Lamya Khoury|Yi?Lang Tang|Bekh Bradley|Joe Cubells|Kerry J. Ressler
Substance use, childhood traumatic experience, and Posttraumatic Stress Disorder in an urban civilian population
Emory University|Emory University|Emory University|Atlanta VA Medical Center|Emory University|Emory University|Howard Hughes Medical Institute
objective exposure traumatic experiences especially occurring childhood linked substance use disorders suds including abuse dependence suds also highly comorbid posttraumatic stress disorder ptsd moodrelated psychopathology studies examining relationship ptsd suds examined veteran populations patients substance treatment programs present study examines relationship childhood trauma substance use ptsd sample urban primary care patients method 587 participants included study recruited medical obgyn clinic waiting rooms grady memorial hospital atlanta ga data collected screening interviews well followup interviews results highly traumatized population high rates lifetime dependence various substances found 39 alcohol 341 cocaine 62 heroinopiates 448 marijuana level substance use particularly cocaine strongly correlated levels childhood physical sexual emotional abuse well current ptsd symptoms particular significant additive effect number types childhood trauma experienced history cocaine dependence predicting current ptsd symptoms effect independent exposure adult trauma conclusions data show strong links childhood traumatization suds joint associations ptsd outcome suggest enhanced awareness ptsd substance abuse comorbidity highrisk impoverished populations critical understanding mechanisms substance addiction well improving prevention treatment depression anxiety 2010 2010 wileyliss inc