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Eur Addict Res. 2019;25(4):198-206. doi: 10.1159/000499936. Epub 2019 May 22.

Posttraumatic Stress Disorder Is a Risk Factor for Multiple Addictions in Police Officers Hospitalized for Alcohol.

Author information

1
CHRU de Tours, Équipe de Liaison et de Soins en Addictologie, Tours, France, paul.brunault@univ-tours.fr.
2
CHRU de Tours, Clinique Psychiatrique Universitaire, Tours, France, paul.brunault@univ-tours.fr.
3
UMR 1253, iBrain, Université de Tours, Inserm, Tours, France, paul.brunault@univ-tours.fr.
4
Qualipsy EE 1901, Université de Tours, Tours, France, paul.brunault@univ-tours.fr.
5
CHRU de Tours, Équipe de Liaison et de Soins en Addictologie, Tours, France.
6
CHRU de Tours, Clinique Psychiatrique Universitaire, Tours, France.
7
Soins de Suite et de Réadaptation en Addictologie "Le Courbat", Le Liège, France.
8
CHRU de Tours, CSAPA-37, Tours, France.
9
Centre Hospitalier Louis Sevestre, La Membrolle-sur-Choisille, France.
10
Pôle Universitaire du Grand Nancy, Centre Psychothérapique de Nancy, Laxou, France.
11
Qualipsy EE 1901, Université de Tours, Tours, France.
12
CHU Nantes, Department of Addictology and Psychiatry, Nantes, France.
13
Université de Nantes, Université de Tours, Inserm, UMR 1246, Nantes, France.
14
UMR 1253, iBrain, Université de Tours, Inserm, Tours, France.

Abstract

BACKGROUND:

In police officers, posttraumatic stress disorder (PTSD) is associated with alcohol use disorder (AUD), but we lack data on the association between PTSD and other substance-related and addictive disorders.

OBJECTIVES:

We assessed whether PTSD could be a risk factor for different substance-related and addictive disorders in police officers, including alcohol, tobacco, cannabis, and gambling.

METHOD:

This cross-sectional study included all police officers admitted consecutively for alcohol to an inpatient ward dedicated to police officers (Le Courbat rehabilitation center, France; n= 133). Each patient completed self-administered questionnaires that assessed lifetime exposure to potentially traumatic events (Life Event Checklist for DSM-5), PTSD severity and diagnosis (PTSD Checklist for DSM-5), AUD severity (Alcohol Use Disorder Identification Test [AUDIT]), tobacco dependence (Fagerström test for Nicotine Dependence), cannabis dependence (Cannabis Abuse Screening test), and gambling disorder (Canadian Problem Gambling Index).

RESULTS:

Mean AUDIT score was 23.7 ± 8.0; 66.2% had an AUDIT score ≥20. Our sample comprised a high prevalence for PTSD (38.3%) and for substance-related and addictive disorders: tobacco dependence (68.4%), cannabis dependence (3.8%), and pathological gambling (3%). Patients with PTSD experienced higher lifetime exposure to traumatic experiences: physical assault, severe human suffering, sudden accidental death of another person, and other types of stressful events/experiences. In multiple linear regressions adjusted for age, sex, and marital status, PTSD was a significant predictor of the severity of AUD and tobacco use disorder, but not of the severity of cannabis use disorder nor gambling disorder.

CONCLUSIONS:

PTSD is common in police officers hospitalized for alcohol and associated with a higher severity of some addictive disorders (alcohol/tobacco). PTSD and its comorbid addictive disorders should be systematically screened and treated in this population.

KEYWORDS:

Addictive; Behavior; Posttraumatic stress disorder; Rehabilitation center; Substance-related and addictive disorders; Tobacco use disorder

PMID:
31117072
DOI:
10.1159/000499936

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