A systematic review of the comorbidity between PTSD and alcohol misuse
Purpose This systematic review aimed to assess (1) the level of comorbidity of post-traumatic stress disorder (PTSD) and alcohol misuse reported in research studies since 2007 and (2) any associations found between specific PTSD symptom clusters and alcohol misuse. Methods A literature search was ca...
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| Veröffentlicht in: | Social Psychiatry and Psychiatric Epidemiology 2014-09, Vol.49 (9), p.1401-1425 |
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| container_title | Social Psychiatry and Psychiatric Epidemiology |
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| creator | Debell, Frances Fear, Nicola T. Head, Marc Batt-Rawden, Samantha Greenberg, Neil Wessely, Simon Goodwin, Laura |
| description | Purpose
This systematic review aimed to assess (1) the level of comorbidity of post-traumatic stress disorder (PTSD) and alcohol misuse reported in research studies since 2007 and (2) any associations found between specific PTSD symptom clusters and alcohol misuse.
Methods
A literature search was carried out to capture any papers published from 2007 to the end of July 2012. Six hundred and twenty abstracts were identified and reviewed, and 42 papers were included in the final review after applying inclusion and exclusion criteria.
Results
The prevalence of comorbid alcohol misuse in those with PTSD ranged from 9.8 to 61.3 %. The prevalence of comorbid PTSD in those with alcohol misuse ranged from 2.0 to 63.0 %, and the majority of prevalence rates were over 10.0 %. Almost all of the odds ratios representing the strength of association between the conditions across a variety of populations were significant, and those ranged from 1.1 to 4.87. Of the different PTSD symptom clusters, this review found most evidence for associations between alcohol misuse and both avoidance/numbing symptoms and hyperarousal symptoms.
Conclusions
Given that comorbidity appears to be common, the evidence from this systematic review supports the use of routine screening for comorbidity in populations who are known to have PTSD or alcohol misuse. |
| doi_str_mv | 10.1007/s00127-014-0855-7 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_journals_1555940260</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A716452103</galeid><sourcerecordid>A716452103</sourcerecordid><originalsourceid>FETCH-LOGICAL-c708t-5af95860dd87cd05c90fcd860a1f432dfbda329a6c18990009f5c85e3a68c86d3</originalsourceid><addsrcrecordid>eNp1kV9rHCEUxaWkNJu0HyAvQQh9nPQ6jqM-LmnzBwItNH0WV6-JYWZMdbZhv30Mu01aaPFBuf7OvedyCDlicMoA5KcCwFrZAOsaUEI08g1ZsI7zRrdK7JEF6PqWWnT75KCUewDgWvJ3ZL_t-o63Wi3I-ZKWTZlxtHN0NOOviI80BTrfIXVpTHkVfZw3dIXzI-JEv918_0zt5KkdXLpLAx1jWRd8T94GOxT8sLsPyY_zLzdnl83114urs-V14ySouRE2aKF68F5J50E4DcH5WrAsVEM-rLytvmzvmNK6-tVBOCWQ21451Xt-SE62fR9y-rnGMpv7tM5THWmYEEJ30PbwSt3aAU2cQpqzddWpM0vJ-k60DHilTv9B1eNxjC5NGGKt_yVgW4HLqZSMwTzkONq8MQzMcyBmG4ipgZjnQIysmuOd4fVqRP-i-J1ABT7uAFucHUK2k4vllVOScwZ95dotV-rXdIv5j83_O_0JbiGf3A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1555940260</pqid></control><display><type>article</type><title>A systematic review of the comorbidity between PTSD and alcohol misuse</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Debell, Frances ; Fear, Nicola T. ; Head, Marc ; Batt-Rawden, Samantha ; Greenberg, Neil ; Wessely, Simon ; Goodwin, Laura</creator><creatorcontrib>Debell, Frances ; Fear, Nicola T. ; Head, Marc ; Batt-Rawden, Samantha ; Greenberg, Neil ; Wessely, Simon ; Goodwin, Laura</creatorcontrib><description>Purpose
This systematic review aimed to assess (1) the level of comorbidity of post-traumatic stress disorder (PTSD) and alcohol misuse reported in research studies since 2007 and (2) any associations found between specific PTSD symptom clusters and alcohol misuse.
Methods
A literature search was carried out to capture any papers published from 2007 to the end of July 2012. Six hundred and twenty abstracts were identified and reviewed, and 42 papers were included in the final review after applying inclusion and exclusion criteria.
Results
The prevalence of comorbid alcohol misuse in those with PTSD ranged from 9.8 to 61.3 %. The prevalence of comorbid PTSD in those with alcohol misuse ranged from 2.0 to 63.0 %, and the majority of prevalence rates were over 10.0 %. Almost all of the odds ratios representing the strength of association between the conditions across a variety of populations were significant, and those ranged from 1.1 to 4.87. Of the different PTSD symptom clusters, this review found most evidence for associations between alcohol misuse and both avoidance/numbing symptoms and hyperarousal symptoms.
Conclusions
Given that comorbidity appears to be common, the evidence from this systematic review supports the use of routine screening for comorbidity in populations who are known to have PTSD or alcohol misuse.</description><identifier>ISSN: 0933-7954</identifier><identifier>EISSN: 1433-9285</identifier><identifier>DOI: 10.1007/s00127-014-0855-7</identifier><identifier>PMID: 24643298</identifier><identifier>CODEN: SPPEEM</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Addictive behaviors ; Adult and adolescent clinical studies ; Alcoholism ; Alcoholism - epidemiology ; Alcoholism and acute alcohol poisoning ; Anxiety disorders. Neuroses ; Biological and medical sciences ; Comorbidity ; Epidemiology ; Humans ; Medical sciences ; Medicine ; Medicine & Public Health ; Miscellaneous ; Post-traumatic stress disorder ; Prevalence ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Review ; Stress Disorders, Post-Traumatic - epidemiology ; Systematic review ; Toxicology</subject><ispartof>Social Psychiatry and Psychiatric Epidemiology, 2014-09, Vol.49 (9), p.1401-1425</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><rights>2015 INIST-CNRS</rights><rights>COPYRIGHT 2014 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c708t-5af95860dd87cd05c90fcd860a1f432dfbda329a6c18990009f5c85e3a68c86d3</citedby><cites>FETCH-LOGICAL-c708t-5af95860dd87cd05c90fcd860a1f432dfbda329a6c18990009f5c85e3a68c86d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00127-014-0855-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00127-014-0855-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28733106$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24643298$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Debell, Frances</creatorcontrib><creatorcontrib>Fear, Nicola T.</creatorcontrib><creatorcontrib>Head, Marc</creatorcontrib><creatorcontrib>Batt-Rawden, Samantha</creatorcontrib><creatorcontrib>Greenberg, Neil</creatorcontrib><creatorcontrib>Wessely, Simon</creatorcontrib><creatorcontrib>Goodwin, Laura</creatorcontrib><title>A systematic review of the comorbidity between PTSD and alcohol misuse</title><title>Social Psychiatry and Psychiatric Epidemiology</title><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><description>Purpose
This systematic review aimed to assess (1) the level of comorbidity of post-traumatic stress disorder (PTSD) and alcohol misuse reported in research studies since 2007 and (2) any associations found between specific PTSD symptom clusters and alcohol misuse.
Methods
A literature search was carried out to capture any papers published from 2007 to the end of July 2012. Six hundred and twenty abstracts were identified and reviewed, and 42 papers were included in the final review after applying inclusion and exclusion criteria.
Results
The prevalence of comorbid alcohol misuse in those with PTSD ranged from 9.8 to 61.3 %. The prevalence of comorbid PTSD in those with alcohol misuse ranged from 2.0 to 63.0 %, and the majority of prevalence rates were over 10.0 %. Almost all of the odds ratios representing the strength of association between the conditions across a variety of populations were significant, and those ranged from 1.1 to 4.87. Of the different PTSD symptom clusters, this review found most evidence for associations between alcohol misuse and both avoidance/numbing symptoms and hyperarousal symptoms.
Conclusions
Given that comorbidity appears to be common, the evidence from this systematic review supports the use of routine screening for comorbidity in populations who are known to have PTSD or alcohol misuse.</description><subject>Addictive behaviors</subject><subject>Adult and adolescent clinical studies</subject><subject>Alcoholism</subject><subject>Alcoholism - epidemiology</subject><subject>Alcoholism and acute alcohol poisoning</subject><subject>Anxiety disorders. Neuroses</subject><subject>Biological and medical sciences</subject><subject>Comorbidity</subject><subject>Epidemiology</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Miscellaneous</subject><subject>Post-traumatic stress disorder</subject><subject>Prevalence</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Review</subject><subject>Stress Disorders, Post-Traumatic - epidemiology</subject><subject>Systematic review</subject><subject>Toxicology</subject><issn>0933-7954</issn><issn>1433-9285</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kV9rHCEUxaWkNJu0HyAvQQh9nPQ6jqM-LmnzBwItNH0WV6-JYWZMdbZhv30Mu01aaPFBuf7OvedyCDlicMoA5KcCwFrZAOsaUEI08g1ZsI7zRrdK7JEF6PqWWnT75KCUewDgWvJ3ZL_t-o63Wi3I-ZKWTZlxtHN0NOOviI80BTrfIXVpTHkVfZw3dIXzI-JEv918_0zt5KkdXLpLAx1jWRd8T94GOxT8sLsPyY_zLzdnl83114urs-V14ySouRE2aKF68F5J50E4DcH5WrAsVEM-rLytvmzvmNK6-tVBOCWQ21451Xt-SE62fR9y-rnGMpv7tM5THWmYEEJ30PbwSt3aAU2cQpqzddWpM0vJ-k60DHilTv9B1eNxjC5NGGKt_yVgW4HLqZSMwTzkONq8MQzMcyBmG4ipgZjnQIysmuOd4fVqRP-i-J1ABT7uAFucHUK2k4vllVOScwZ95dotV-rXdIv5j83_O_0JbiGf3A</recordid><startdate>20140901</startdate><enddate>20140901</enddate><creator>Debell, Frances</creator><creator>Fear, Nicola T.</creator><creator>Head, Marc</creator><creator>Batt-Rawden, Samantha</creator><creator>Greenberg, Neil</creator><creator>Wessely, Simon</creator><creator>Goodwin, Laura</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>20140901</creationdate><title>A systematic review of the comorbidity between PTSD and alcohol misuse</title><author>Debell, Frances ; Fear, Nicola T. ; Head, Marc ; Batt-Rawden, Samantha ; Greenberg, Neil ; Wessely, Simon ; Goodwin, Laura</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c708t-5af95860dd87cd05c90fcd860a1f432dfbda329a6c18990009f5c85e3a68c86d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Addictive behaviors</topic><topic>Adult and adolescent clinical studies</topic><topic>Alcoholism</topic><topic>Alcoholism - epidemiology</topic><topic>Alcoholism and acute alcohol poisoning</topic><topic>Anxiety disorders. Neuroses</topic><topic>Biological and medical sciences</topic><topic>Comorbidity</topic><topic>Epidemiology</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Miscellaneous</topic><topic>Post-traumatic stress disorder</topic><topic>Prevalence</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Review</topic><topic>Stress Disorders, Post-Traumatic - epidemiology</topic><topic>Systematic review</topic><topic>Toxicology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Debell, Frances</creatorcontrib><creatorcontrib>Fear, Nicola T.</creatorcontrib><creatorcontrib>Head, Marc</creatorcontrib><creatorcontrib>Batt-Rawden, Samantha</creatorcontrib><creatorcontrib>Greenberg, Neil</creatorcontrib><creatorcontrib>Wessely, Simon</creatorcontrib><creatorcontrib>Goodwin, Laura</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Debell, Frances</au><au>Fear, Nicola T.</au><au>Head, Marc</au><au>Batt-Rawden, Samantha</au><au>Greenberg, Neil</au><au>Wessely, Simon</au><au>Goodwin, Laura</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A systematic review of the comorbidity between PTSD and alcohol misuse</atitle><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle><stitle>Soc Psychiatry Psychiatr Epidemiol</stitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><date>2014-09-01</date><risdate>2014</risdate><volume>49</volume><issue>9</issue><spage>1401</spage><epage>1425</epage><pages>1401-1425</pages><issn>0933-7954</issn><eissn>1433-9285</eissn><coden>SPPEEM</coden><abstract>Purpose
This systematic review aimed to assess (1) the level of comorbidity of post-traumatic stress disorder (PTSD) and alcohol misuse reported in research studies since 2007 and (2) any associations found between specific PTSD symptom clusters and alcohol misuse.
Methods
A literature search was carried out to capture any papers published from 2007 to the end of July 2012. Six hundred and twenty abstracts were identified and reviewed, and 42 papers were included in the final review after applying inclusion and exclusion criteria.
Results
The prevalence of comorbid alcohol misuse in those with PTSD ranged from 9.8 to 61.3 %. The prevalence of comorbid PTSD in those with alcohol misuse ranged from 2.0 to 63.0 %, and the majority of prevalence rates were over 10.0 %. Almost all of the odds ratios representing the strength of association between the conditions across a variety of populations were significant, and those ranged from 1.1 to 4.87. Of the different PTSD symptom clusters, this review found most evidence for associations between alcohol misuse and both avoidance/numbing symptoms and hyperarousal symptoms.
Conclusions
Given that comorbidity appears to be common, the evidence from this systematic review supports the use of routine screening for comorbidity in populations who are known to have PTSD or alcohol misuse.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24643298</pmid><doi>10.1007/s00127-014-0855-7</doi><tpages>25</tpages></addata></record> |
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| ispartof | Social Psychiatry and Psychiatric Epidemiology, 2014-09, Vol.49 (9), p.1401-1425 |
| issn | 0933-7954 1433-9285 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Addictive behaviors Adult and adolescent clinical studies Alcoholism Alcoholism - epidemiology Alcoholism and acute alcohol poisoning Anxiety disorders. Neuroses Biological and medical sciences Comorbidity Epidemiology Humans Medical sciences Medicine Medicine & Public Health Miscellaneous Post-traumatic stress disorder Prevalence Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Review Stress Disorders, Post-Traumatic - epidemiology Systematic review Toxicology |
| title | A systematic review of the comorbidity between PTSD and alcohol misuse |
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