Post traumatic stress and addiction
DOI:
https://doi.org/10.20882/adicciones.477Keywords:
post-traumatic stress disorder, abuse / dependence, drugs, treatmentAbstract
The scientific literature includes the prevalence of posttraumatic stress disorder associated with drug use. Both overlap each other, making a therapeutic approach difficult. The diagnosis of both, their coexistence and their evolutionary course, is seen to be implicated in the result of therapeutic action. Therefore, it is essential to discard it when diagnosing any addictive disorder of a poor evolution. We are presenting ten cases in which we found clinical comorbidity from drug abuse/dependence disorder or post-traumatic stress, pointing out the importance of the dual diagnoses in order to carry out a complete treatment and thus improve the prognosis for both processes.References
(1) Organización Mundial de la Salud. The ICD-10 Classification of Mental and Behavioural Disorders: Clinical descriptions and diagnostic guidelines. Meditor, 1992, pp. 185-186.
(2) American Psychiatric Association. Manual Diagnostic and Stadistical of Mental Disorders DSM-IV, Masson, 1994. Versión española de la cuarta edición en lengua inglesa, pp. 434-440.
(3) Jabobsen LK, Southwick SM, Costeen TR.: Substance
use dosorder in patients with posttraumatic stress disorder: a revive of the literature. Am J Psychiatry 2001 Aug: 158 (8): 1184-90.
(4) Najavits LM.: Clinicians’ views on treating posttraumatic stress disorder an substance use disorder. J Subst Abuse Treat 2002 Mar, 22 (2): 79-85.
(5) Vlahov, D.; Galea, S.; Resnick, H.; Ahern, J.; Boscarino, J.A.; Bucuvalas, M.; Gold, J.; Kilpatrick, D.: Increased use of cigarettes, alcohol, and marijuana among Manhattan, New York, residents after the September 11 th terrorist attacks. Am J Epidemiol 2002 Jun 1;
(11): 988-96.
(6) Coffey SF, Saladin ME, Drobes DJ, Brady KT, Dansky BS, Kilpatrick DG. Trauma and substance cue reactivity in individuals with comorbil posttraumatic stress disorder and cocaine or alcohol dependence. Drug Alcohol Depend.
