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.
Authors | Eiroá-Orosa, F., Giannoni-Pastor, Anna, Fidel-Kinori, Sara Guila and Argüello-Alonso, José María |
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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. |
Journal | Journal of Addictive Diseases |
ISSN | 1545-0848 |
1055-0887 | |
Year | 2015 |
Publisher | Taylor & 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 | |
15 Dec 2015 | |
Publication process dates | |
Deposited | 17 Dec 2015 |
Accepted | 01 Dec 2015 |
Funder | Research Institute of the University Hospital Vall d’Hebron |
Departament of Health, Government of Catalonia, Spain | |
Copyright information | This 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 range | 00-00 |
https://repository.uel.ac.uk/item/85381
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