Clinical and psychosocial characteristics of substance-dependent pregnant women with and without PTSD.
The present study compared psychiatric and psychosocial functioning in 123 pregnant opiate- and/or cocaine-dependent women with and without a comorbid diagnosis of posttraumatic stress disorder (PTSD). Participants were enrolled in a comprehensive perinatal drug treatment program and completed assessments upon admission. Lifetime diagnostic prevalence of PTSD [Structured Clinical Interview for DSM-IV Disorders (SCID) confirmed] among the sample was 19%. Participants with PTSD (n=24) reported greater need for psychiatric treatment, were more likely to report a previous suicide attempt, and had more previous drug treatments than participants without PTSD (n=99). Women with PTSD were twice as likely to have lifetime Axis I and Axis II disorders and had higher rates of abuse than women without PTSD. Lifetime sexual abuse and ASI family/social composite scores were significant predictors of PTSD. Findings suggest that pregnant drug-dependent women with comorbid PTSD may benefit from specialized treatment services for trauma and/or abuse issues.
Moylan
P L
PL
Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Jones
H E
HE
Haug
N A
NA
Kissin
W B
WB
Svikis
D S
DS
D000328:Adult; D015142:Baltimore; D019970:Cocaine-Related Disorders / Q000523:psychology*; D015897:Comorbidity; D005260:Female; D006801:Humans; D009293:Opioid-Related Disorders / Q000523:psychology*; D011247:Pregnancy; D011584:Psychology; D013313:Stress Disorders, Post-Traumatic / Q000503:physiopathology* / Q000523:psychology*; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000503:physiopathology* / Q000523:psychology*