The mental health of adolescents and young people experiencing traumatic stress and problematic substance use.
(2022) In Drug and Alcohol Review 41. p.16-17- Abstract
- Introduction and Aims: Up to 80% of adolescents have experienced trauma and one-in-seven suffer from post traumatic stress disorder (PTSD). For 50% of these adolescents, the course of their illness is further complicated by a co-occurring substance use disorder (SUD). Despite high rates of comorbidity, treatment options remain sparse and there is limited understanding of the clinical profile associated with this comorbidity. We aimed to examine the clinical profile of adolescents seeking treatment for their substance use and traumatic stress.
Method: Data were collected as part of a randomised controlled trial examining the efficacy of an integrated psychological treatment for SUD and PTSD among young people aged 12-25 years were... (More) - Introduction and Aims: Up to 80% of adolescents have experienced trauma and one-in-seven suffer from post traumatic stress disorder (PTSD). For 50% of these adolescents, the course of their illness is further complicated by a co-occurring substance use disorder (SUD). Despite high rates of comorbidity, treatment options remain sparse and there is limited understanding of the clinical profile associated with this comorbidity. We aimed to examine the clinical profile of adolescents seeking treatment for their substance use and traumatic stress.
Method: Data were collected as part of a randomised controlled trial examining the efficacy of an integrated psychological treatment for SUD and PTSD among young people aged 12-25 years were assessed for history of trauma, PTSD, substance use and a variety of other domains relating to mental health, social and family functioning and service utilisation.
Results: Almost all participants met Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, criteria for a severe SUD. The most common substances of concern were cannabis and alcohol. All participants experienced multiple traumatic events and >85% met Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, criteria for PTSD. High levels of clinically elevated depression and anxiety were present in the sample and almost half had a history of attempted suicide.
Discussions and Conclusions: Comorbid PTSD and SUD in young people are associated with a complex and severe clinical profile. It is imperative to intervene early in the trajectory in order to prevent the severe and long lasting burden associated with this common comorbidity.
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Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/b80e98a1-9799-49f4-9821-646b139504a5
- author
- Peach, Natalie ; Barrett, Emma ; Cobham, Vanessa ; Ross, Joanne ; Perrin, Sean LU ; Bendall, Sarah ; Back, Sudie ; Brady, Kathleen ; Teeson, Maree and Mills, Katherine
- organization
- publishing date
- 2022-09-22
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- PTSD, Substance Abuse, Cognitive Behavior Therapy, Adolescents, Young Adults
- in
- Drug and Alcohol Review
- volume
- 41
- pages
- 16 - 17
- publisher
- Wiley-Blackwell
- external identifiers
-
- scopus:85138879085
- pmid:36176067
- ISSN
- 0959-5236
- DOI
- 10.1111/dar.13537
- project
- Randomised controlled trial of an integrated cognitive-behavioural therapy for the treatment of co-occurring post traumatic stress disorder and substance use disorder in adolescents
- language
- English
- LU publication?
- yes
- id
- b80e98a1-9799-49f4-9821-646b139504a5
- date added to LUP
- 2022-11-15 17:38:06
- date last changed
- 2023-05-17 03:00:08
@misc{b80e98a1-9799-49f4-9821-646b139504a5, abstract = {{Introduction and Aims: Up to 80% of adolescents have experienced trauma and one-in-seven suffer from post traumatic stress disorder (PTSD). For 50% of these adolescents, the course of their illness is further complicated by a co-occurring substance use disorder (SUD). Despite high rates of comorbidity, treatment options remain sparse and there is limited understanding of the clinical profile associated with this comorbidity. We aimed to examine the clinical profile of adolescents seeking treatment for their substance use and traumatic stress.<br/>Method: Data were collected as part of a randomised controlled trial examining the efficacy of an integrated psychological treatment for SUD and PTSD among young people aged 12-25 years were assessed for history of trauma, PTSD, substance use and a variety of other domains relating to mental health, social and family functioning and service utilisation.<br/>Results: Almost all participants met Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, criteria for a severe SUD. The most common substances of concern were cannabis and alcohol. All participants experienced multiple traumatic events and >85% met Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, criteria for PTSD. High levels of clinically elevated depression and anxiety were present in the sample and almost half had a history of attempted suicide.<br/>Discussions and Conclusions: Comorbid PTSD and SUD in young people are associated with a complex and severe clinical profile. It is imperative to intervene early in the trajectory in order to prevent the severe and long lasting burden associated with this common comorbidity.<br/>}}, author = {{Peach, Natalie and Barrett, Emma and Cobham, Vanessa and Ross, Joanne and Perrin, Sean and Bendall, Sarah and Back, Sudie and Brady, Kathleen and Teeson, Maree and Mills, Katherine}}, issn = {{0959-5236}}, keywords = {{PTSD; Substance Abuse; Cognitive Behavior Therapy; Adolescents; Young Adults}}, language = {{eng}}, month = {{09}}, note = {{Conference Abstract}}, pages = {{16--17}}, publisher = {{Wiley-Blackwell}}, series = {{Drug and Alcohol Review}}, title = {{The mental health of adolescents and young people experiencing traumatic stress and problematic substance use.}}, url = {{https://lup.lub.lu.se/search/files/128549735/Peach_et_al._2022_The_mental_health_of_adolescents_and_young_people_experiencing_traumatic_stress_and_problematic_substance_use._Drug_Alcohold_Review.pdf}}, doi = {{10.1111/dar.13537}}, volume = {{41}}, year = {{2022}}, }