Document Detail


Post-traumatic stress disorder among people with heroin dependence in the Australian treatment outcome study (ATOS): prevalence and correlates.
MedLine Citation:
PMID:  15734224     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study documents the prevalence and correlates of post-traumatic stress disorder (PTSD) among Australian individuals with heroin dependence. Data was obtained from a cohort of 615 people dependent on heroin, 535 entering treatment for their heroin dependence and 80 individuals not in treatment. Trauma exposure (92%) and lifetime PTSD (41%) were highly prevalent. PTSD was prevalent across all treatment modalities, most commonly residential rehabilitation (52%) followed by maintenance therapies (42%), and detoxification (37%). The lowest prevalence was reported among those not in treatment (30%). Although men and women were equally likely to have experienced trauma (93% vs. 89%), women were more likely to develop lifetime PTSD (61% vs. 37%). For the large majority of those with PTSD, the condition was chronic (84%), with symptoms continuing for an average of 9.5 years. Those with PTSD had more extensive polydrug use histories, poorer general physical and mental health, and more extensive health service utilisation. It is concluded that PTSD is highly prevalent among individuals with heroin dependence, presenting a significant challenge to treatment providers.
Authors:
Katherine L Mills; Michael Lynskey; Maree Teesson; Joanne Ross; Shane Darke
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Drug and alcohol dependence     Volume:  77     ISSN:  0376-8716     ISO Abbreviation:  Drug Alcohol Depend     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-02-28     Completed Date:  2005-08-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7513587     Medline TA:  Drug Alcohol Depend     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  243-9     Citation Subset:  IM    
Affiliation:
National Drug and Alcohol Research Centre, University of New South Wales, NSW 2052, Australia. k.mills@unsw.edu.au
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Ambulatory Care / utilization
Antisocial Personality Disorder / epidemiology,  rehabilitation
Chronic Disease
Cohort Studies
Comorbidity
Crime / statistics & numerical data
Cross-Sectional Studies
Depressive Disorder, Major / epidemiology,  rehabilitation
Female
Health Status Indicators
Heroin Dependence / epidemiology*,  rehabilitation*
Humans
Interview, Psychological
Male
Middle Aged
Needle Sharing / statistics & numerical data
New South Wales
Rehabilitation Centers / utilization
Stress Disorders, Post-Traumatic / epidemiology*,  rehabilitation*
Treatment Outcome
Utilization Review / statistics & numerical data

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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