Two-year posttreatment functioning and coping of substance abuse patients with posttraumatic stress disorder

Author(s): Finney, J. W., Moos, R. H.

Journal/Book: Psychol Addict Behav. 1999; 13: 750 First St, NE, Washington, DC 20002-4242, USA. Educational Publishing Foundation. 105-114.

Abstract: The 2-year posttreatment course of substance abuse patients with posttraumatic stress disorder (PTSD) was examined in a multisite evaluation of Veterans Affairs substance abuse treatment. Substance abuse patients with PTSD (SUD-PTSD) were compared with patients with only substance use disorder (SUD only) and patients with other comorbid psychiatric diagnoses (SUD-PSY) on outcomes during the 2 years after treatment. SUD-PTSD patients had a poorer long-term course on substance use, psychological symptom, and psychosocial outcomes than SUD-only and SUD-PSY patients. Coping methods were examined as mediators of the effect of PTSD on substance use outcomes. Greater use of avoidance coping styles and less use of approach coping at 1 year partially accounted for the association of PTSD with 2-year substance use. Treatments that address multiple domains of functioning and focus on alternative coping strategies are recommended for this population.

Note: Article Ouimette PC, Vet Affairs Palo Alto Hlth Care Syst, Program Evaluat & Resource Ctr, Menlo Pk Div 152, 795 Willow Rd, Menlo Park,CA 94025 USA

Keyword(s): QUALITY-OF-LIFE; OUTCOMES; APPRAISAL; WOMEN; PTSD

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