Severity of PTSD Symptoms and Its Relationship with Severity of Alcohol-Related Problems in a Sample of Inpatients with Alcohol use Disorder

C. Evren, G. Umut, B. Evren
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Abstract

Objective: The aim of the present study was to evaluate the effect of post-traumatic stress disorder (PTSD) symptoms measured with the PTSD Checklist Civilian (PCL-C) version on the severity of alcohol-related problems while controlling for the effects of anxiety and depression in a sample of inpatients with alcohol use disorder (AUD). Method: Participants (n=190) were evaluated with the Beck Depression Inventory (BDI), the State-Trait Anxiety Inventory State Subscale (STAI-S), the PTSD Checklist Civilian (PCL-C) Version and the Michigan Alcohol Screening Test (MAST). Results: Although severity of the state of anxiety predicted the severity of alcohol-related problems in the first and depression in the second step of a linear regression model, when severity of PTSD symptoms was included in the analysis, it was the only independent variable that predicted the severity of alcohol-related problems while the state of anxiety and depression were no longer predictors. Conclusion: These findings suggest that the severity of PTSD symptoms is related to the severity of alcohol-related problems, independent from severity of state anxiety and depression among inpatients with AUD.
住院酒精使用障碍患者PTSD症状严重程度及其与酒精相关问题严重程度的关系
目的:本研究的目的是评估创伤后应激障碍(PTSD)症状在控制焦虑和抑郁对酒精使用障碍(AUD)住院患者酒精相关问题严重程度的影响,并采用创伤后应激障碍平民版(PCL-C)量表进行测量。方法:采用贝克抑郁量表(BDI)、状态-特质焦虑量表(STAI-S)、创伤后应激障碍平民量表(PCL-C)和密歇根酒精筛查试验(MAST)对190名被试进行评估。结果:虽然焦虑状态的严重程度在线性回归模型的第一步预测酒精相关问题的严重程度,在第二步预测抑郁的严重程度,但当PTSD症状的严重程度被纳入分析时,它是预测酒精相关问题严重程度的唯一自变量,而焦虑和抑郁状态不再是预测因素。结论:这些发现提示住院AUD患者PTSD症状的严重程度与酒精相关问题的严重程度相关,独立于状态焦虑和抑郁的严重程度。
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