The Relationship Between Partner-Violence PTSD Symptom Clusters and Substance Use in Community Women

2007 ◽  
Author(s):  
Tami Sullivan ◽  
Laura Holt
2021 ◽  
Author(s):  
Maya Roth ◽  
Lisa King ◽  
Don Richardson

ABSTRACT Introduction Chronic pain (CP) commonly presents alongside psychiatric conditions such as depression, PTSD, and generalized anxiety. The current study sought to better understand this complex relationship by determining whether anxiety and depression symptom severity mediated the relationship between DSM-5 PTSD symptom clusters and pain symptoms in a sample of 663 Canadian Armed Forces (CAF) personnel and veterans seeking treatment for mental health conditions. Materials and Methods Generalized anxiety disorder, depression, and PTSD symptom severity were measured using self-report scales provided as part of a standard intake protocol. Pain symptoms were measured using the Bodily Pain subscale of the SF-36 (SF-36 BPS). Linear regressions were used to explore the relationship between PTSD symptom clusters, depression, anxiety, and pain. Bootstrapped resampling analyses were employed to test mediation effects. Results The average SF-36 BPS score in this sample was 36.6, nearly 1.5 SDs below the population health status, enforcing the salience of pain symptoms as a concern for veterans and CAF seeking treatment for military-related psychiatric conditions. The effects of PTSD symptom clusters avoidance, negative mood and cognitions, and arousal on pain were fully mediated by anxiety and depression severity. However, the effect of intrusion on pain was not mediated by depression and only partly mediated by anxiety. Conclusion Findings emphasize the importance of including anxiety and depression in models of PTSD and pain, particularly in samples where psychiatric comorbidity is high. Clinically, results highlight the need for improved treatment regimens that address pain symptoms alongside common psychiatric comorbidities.


Author(s):  
S. Janet Kuramoto-Crawford ◽  
Holly C. Wilcox

Intentional injuries affect millions of lives worldwide. The authors provide an overview of the epidemiological and preventive evidence on the relationship between substance use disorders (SUD) and intentional injuries. Emphasis is placed on suicide and intimate partner violence, as each area has received substantial research attention in relation to SUD. There is robust epidemiological evidence on the relationship between SUD, notably with alcohol use disorders, and most intentional injuries. Research has focused on the identification of factors that distinguish individuals with alcohol use disorders who are at particularly high risk for intentional injuries. Characterization of those with other drug use disorders who are at risk for engaging in intentional injuries and the role of SUD in intentional injuries has been less extensively investigated. The authors conclude with a discussion of public health approaches to the prevention of intentional injuries among individuals with SUD.


2016 ◽  
Vol 243 ◽  
pp. 1-4 ◽  
Author(s):  
Meredith Claycomb ◽  
Michelle E. Roley ◽  
Ateka A. Contractor ◽  
Cherie Armour ◽  
Paula Dranger ◽  
...  

2018 ◽  
Vol 82 ◽  
pp. 133-140 ◽  
Author(s):  
Meredith Claycomb Erwin ◽  
Melissa A. Mitchell ◽  
Ateka A. Contractor ◽  
Paula Dranger ◽  
Ruby Charak ◽  
...  

2012 ◽  
Vol 41 (1) ◽  
pp. 15-25 ◽  
Author(s):  
Mathew G. Fetzner ◽  
Kelsey C. Collimore ◽  
R. Nicholas Carleton ◽  
Gordon J. G. Asmundson

2013 ◽  
Vol 28 (6) ◽  
pp. 984-999 ◽  
Author(s):  
Robyn L. Gobin ◽  
Katherine M. Iverson ◽  
Karen Mitchell ◽  
Rachel Vaughn ◽  
Patricia A. Resick

Objective: Intimate partner violence (IPV) survivors often report histories of childhood maltreatment, yet the unique contributions of childhood maltreatment on IPV survivors’ distinct posttraumatic stress disorder (PTSD) symptoms remain inadequately understood. Method: Using interview and self-report measures, we examined IPV as a potential mediator of the association between childhood maltreatment and severity of PTSD symptom clusters (reexperiencing, avoidance, numbing, and hyperarousal) among a sample of 425 women seeking help for recent IPV. Results: Structural equation modeling demonstrated that while both childhood maltreatment and IPV were both positively associated with PTSD symptom clusters, IPV did not mediate the association between childhood maltreatment and severity of PTSD symptom clusters among acute IPV survivors. Conclusions: Childhood maltreatment has persistent effects on the PTSD symptoms of IPV survivors, suggesting that child maltreatment may need to be addressed in addition to IPV during PTSD treatment.


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