
|
|
Get information about faster international access.
Privacy Policy
Copyright © 1997
American Psychiatric Association.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|
