How patients perceive the relationship between trauma, substance abuse, craving and relapse: a qualitative study

N. Gielen, J.S.M. Krumeich, M. Tekelenburg, C. Nederkoorn, R.C. Havermans

Research output: Contribution to journalArticleAcademicpeer-review

184 Downloads (Pure)

Abstract

In this qualitative study, patients with comorbid substance use disorder (SUD) and post-traumatic stress disorder (PTSD) were interviewed on their ideas about the link between SUD and PTSD. Although they clearly reported self-medication, they also gave a more complex description of how they believe their PTSD influences their SUD. The results suggest that SUD/PTSD patients believe they did not start using substances because of their experienced traumas or PTSD, but that PTSD symptoms are nonetheless important in the maintenance of their addictions. A clear link exists between craving, relapse, and PTSD symptoms. SUD/PTSD patients would prefer a "whole-person approach" when being treated for their PTSD. It is suggested that the integration of skills training and attention for patients who are fearful of PTSD treatment might improve SUD/PTSD treatment results.

Original languageEnglish
Pages (from-to)466-470
Number of pages5
JournalJournal of Substance Use
Volume21
Issue number5
Early online date20 Jan 2016
DOIs
Publication statusPublished - Oct 2016

Keywords

  • Addiction
  • post-traumatic stress disorder
  • qualitative
  • POSTTRAUMATIC-STRESS-DISORDER
  • TREATMENT PROGRAMS
  • PTSD
  • PERCEPTIONS
  • PREVALENCE
  • ADDICTION
  • SURVIVORS
  • SYMPTOM
  • ISSUES
  • INCEST

Cite this

@article{f58ed1cd53aa4c34937a3b21140a59a4,
title = "How patients perceive the relationship between trauma, substance abuse, craving and relapse: a qualitative study",
abstract = "In this qualitative study, patients with comorbid substance use disorder (SUD) and post-traumatic stress disorder (PTSD) were interviewed on their ideas about the link between SUD and PTSD. Although they clearly reported self-medication, they also gave a more complex description of how they believe their PTSD influences their SUD. The results suggest that SUD/PTSD patients believe they did not start using substances because of their experienced traumas or PTSD, but that PTSD symptoms are nonetheless important in the maintenance of their addictions. A clear link exists between craving, relapse, and PTSD symptoms. SUD/PTSD patients would prefer a {"}whole-person approach{"} when being treated for their PTSD. It is suggested that the integration of skills training and attention for patients who are fearful of PTSD treatment might improve SUD/PTSD treatment results.",
keywords = "Addiction, post-traumatic stress disorder, qualitative, POSTTRAUMATIC-STRESS-DISORDER, TREATMENT PROGRAMS, PTSD, PERCEPTIONS, PREVALENCE, ADDICTION, SURVIVORS, SYMPTOM, ISSUES, INCEST",
author = "N. Gielen and J.S.M. Krumeich and M. Tekelenburg and C. Nederkoorn and R.C. Havermans",
note = "Open Access",
year = "2016",
month = "10",
doi = "10.3109/14659891.2015.1063717",
language = "English",
volume = "21",
pages = "466--470",
journal = "Journal of Substance Use",
issn = "1465-9891",
publisher = "Informa Healthcare",
number = "5",

}

How patients perceive the relationship between trauma, substance abuse, craving and relapse : a qualitative study. / Gielen, N.; Krumeich, J.S.M.; Tekelenburg, M.; Nederkoorn, C.; Havermans, R.C.

In: Journal of Substance Use, Vol. 21, No. 5, 10.2016, p. 466-470.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - How patients perceive the relationship between trauma, substance abuse, craving and relapse

T2 - a qualitative study

AU - Gielen, N.

AU - Krumeich, J.S.M.

AU - Tekelenburg, M.

AU - Nederkoorn, C.

AU - Havermans, R.C.

N1 - Open Access

PY - 2016/10

Y1 - 2016/10

N2 - In this qualitative study, patients with comorbid substance use disorder (SUD) and post-traumatic stress disorder (PTSD) were interviewed on their ideas about the link between SUD and PTSD. Although they clearly reported self-medication, they also gave a more complex description of how they believe their PTSD influences their SUD. The results suggest that SUD/PTSD patients believe they did not start using substances because of their experienced traumas or PTSD, but that PTSD symptoms are nonetheless important in the maintenance of their addictions. A clear link exists between craving, relapse, and PTSD symptoms. SUD/PTSD patients would prefer a "whole-person approach" when being treated for their PTSD. It is suggested that the integration of skills training and attention for patients who are fearful of PTSD treatment might improve SUD/PTSD treatment results.

AB - In this qualitative study, patients with comorbid substance use disorder (SUD) and post-traumatic stress disorder (PTSD) were interviewed on their ideas about the link between SUD and PTSD. Although they clearly reported self-medication, they also gave a more complex description of how they believe their PTSD influences their SUD. The results suggest that SUD/PTSD patients believe they did not start using substances because of their experienced traumas or PTSD, but that PTSD symptoms are nonetheless important in the maintenance of their addictions. A clear link exists between craving, relapse, and PTSD symptoms. SUD/PTSD patients would prefer a "whole-person approach" when being treated for their PTSD. It is suggested that the integration of skills training and attention for patients who are fearful of PTSD treatment might improve SUD/PTSD treatment results.

KW - Addiction

KW - post-traumatic stress disorder

KW - qualitative

KW - POSTTRAUMATIC-STRESS-DISORDER

KW - TREATMENT PROGRAMS

KW - PTSD

KW - PERCEPTIONS

KW - PREVALENCE

KW - ADDICTION

KW - SURVIVORS

KW - SYMPTOM

KW - ISSUES

KW - INCEST

U2 - 10.3109/14659891.2015.1063717

DO - 10.3109/14659891.2015.1063717

M3 - Article

VL - 21

SP - 466

EP - 470

JO - Journal of Substance Use

JF - Journal of Substance Use

SN - 1465-9891

IS - 5

ER -