Lifetime PTSD and quality of life among alcohol-dependent men: impact of childhood emotional abuse and dissociation
Abstract
The aim of this study was to investigate the impact of lifetime posttraumatic stress disorder (PTSD), dissociation and a history of childhood trauma on quality of life (QoL) among men with alcohol dependency. A consecutive series of alcohol-dependent men (N=156) admitted to an inpatient treatment unit were screened using the Michigan Alcoholism Screening Test, the Clinician Administered PTSD Scale, the Dissociative Experiences Scale, and the Childhood Trauma Questionnaire. QoL was assessed using the Medical Outcomes Study Short-Form 36-item health survey. Fifty (32.1%) patients had lifetime diagnosis of PTSD. Besides problems related to severity of alcohol use, the lifetime PTSD group was impaired on several physical and mental components of QoL. While the lifetime PTSD group and remaining patients did not differ on reports of childhood trauma and dissociation, in lifetime PTSD group, dissociative patients had higher scores of childhood emotional abuse than those of the non-dissociative patients. In multivariate covariance analysis, both dissociation and lifetime PTSD predicted impairment in physical functioning, general health, vitality, and mental health components of QoL. Among alcohol-dependent men with lifetime PTSD, a history of childhood emotional abuse contributes to impairment of QoL through its relationship with dissociation.
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Studies in alcohol and drug abuse/dependency populations report the presence of comorbid dissociative symptoms in these conditions.
“Similarly, studies in alcohol and drug abuse/dependency populations report the presence of comorbid dissociative symptoms in these conditions (Evren et al., 2011(Evren et al., , 2008(Evren et al., , 2007;;Tamar-Gurol et al., 2008).”
From A review of the relation between dissociation, memory, executive functioning and social cognition in military members and civilians with neuropsychiatric conditions (2016) · cites this paper as Evren et al., 2011
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“…Watson et al., 2004), bipolar disorder (Hariri et al., 2015; Mula et al., 2009; Oedegaard et al., 2008), alcohol and drug abuse and dependence (Evren et al., 2011, 2008, 2007; Tamar-Gurol et al., 2008) and schizophrenia (Haugen and Castillo, 1999; Holowka et al., 2003; Sar et al., 2010;…”
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- Authors
- Evren, C., Sar, V., Dalbudak, E., Cetin, R., Durkaya, M., Evren, B., & Celik, S.
- Affiliations
- Bakırköy Psychiatric Hospital (TR)
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2011-03
- Volume
- 186
- Issue
- 1
- Pages
- 85-90
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W1996821298
- Cited by
- 92
- References
- 8
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 5 · 2023: 9 · 2022: 8 · 2021: 5 · 2020: 8 · 2019: 4 · 2018: 7 · 2017: 10 · 2016: 6 · 2015: 7 · 2014: 7 · 2013: 8 · 2012: 4
- FWCI
- 4.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- post-traumatic stress disorder, quality of life, alcoholism, childhood emotional abuse, childhood trauma, dissociation, men, physical function, mental health, inpatient alcohol treatment
- MeSH terms
- Adult, Alcoholism, Child, Child Abuse, Dissociative Disorders, Emotions, Follow-Up Studies, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Quality of Life, Surveys and Questionnaires, Stress Disorders, Post-Traumatic, Multivariate Analysis
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