Traumatic Events in Dual Disorders: Prevalence and Clinical Characteristics
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...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-08-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/9/8/2553 |
| _version_ | 1797559936450822144 |
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| author | Laura Blanco Albert Sió Bridget Hogg Ricard Esteve Joaquim Radua Aleix Solanes Itxaso Gardoki-Souto Rosa Sauras Adriana Farré Claudio Castillo Alicia Valiente-Gómez Víctor Pérez Marta Torrens Benedikt L. Amann Ana Moreno-Alcázar |
| author_facet | Laura Blanco Albert Sió Bridget Hogg Ricard Esteve Joaquim Radua Aleix Solanes Itxaso Gardoki-Souto Rosa Sauras Adriana Farré Claudio Castillo Alicia Valiente-Gómez Víctor Pérez Marta Torrens Benedikt L. Amann Ana Moreno-Alcázar |
| author_sort | Laura Blanco |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-10T17:52:17Z |
| format | Article |
| id | doaj.art-dd1c7a3007d34cca8cd54b775de108c5 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T17:52:17Z |
| publishDate | 2020-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-dd1c7a3007d34cca8cd54b775de108c52023-11-20T09:20:02ZengMDPI AGJournal of Clinical Medicine2077-03832020-08-0198255310.3390/jcm9082553Traumatic Events in Dual Disorders: Prevalence and Clinical CharacteristicsLaura Blanco0Albert Sió1Bridget Hogg2Ricard Esteve3Joaquim Radua4Aleix Solanes5Itxaso Gardoki-Souto6Rosa Sauras7Adriana Farré8Claudio Castillo9Alicia Valiente-Gómez10Víctor Pérez11Marta Torrens12Benedikt L. Amann13Ana Moreno-Alcázar14Benito Menni Complex Assistencial en Salut Mental, Sant Boi de Llobregat, 08830 Barcelona, SpainBenito Menni Complex Assistencial en Salut Mental, Sant Boi de Llobregat, 08830 Barcelona, SpainCentre Fòrum Research Unit, Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, 08019 Barcelona, SpainInstitut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, 08003 Barcelona, SpainImaging of Mood and Anxiety-Related Disorders (IMARD) group, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), 08036 Barcelona, SpainImaging of Mood and Anxiety-Related Disorders (IMARD) group, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), 08036 Barcelona, SpainCentre Fòrum Research Unit, Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, 08019 Barcelona, SpainInstitut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, 08003 Barcelona, SpainInstitut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, 08003 Barcelona, SpainInstitut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, 08003 Barcelona, SpainCentre Fòrum Research Unit, Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, 08019 Barcelona, SpainHospital del Mar Medical Research Institute (IMIM), 08003 Barcelona, SpainHospital del Mar Medical Research Institute (IMIM), 08003 Barcelona, SpainCentre Fòrum Research Unit, Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, 08019 Barcelona, SpainCentre Fòrum Research Unit, Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, 08019 Barcelona, SpainPsychological 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.https://www.mdpi.com/2077-0383/9/8/2553psychological traumaposttraumatic stress disordersubstance use disordersdual diagnosisprevalence |
| spellingShingle | Laura Blanco Albert Sió Bridget Hogg Ricard Esteve Joaquim Radua Aleix Solanes Itxaso Gardoki-Souto Rosa Sauras Adriana Farré Claudio Castillo Alicia Valiente-Gómez Víctor Pérez Marta Torrens Benedikt L. Amann Ana Moreno-Alcázar Traumatic Events in Dual Disorders: Prevalence and Clinical Characteristics Journal of Clinical Medicine psychological trauma posttraumatic stress disorder substance use disorders dual diagnosis prevalence |
| title | Traumatic Events in Dual Disorders: Prevalence and Clinical Characteristics |
| title_full | Traumatic Events in Dual Disorders: Prevalence and Clinical Characteristics |
| title_fullStr | Traumatic Events in Dual Disorders: Prevalence and Clinical Characteristics |
| title_full_unstemmed | Traumatic Events in Dual Disorders: Prevalence and Clinical Characteristics |
| title_short | Traumatic Events in Dual Disorders: Prevalence and Clinical Characteristics |
| title_sort | traumatic events in dual disorders prevalence and clinical characteristics |
| topic | psychological trauma posttraumatic stress disorder substance use disorders dual diagnosis prevalence |
| url | https://www.mdpi.com/2077-0383/9/8/2553 |
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