AIMS: To examine the impact of post-traumatic stress disorder (PTSD) on 2-year treatment outcomes for heroin dependence. DESIGN: Prospective longitudinal study. PARTICIPANTS: Data were obtained from a predominantly treatment seeking sample of 615 dependent heroin users who were followed-up at 3, 12 and 24 months (follow-up rates: 89%, 81% and 76%, respectively). MEASUREMENTS: Outcomes examined include treatment retention and exposure, substance use, general physical and mental health and employment. FINDINGS: Despite improvements in substance use, PTSD was associated with continued physical (beta - 1.69, SE 0.61, P < 0.01) and mental disability (beta - 2.07, SE 0.66, P < 0.01), and reduced occupational functioning (OR 0.67, 95% CI: 0.48-0.93) throughout the 2-year follow-up. CONCLUSIONS: Although conventional treatment services are successful in producing improvements in substance use and associated disability, the disability associated with PTSD remains. An intervention targeting both heroin dependence and PTSD may help to improve the outcomes of those with PTSD.
AIMS: To examine the impact of post-traumatic stress disorder (PTSD) on 2-year treatment outcomes for heroin dependence. DESIGN: Prospective longitudinal study. PARTICIPANTS: Data were obtained from a predominantly treatment seeking sample of 615 dependent heroin users who were followed-up at 3, 12 and 24 months (follow-up rates: 89%, 81% and 76%, respectively). MEASUREMENTS: Outcomes examined include treatment retention and exposure, substance use, general physical and mental health and employment. FINDINGS: Despite improvements in substance use, PTSD was associated with continued physical (beta - 1.69, SE 0.61, P < 0.01) and mental disability (beta - 2.07, SE 0.66, P < 0.01), and reduced occupational functioning (OR 0.67, 95% CI: 0.48-0.93) throughout the 2-year follow-up. CONCLUSIONS: Although conventional treatment services are successful in producing improvements in substance use and associated disability, the disability associated with PTSD remains. An intervention targeting both heroin dependence and PTSD may help to improve the outcomes of those with PTSD.
Authors: Jessica M Peirce; Robert K Brooner; Ken Kolodner; Rebecca L Schacht; Michael S Kidorf Journal: Addiction Date: 2012-10-05 Impact factor: 6.526
Authors: Declan T Barry; Mark Beitel; Christopher J Cutter; Brian Garnet; Dipa Joshi; Andrew Rosenblum; Richard S Schottenfeld Journal: J Pain Date: 2010-06-20 Impact factor: 5.820
Authors: Jeremy W Bray; Brandon Aden; Ashley A Eggman; Leah Hellerstein; Eve Wittenberg; Bohdan Nosyk; Judy C Stribling; Bruce R Schackman Journal: J Subst Abuse Treat Date: 2017-02-10
Authors: Linda Van Til; Deniz Fikretoglu; Tina Pranger; Scott Patten; Jianli Wang; May Wong; Mark Zamorski; Patrick Loisel; Marc Corbiére; Norman Shields; Jim Thompson; David Pedlar Journal: Phys Ther Date: 2012-10-04
Authors: Philippa L Farrugia; Katherine L Mills; Emma Barrett; Sudie E Back; Maree Teesson; Amanda Baker; Claudia Sannibale; Sally Hopwood; Julia Rosenfeld; Sabine Merz; Kathleen T Brady Journal: Ment Health Subst Use Date: 2011-11