Use of self-report measures of crime-related posttraumatic stress disorder with substance use disordered patients.
Researchers have documented that approximately three-quarters of all patients in treatment for a substance use disorder (SUD) report a history of sexual or physical assault and that at least 25% of treatment-seeking SUD patients suffer from crime-related posttraumatic stress disorder (CR-PTSD). To address the pressing need to accurately evaluate symptoms associated with victimization, a battery of self-report instruments and a semi-structured interview were administered to 114 SUD patients. More than 90% of the SUD patients reported some type of victimization and approximately 38% met criteria for current CR-PTSD. The self-report battery correctly classified CR-PTSD status in 79% of the respondents with a sensitivity rate of 82% and a specificity rate of 74%. The results indicate that: (a) there is a high prevalence of CR-PTSD in SUD patients, (b) CR-PTSD should be evaluated in every SUD patient, and (c) the self-report battery utilized in the present study may serve as a valid tool for an initial CR-PTSD screening or to supplement a clinical interview.
Dansky
B S
BS
Medical University of South Carolina, Department of Psychiatry and Behavioral Sciences, Charleston, SC 29425-0742. danskybs@musc.edu
Saladin
M E
ME
Coffey
S F
SF
Brady
K T
KT
D000293:Adolescent; D000328:Adult; D000368:Aged; D015897:Comorbidity; D003415:Crime; D016002:Discriminant Analysis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010555:Personality Inventory / Q000706:statistics & numerical data*; D011237:Predictive Value of Tests; D015995:Prevalence; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data*; D011594:Psychometrics; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000453:epidemiology; D011795:Surveys and Questionnaires