Clinical and psychosocial characteristics of substance-dependent pregnant women with and without PTSD

The present study compared psychiatric and psychosocial functioning in 123 pregnant opiate- and/or cocaine-dependent women with and without a comorbid diagnosis of posttraumatic stress disorder (PTSD). Participants were enrolled in a comprehensive perinatal drug treatment program and completed asses...

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Bibliographic Details
Published in:	Addictive behaviors Vol. 26; no. 3; pp. 469 - 474
Main Authors:	Moylan, Paula L, Jones, Hendree E, Haug, Nancy A, Kissin, Wendy B, Svikis, Dace S
Format:	Journal Article
Language:	English
Published:	Oxford Elsevier Ltd 01-05-2001 New York, NY Elsevier Elsevier Science Ltd
Subjects:	Abuse Addictions Addictive behaviors Adult Adult and adolescent clinical studies Baltimore Biological and medical sciences Cocaine-Related Disorders - psychology Comorbidity Delivery. Postpartum. Lactation Drug abuse Drug addiction Drug dependence Female Gynecology. Andrology. Obstetrics Humans Medical sciences Obstetrical techniques Opioid-Related Disorders - psychology Post traumatic stress disorder Pregnancy Psychology Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry PTSD Stress Disorders, Post-Traumatic - physiopathology Stress Disorders, Post-Traumatic - psychology Substance Abuse Treatment Centers Substance-Related Disorders - physiopathology Substance-Related Disorders - psychology Women United States North America America Baltimore Pregnancy PTSD Women Drug addiction Drug dependence Abuse Performance evaluation Posttraumatic syndrome Prevalence Anxiety disorder Opiates Epidemiology Prenatal Ester Dependence Adult Female Drug of abuse Therapeutic schedule Public health Human Statistical analysis Treatment efficiency Logistic regression Concomitant disease Sociodemographic factor Mental disorder Cocaine Predictive factor Comparative study
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Summary:	The present study compared psychiatric and psychosocial functioning in 123 pregnant opiate- and/or cocaine-dependent women with and without a comorbid diagnosis of posttraumatic stress disorder (PTSD). Participants were enrolled in a comprehensive perinatal drug treatment program and completed assessments upon admission. Lifetime diagnostic prevalence of PTSD [Structured Clinical Interview for DSM-IV Disorders (SCID) confirmed] among the sample was 19%. Participants with PTSD ( n=24) reported greater need for psychiatric treatment, were more likely to report a previous suicide attempt, and had more previous drug treatments than participants without PTSD ( n=99). Women with PTSD were twice as likely to have lifetime Axis I and Axis II disorders and had higher rates of abuse than women without PTSD. Lifetime sexual abuse and ASI family/social composite scores were significant predictors of PTSD. Findings suggest that pregnant drug-dependent women with comorbid PTSD may benefit from specialized treatment services for trauma and/or abuse issues.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23
ISSN:	0306-4603 1873-6327
DOI:	10.1016/S0306-4603(00)00141-6