Psychiatric Outcomes and Treatment Utilization Among Post-9/11 Veterans with PTSD: The Impact of Current and Remitted Substance Use Disorders.

IF 1.5 4区医学 Q3 PSYCHIATRY

Journal of Dual Diagnosis Pub Date : 2026-07-01 Epub Date: 2026-06-11 DOI:10.1080/15504263.2026.2676697

Samantha J Meckes, Jeremy Grove, Jaclyn C Kearns, Jonathan W Miao, Zoe Bridges-Curry, Jack D Wiese, Nathan A Kimbrel, Patrick S Calhoun

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引用次数: 0

Abstract

Objective: U.S. veterans experience comorbid posttraumatic stress disorder and substance use disorders (PTSD-SUD) at high rates, resulting in poorer psychosocial outcomes when compared to the effects of either condition alone. However, it is unclear how veterans with PTSD and a current or remitted SUD compare to those with PTSD alone. Methods: This study compared post-9/11 era veterans with PTSD only, PTSD + current SUD, and PTSD + remitted SUD on psychological outcomes and treatment history. Results: Veterans with PTSD + current SUD reported greater suicidality, PTSD symptom severity, and psychiatric distress, compared to those with PTSD only and PTSD + remitted SUD. Veterans with PTSD only and PTSD + remitted SUD reported comparable symptom levels. Conclusions: Findings highlight that the combination of PTSD and a current SUD is a potential risk factor for suicidality. Enhancing the effectiveness of and access to PTSD-SUD interventions may be an important pathway to suicide risk reduction.

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9/11后创伤后应激障碍退伍军人的精神结局和治疗利用：当前和缓解的物质使用障碍的影响

目的：美国退伍军人经历创伤后应激障碍和物质使用障碍（PTSD-SUD）合并症的比例很高，与单独的任何一种情况相比，导致更差的社会心理结果。然而，目前尚不清楚患有PTSD和当前或缓解的SUD的退伍军人与单独患有PTSD的退伍军人相比如何。方法：本研究比较了9.11后退伍军人仅患有PTSD、PTSD +当前SUD和PTSD +缓解性SUD的心理结局和治疗史。结果：与仅有PTSD和PTSD +缓解性SUD的退伍军人相比，PTSD +当前SUD的退伍军人报告了更高的自杀率、PTSD症状严重程度和精神痛苦。仅患有PTSD和PTSD +缓解SUD的退伍军人报告的症状水平相当。结论：研究结果强调PTSD和当前SUD的合并是自杀的潜在危险因素。提高PTSD-SUD干预措施的有效性和可及性可能是降低自杀风险的重要途径。

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来源期刊

Journal of Dual Diagnosis Multiple-

CiteScore

4.90

自引率

13.60%

发文量

期刊介绍： Journal of Dual Diagnosis is a quarterly, international publication that focuses on the full spectrum of complexities regarding dual diagnosis. The co-occurrence of mental health and substance use disorders, or “dual diagnosis,” is one of the quintessential issues in behavioral health. Why do such high rates of co-occurrence exist? What does it tell us about risk profiles? How do these linked disorders affect people, their families, and the communities in which they live? What are the natural paths to recovery? What specific treatments are most helpful and how can new ones be developed? How can we enhance the implementation of evidence-based practices at clinical, administrative, and policy levels? How can we help clients to learn active recovery skills and adopt needed supports, clinicians to master new interventions, programs to implement effective services, and communities to foster healthy adjustment? The Journal addresses each of these perplexing challenges.