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Treatment challenges associated with comorbid substance use and posttraumatic stress disorder: clinicians' perspectives.
Back, Sudie E; Waldrop, Angela E; Brady, Kathleen T.
Afiliación
  • Back SE; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina 29425, USA. backs@musc.edu
Am J Addict ; 18(1): 15-20, 2009.
Article en En | MEDLINE | ID: mdl-19219661
A significant proportion of individuals with substance use disorders (SUDs) meet criteria for comorbid posttraumatic stress disorder (PTSD). This comorbidity confers a more complicated clinical presentation that carries with it formidable treatment challenges for practitioners. The current study examined sources of difficulty and gratification among clinicians (N = 423) from four national organizations who completed an anonymous questionnaire. As expected, the findings revealed that comorbid SUD/PTSD was rated as significantly more difficult to treat than either disorder alone. The most common challenges associated with treating SUD/PTSD patients included knowing how to best prioritize and integrate treatment components, patient self-destructiveness and severe symptomatology, and helping patients abstain from substance use. The findings increase understanding of SUD/PTSD treatment challenges, and may be useful for enhancing therapist training programs, supervision effectiveness, and designing optimal SUD/PTSD interventions.
Asunto(s)

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Trastornos por Estrés Postraumático / Actitud del Personal de Salud / Personal de Salud / Diagnóstico Dual (Psiquiatría) / Trastornos Relacionados con Sustancias / Atención al Paciente Tipo de estudio: Diagnostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Am J Addict Asunto de la revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2009 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Trastornos por Estrés Postraumático / Actitud del Personal de Salud / Personal de Salud / Diagnóstico Dual (Psiquiatría) / Trastornos Relacionados con Sustancias / Atención al Paciente Tipo de estudio: Diagnostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Am J Addict Asunto de la revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2009 Tipo del documento: Article País de afiliación: Estados Unidos