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Gielen N, Havermans RC, Tekelenburg M, et al. Prevalence of post-traumatic stress disorder among patients with substance use disorder: it is higher than clinicians think it is. Eur J Psychotraumatol. 2012;3doi: 10.3402/ejpt.v3i0.17734.
Gielen, N., Havermans, R. C., Tekelenburg, M., & Jansen, A. (2012). Prevalence of post-traumatic stress disorder among patients with substance use disorder: it is higher than clinicians think it is. European journal of psychotraumatology, 3. https://doi.org/10.3402/ejpt.v3i0.17734
Gielen, Nele, et al. "Prevalence of post-traumatic stress disorder among patients with substance use disorder: it is higher than clinicians think it is." European journal of psychotraumatology vol. 3 (2012). doi: https://doi.org/10.3402/ejpt.v3i0.17734
Gielen N, Havermans RC, Tekelenburg M, Jansen A. Prevalence of post-traumatic stress disorder among patients with substance use disorder: it is higher than clinicians think it is. Eur J Psychotraumatol. 2012;3. doi: 10.3402/ejpt.v3i0.17734. Epub 2012 Aug 08. PMID: 22893849; PMCID: PMC3415609.
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Eur J Psychotraumatol. 2012;3. doi: 10.3402/ejpt.v3i0.17734. Epub 2012 Aug 08.

Prevalence of post-traumatic stress disorder among patients with substance use disorder: it is higher than clinicians think it is.

European journal of psychotraumatology

Nele Gielen, Remco C Havermans, Mignon Tekelenburg, Anita Jansen

Affiliations

  1. Mondriaan, Heerlen, The Netherlands.

PMID: 22893849 PMCID: PMC3415609 DOI: 10.3402/ejpt.v3i0.17734

Abstract

OBJECTIVES: This study had three objectives. Firstly, the prevalence of post-traumatic stress disorder (PTSD) and trauma exposure was compared between individuals with and without substance use disorder (SUD). Secondly, we compared self-rating of PTSD and clinical judgement. Thirdly, an analysis of the characteristics of SUD/PTSD patients was performed.

METHODS: The sample consisted of 423 patients with SUD and 206 healthy controls. All individuals were screened on PTSD using the self-rating inventory for PTSD.

RESULTS: Significantly higher numbers of PTSD and trauma exposure were found in the SUD group (resp. 36.6 and 97.4%). PTSD went frequently unnoticed when relying on clinical judgement alone. Patients with SUD/PTSD were significantly more often unemployed and had a lower educational level. Axis I comorbidity and especially depressive disorders were more common in the SUD/PTSD group.

CONCLUSION: It is concluded that patients with SUD/PTSD are a substantial and vulnerable subgroup in addiction treatment facilities and that a systematic screening for PTSD is required.

Keywords: clinical judgment; post-traumatic stress disorder; prevalence; substance use disorder; trauma exposure

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