Chronic combat-related PTSD and concurrent substance abuse

Implications for treatment of this frequent "dual diagnosis"

Patrick A. Boudewyns, M. Gail Woods, Lee Hyer, John W Albrecht

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Vietnam combat veterans suffering from post-traumatic stress disorder (PTSD) who had requested treatment through a special VA-sponsored PTSD treatment program were evaluated using the Diagnostic Interview Schedule (DIS). Based on the DIS, 91.12% of the sample had a lifetime diagnosis of substance abuse or dependence and this was, by far, the most frequent co-diagnosis in the sample. The most common reason for patients not completing the treatment program was for use of illegal substances or alcohol while in the program, even though they were aware that to do so meant that they would be either discharged or transferred to another unit. The percentage of other co-diagnoses, and an estimate of currentness for all Axis I diagnoses were also presented on the sample of 102 patients. It was determined that for this population, the symptoms of substance abuse were chronic and were inextricably intertwined with PTSD symptoms and with the initial stressor (combat). Treatment process implications were discussed.

Original languageEnglish (US)
Pages (from-to)549-560
Number of pages12
JournalJournal of Traumatic Stress
Volume4
Issue number4
DOIs
StatePublished - Oct 1 1991

Fingerprint

Dual (Psychiatry) Diagnosis
Post-Traumatic Stress Disorders
Substance-Related Disorders
Appointments and Schedules
Interviews
Vietnam
Veterans
Therapeutics
Alcohols
Population

Keywords

  • DIS
  • PTSD
  • Vietnam
  • alcohol abuse
  • drug abuse
  • dual diagnosis
  • substance abuse
  • verterans

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Chronic combat-related PTSD and concurrent substance abuse : Implications for treatment of this frequent "dual diagnosis". / Boudewyns, Patrick A.; Woods, M. Gail; Hyer, Lee; Albrecht, John W.

In: Journal of Traumatic Stress, Vol. 4, No. 4, 01.10.1991, p. 549-560.

Research output: Contribution to journalArticle

Boudewyns, Patrick A. ; Woods, M. Gail ; Hyer, Lee ; Albrecht, John W. / Chronic combat-related PTSD and concurrent substance abuse : Implications for treatment of this frequent "dual diagnosis". In: Journal of Traumatic Stress. 1991 ; Vol. 4, No. 4. pp. 549-560.
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