Factors Associated with High-Risk Substance Use in Persons Receiving Psychiatric Treatment for a Primary Trauma- and Stressor-Related Disorder Diagnosis.

IF 1.5 4区医学 Q3 PSYCHIATRY Journal of Dual Diagnosis Pub Date : 2023-10-01 Epub Date: 2023-11-01 DOI:10.1080/15504263.2023.2260340

Orrin D Ware, Justin C Strickland, Kirsten E Smith, Shannon M Blakey, Kelly E Dunn

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Abstract

Objective: Although mental health disorders and high-risk substance use frequently co-occur, they are typically investigated independently. Clinical trials focused on treatment for individuals with trauma- and stressor-related disorders often exclude individuals with high-risk substance use. Little is also known about the role of gender in the relationship between trauma- and stressor-related disorders and high-risk substance use. We examined the relationship between trauma- and stressor-related disorders, high-risk substance use, and gender.

Methods: Using the Mental Health Client-Level Data dataset, we examined 15,772 adults receiving treatment in psychiatric hospitals in the United States from 2013 to 2019.

Results: A logistic regression model showed that for men, relative to women, having multiple mental health diagnoses and having a serious mental illness or serious emotional disturbance was associated with greater odds of high-risk substance use.

Conclusions: This study underscores the value of comprehensive gender-centered treatment for people with trauma- and stressor-related disorders engaging in high-risk substance use.

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因原发性创伤和应激障碍诊断而接受精神病治疗的人使用高风险药物的相关因素。

目的：尽管精神健康障碍和高风险药物使用经常同时发生，但它们通常是独立调查的。专注于治疗创伤和压力源相关疾病的临床试验通常排除使用高风险药物的患者。对于性别在创伤和压力源相关疾病与高风险药物使用之间的关系中的作用，我们也知之甚少。我们研究了创伤和压力源相关疾病、高风险药物使用和性别之间的关系。方法：使用心理健康客户级数据集，我们调查了2013年至2019年在美国精神病院接受治疗的15772名成年人。结果：逻辑回归模型显示，相对于女性，男性，有多种心理健康诊断，患有严重的心理疾病或严重的情绪障碍，与使用高风险药物的几率更大有关。结论：这项研究强调了以性别为中心的综合治疗对高危药物使用的创伤和压力源相关疾病患者的价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Dual Diagnosis Multiple-

CiteScore

4.90

自引率

13.60%

发文量

期刊介绍： Journal of Dual Diagnosis is a quarterly, international publication that focuses on the full spectrum of complexities regarding dual diagnosis. The co-occurrence of mental health and substance use disorders, or “dual diagnosis,” is one of the quintessential issues in behavioral health. Why do such high rates of co-occurrence exist? What does it tell us about risk profiles? How do these linked disorders affect people, their families, and the communities in which they live? What are the natural paths to recovery? What specific treatments are most helpful and how can new ones be developed? How can we enhance the implementation of evidence-based practices at clinical, administrative, and policy levels? How can we help clients to learn active recovery skills and adopt needed supports, clinicians to master new interventions, programs to implement effective services, and communities to foster healthy adjustment? The Journal addresses each of these perplexing challenges.