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The Link Between Substance Abuse and Posttraumatic Stress Disorder in Women: A Research Review 

Authors: Lisa M. Najavits a;  Roger D. Weiss b; Sarah R. Shaw c
Affiliations:   a Harvard Medical School, Boston, MA
b McLean Hospital, Behont, MA
c The May Institute, Norwood, MA
DOI: 10.3109/10550499709005058
Publication Frequency: 6 issues per year
Published in: journal American Journal on Addictions, Volume 6, Issue 4 Autumn 1997 , pages 273 - 283
Formats available: PDF (English)
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Abstract

Research has documented a high incidence of co morbid post-traumatic stress disorder (PTSD) and substance abuse. Women substance abusers, in particular; show high rates of this dual diagnosis (30% to 59%), most commonly deriving from a history of repetitive childhood physical and/or sexual assault. Rates for men are two to three times lower and typically stem from combat or crime trauma. Patients with both disorders are characterized by high severity on a multitude of psyche logical and treatment variables and use of the most severe drugs (cocaine and opioids). Treatment research on women is limited but suggests the possibility of retaining patients and achieving positive outcomes. (Am J Addict 1997; 6 273-283)
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