Substance use and misuse in burn patients: testing the classical hypotheses of the interaction between posttraumatic symptomatology and substance use

Article


Eiroá-Orosa, F., Giannoni-Pastor, Anna, Fidel-Kinori, Sara Guila and Argüello-Alonso, José María 2015. Substance use and misuse in burn patients: testing the classical hypotheses of the interaction between posttraumatic symptomatology and substance use. Journal of Addictive Diseases.
AuthorsEiroá-Orosa, F., Giannoni-Pastor, Anna, Fidel-Kinori, Sara Guila and Argüello-Alonso, José María
Abstract

Background: We aimed to test whether the three classical hypotheses of the interaction between posttraumatic symptomatology and substance use (high risk of trauma exposure, susceptibility for posttraumatic symptomatology, and self-medication of symptoms), may be useful in the understanding of substance use among burn patients. Methods: We analysed substance use data (nicotine, alcohol, cannabis, amphetamines, cocaine, opiates, and tranquilizers) and psychopathology measures among burn patients admitted to a Burns Unit and enrolled in a longitudinal observational study. Lifetime substance use information (n = 246) was incorporated to analyses aiming to test the high risk hypothesis. Only patients assessed for psychopathology in a six months follow-up (n = 183) were included in prospective analyses testing the susceptibility and self-medication hypotheses. Results: Regarding the high risk hypothesis, results show a higher proportion of heroin and tranquilizer users compared to the general population. Furthermore, in line with the susceptibility hypothesis, higher levels of symptomatology were found in lifetime alcohol, tobacco and drug users during recovery. The self-medication hypothesis could be tested partially due to the hospital stay “cleaning” effect, but severity of symptoms was linked to caffeine, nicotine, alcohol and cannabis use after discharge. Conclusions: We found that the three classical hypotheses could be used to understand the link between traumatic experiences and substance use explaining different patterns of burn patient’s risk for trauma exposure and emergence of symptomatology.

JournalJournal of Addictive Diseases
ISSN1545-0848
1055-0887
Year2015
PublisherTaylor & Francis for American Osteopathic Academy of Addiction Medicine
Accepted author manuscript
Web address (URL)http://dx.doi.org/10.1080/10550887.2015.1127717
Publication dates
Print15 Dec 2015
Publication process dates
Deposited17 Dec 2015
Accepted01 Dec 2015
FunderResearch Institute of the University Hospital Vall d’Hebron
Departament of Health, Government of Catalonia, Spain
Copyright informationThis is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Addictive Diseases on 15.12.15, available online: http://wwww.tandfonline.com/10.1080/10550887.2015.1127717
Page range00-00
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https://repository.uel.ac.uk/item/85381

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