Cited by 67Posttraumatic Stress Disorder ResearchSubstance Abuse Treatment and OutcomesChild Abuse and Trauma

Posttraumatic Stress Disorder and Cocaine Dependence: Order of Onset

Brady, Kathleen T., Dansky, Bonnie S., Sonne, Susan C., Saladin, Michael E.·1998·The American Journal on Addictions

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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Crossref · 10.1111/j.1521-0391.1998.tb00327.x

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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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