Posttraumatic Stress Disorder and Cocaine Dependence: Order of Onset
Abstract
To investigate differences between patients whose posttraumatic stress disorder (PTSD) preceded their cocaine dependence and vice versa, 33 patients with comorbid PTSD and cocaine dependence were divided into two groups: one in which the trauma and PTSD occurred before onset of cocaine dependence (primary PTSD) and one in which the PTSD occurred after cocaine dependence was established (primary cocaine). In the primary‐PTSD group, the trauma was generally childhood abuse. In the primary‐cocaine group, the trauma was generally associated with the procurement and use of cocaine. In the primary‐PTSD group, there were significantly more women, more other Axis I diagnoses, more Cluster B and C Axis II diagnoses, and more benzodiazepine and opiate use. In the primary‐Cocaine group, there was a trend toward more cocaine use in the previous month. Significant clinical differences between these two groups may warrant different types of treatment or differing treatment emphasis. (Am J Addict 1998; 7:128–135)
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With illicit drugs, procurement and use can predispose individuals to traumatic stress.
“With illicit drugs, their procurement and use can predispose individuals to traumatic stress [183,184].”
From Food Addiction and Psychosocial Adversity: Biological Embedding, Contextual Factors, and Public Health Implications (2020) · cites this paper as [183]
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- Authors
- Brady, K. T., Dansky, B. S., Sonne, S. C., & Saladin, M. E.
- Affiliations
- Medical University of South Carolina (US)
- Corresponding author
- Brady, Kathleen T.
- Venue
- The American Journal on Addictions
- Publisher
- Wiley
- Published
- 1998-04
- Volume
- 7
- Issue
- 2
- Pages
- 128-135
- ISSN
- 1055-0496 (ISSN-L)
- 1521-0391
- OpenAlex
- W4239732083
- Cited by
- 67
- References
- 19
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 2 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 4 · 2016: 2 · 2015: 5 · 2014: 3 · 2013: 2 · 2012: 3
- FWCI
- 3.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal on Addictions (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- post-traumatic stress disorder, cocaine dependence, comorbidities, childhood abuse, trauma, Axis II personality disorders, benzodiazepine use, opiate use, therapeutic implications
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