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Posttraumatic stress disorder symptom severity and HIV-risk behaviors among substance-dependent inpatients

机译:物质依赖型住院患者的创伤后应激障碍症状严重程度和HIV风险行为

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摘要

Despite findings that the co-occurrence of posttraumatic stress disorder (PTSD) and substance use disorders (SUD) is associated with heightened risk for a variety of risky behaviors, few studies have examined behaviors linked to heightened risk for HIV infection and transmission in particular, or explored the unique associations between specific PTSD symptom clusters and these HIV-risk behaviors. Therefore, the goal of this study was to examine the associations between PTSD symptom severity and HIV-risk behaviors (i.e., risky sexual behavior [RSB] and injection drug use [INJ]) within an ethnically diverse sample of 85 SUD patients in residential SUD treatment. Participants completed a battery of questionnaires assessing PTSD symptom severity and HIV-risk behaviors, including RSB and INJ. Results demonstrated significant positive associations between PTSD symptom severity and RSB; however, no significant relationship between PTSD symptom severity and INJ was found. Furthermore, the severity of hyperarousal symptoms in particular was found to significantly predict RSB above and beyond age and all other PTSD symptom clusters. Results of this study suggest that PTSD symptoms (and, more specifically, the hyperarousal symptoms of PTSD) may heighten the risk for some forms of HIV-risk behaviors (RSB) but not others (INJ). Results highlight the importance of identifying and targeting hyperarousal symptoms in the treatment of SUD patients experiencing symptoms of PTSD in order to reduce HIV infection or transmission risk.
机译:尽管发现创伤后应激障碍(PTSD)和物质使用障碍(SUD)的并发与多种危险行为的高风险相关,但很少有研究检查与艾滋病毒感染和传播的高风险相关的行为,或探讨了特定的PTSD症状群与这些HIV风险行为之间的独特关联。因此,本研究的目的是在居住区SUD中85名SUD患者的不同种族样本中研究PTSD症状严重程度与HIV风险行为(即危险性行为[RSB]和注射吸毒[INJ])之间的关联。治疗。参与者完成了一系列问卷调查,评估了PTSD症状的严重程度和HIV风险行为,包括RSB和INJ。结果表明,PTSD症状严重程度与RSB之间存在显着的正相关性。但是,PTSD症状严重程度与INJ之间没有显着关系。此外,特别是高听觉症状的严重性被发现可以显着预测年龄以上及其他所有PTSD症状群的RSB。这项研究的结果表明,PTSD症状(更具体地说是PTSD的过度兴奋症状)可能会增加某些形式的HIV风险行为(RSB)的风险,而对其他形式的风险却更大(INJ)。结果突出了识别和靶向过度刺激症状在治疗遭受PTSD症状的SUD患者中的重要性,以减少HIV感染或传播风险。

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