Alkol ve Madde Ba¤›ml›lar›nda Travma Sonras› Stres Bozukluunun Sosyodemografik ve Klinik Özellikler ile ‹liflkisi

Posttraumatic stress disorder among substance dependents and its relationship with sociodemographicand clinical characteristics Objective: Aim of this study was to evaluate the prevalence of posttraumatic stress disorder (PTSD) in substance dependents and its relationship with sociodemographic characteristics, depression, severity of anxiety, personality disorders and childhood abuse history. Method: The study was conducted between April 2002 and March 2003 in Bakirkoy State Hospital for Mental Health and Neurological Disorders, AMATEM (Alcohol and Drug Research, Treatment and Training Center) in Istanbul. One hundred thirty two inpatients that met DSM-IV diagnostic criteria for substance (alcohol or drug) dependence were included in the study. Semi-structured socio-demographic form, depression and PTSD modules of Structured Clinical Interview for DSM-IV (SCID-I), SCID-II, Childhood Abuse and Neglect Questionnaire Form, Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) were administered. Results: The lifetime prevalence of PTSD in this group of substance dependents was 31%. The duration of total education and the frequency of patients with higher education, status, were lower whereas frequencies of lifetime prevalence of major depression, personality disorder, personality traits, childhood physical and sexual abuse history and suicide attempt history were higher among patients with lifetime PTSD than patients without lifetime PTSD. The mean scores of depression and anxiety inventories were also significantly higher in this group of patients. Conclusion: Consistent with previous studies, high prevalence of lifetime rates of PTSD found in this study suggests the importance of taking PTSD into consideration while planning treatment for substance dependency. The results of this study also support the previous findings of close association between comorbidity of lifetime PTSD in substance dependents might be related with childhood abuse history, personality disorders and personality traits. The comorbidity of lifetime PTSD independently seems to elevate the risk of lifetime major depression and suicide attempt in this population.