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These findings are compatible with notions of functional relations, suggesting that PTSD arousal symptoms motivate PTSD patients to abuse alcohol, prescription depressant drugs, or both, in an attempt to self-medicate their hyperaroused state. This self-medication could involve attempts to aid in sleep, reduce irritability, reduce concentration difficulties, reduce hypervigilance, or control excessive startle (cf. , 1980). , 1998). Finally, these findings are also consistent with the symptom redundancy position posited by Saladin, Brady, Dansky, and Kilpatrick (1995), who argued that symptoms of withdrawal from alcohol and drugs can mimic PTSD arousal symptoms, which might account for the correlations between PTSD arousal symptoms and levels of SUD symptoms in these gradient-of-effect studies.
Murrah Federal Building in Oklahoma City, OK, in April 1995. A total of 182 individuals were assessed using a version of the DIS within 4-8 months following the bombing. 3%) developed PTSD in connection with the bombing. 5%) with predisaster alcohol use disorder developed PTSD in response to the bombing. The occurrence of PTSD was somewhat lower among those with no predisaster psychiatric disorder (28 out of 103 = 27%). These findings suggest that individuals with a predisaster SUD might have been more susceptible to PTSD following the bombing than those with no predisaster disorder.
DSM-III-R; American Psychiatric Association, 1987) PTSD symptom clusters and severity of alcohol use disorder symptoms in a clinical sample. Participants were 108 male war veterans presenting for SUD treatment. In this study, PTSD symptoms were divided conceptually into the three DSM clusters: (a) intrusions, (b) numbing/avoidance, and (c) arousal. Relations of these sets of PTSD symptoms with substance misuse were evaluated separately for alcohol versus other drugs. Levels of alcohol PSYCHOSOCIAL MODELS 31 problems were significantly positively associated with levels of PTSD arousal and intrusions symptoms (particularly arousal symptoms), but not with avoidance/numbing symptoms.