Cannabis use among military veterans after residential treatment for posttraumatic stress disorder.
Identifieur interne : 001599 ( Main/Exploration ); précédent : 001598; suivant : 001600Cannabis use among military veterans after residential treatment for posttraumatic stress disorder.
Auteurs : Marcel O. Bonn-Miller [États-Unis] ; Anka A. Vujanovic ; Kent D. DrescherSource :
- Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors [ 1939-1501 ] ; 2011.
Descripteurs français
- KwdFr :
- Anciens combattants (psychologie), Anciens combattants (statistiques et données numériques), Fumer de la marijuana (psychologie), Fumer de la marijuana (épidémiologie), Humains (MeSH), Indice de gravité de la maladie (MeSH), Mâle (MeSH), Personnel militaire (psychologie), Personnel militaire (statistiques et données numériques), Prévalence (MeSH), Récidive (MeSH), Traitement résidentiel (MeSH), Troubles de stress post-traumatique (psychologie), Troubles de stress post-traumatique (thérapie), Valeur prédictive des tests (MeSH), Échelles d'évaluation en psychiatrie (MeSH).
- MESH :
- psychologie : Anciens combattants, Fumer de la marijuana, Personnel militaire, Troubles de stress post-traumatique.
- statistiques et données numériques : Anciens combattants, Personnel militaire.
- thérapie : Troubles de stress post-traumatique.
- épidémiologie : Fumer de la marijuana.
- Humains, Indice de gravité de la maladie, Mâle, Prévalence, Récidive, Traitement résidentiel, Valeur prédictive des tests, Échelles d'évaluation en psychiatrie.
English descriptors
- KwdEn :
- Humans (MeSH), Male (MeSH), Marijuana Smoking (epidemiology), Marijuana Smoking (psychology), Military Personnel (psychology), Military Personnel (statistics & numerical data), Predictive Value of Tests (MeSH), Prevalence (MeSH), Psychiatric Status Rating Scales (MeSH), Recurrence (MeSH), Residential Treatment (MeSH), Severity of Illness Index (MeSH), Stress Disorders, Post-Traumatic (psychology), Stress Disorders, Post-Traumatic (therapy), Veterans (psychology), Veterans (statistics & numerical data).
- MESH :
- epidemiology : Marijuana Smoking.
- psychology : Marijuana Smoking, Military Personnel, Stress Disorders, Post-Traumatic, Veterans.
- statistics & numerical data : Military Personnel, Veterans.
- therapy : Stress Disorders, Post-Traumatic.
- Humans, Male, Predictive Value of Tests, Prevalence, Psychiatric Status Rating Scales, Recurrence, Residential Treatment, Severity of Illness Index.
Abstract
The present investigation prospectively evaluated whether treatment changes in PTSD symptom severity, among military Veterans in residential PTSD treatment, were related to cannabis use 4 months after discharge from residential rehabilitation. The sample was comprised of 432 male military Veteran patients (Mage = 51.06 years, SD = 4.17), who had a primary diagnosis of PTSD and were admitted to a VA residential rehabilitation program for PTSD. Results demonstrated that lower levels of change in PCL-M scores between treatment intake and discharge were significantly predictive of greater frequency of cannabis use at 4-month follow-up (p < .05), even after accounting for the effects of length of treatment stay and frequency of cannabis use during the 2 months before treatment intake. Furthermore, post hoc analyses revealed that less change in PTSD avoidance/numbing and hyperarousal symptom severity during treatment was significantly predictive of a greater frequency of cannabis use at 4-month follow-up, after controlling for relevant covariates. Notably, these effects were specific to cannabis and were not found for the other substances examined among this sample, including alcohol and opiates. Implications of the findings are discussed with regard to the extant literature and future directions.
DOI: 10.1037/a0021945
PubMed: 21261407
Affiliations:
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Vujanovic</name></author><author><name sortKey="Drescher, Kent D" sort="Drescher, Kent D" uniqKey="Drescher K" first="Kent D" last="Drescher">Kent D. 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Bonn-Miller</name><affiliation wicri:level="2"><nlm:affiliation>The Center for Health Care Evaluation, VA Palo Alto Health Care System, Menlo Park Division (152), 795 Willow Road, Menlo Park, CA 94025, USA. Marcel.Bonn-Miller@va.gov</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>The Center for Health Care Evaluation, VA Palo Alto Health Care System, Menlo Park Division (152), 795 Willow Road, Menlo Park, CA 94025</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Vujanovic, Anka A" sort="Vujanovic, Anka A" uniqKey="Vujanovic A" first="Anka A" last="Vujanovic">Anka A. Vujanovic</name></author><author><name sortKey="Drescher, Kent D" sort="Drescher, Kent D" uniqKey="Drescher K" first="Kent D" last="Drescher">Kent D. Drescher</name></author></analytic><series><title level="j">Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors</title><idno type="eISSN">1939-1501</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Marijuana Smoking (epidemiology)</term><term>Marijuana Smoking (psychology)</term><term>Military Personnel (psychology)</term><term>Military Personnel (statistics & numerical data)</term><term>Predictive Value of Tests (MeSH)</term><term>Prevalence (MeSH)</term><term>Psychiatric Status Rating Scales (MeSH)</term><term>Recurrence (MeSH)</term><term>Residential Treatment (MeSH)</term><term>Severity of Illness Index (MeSH)</term><term>Stress Disorders, Post-Traumatic (psychology)</term><term>Stress Disorders, Post-Traumatic (therapy)</term><term>Veterans (psychology)</term><term>Veterans (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Anciens combattants (psychologie)</term><term>Anciens combattants (statistiques et données numériques)</term><term>Fumer de la marijuana (psychologie)</term><term>Fumer de la marijuana (épidémiologie)</term><term>Humains (MeSH)</term><term>Indice de gravité de la maladie (MeSH)</term><term>Mâle (MeSH)</term><term>Personnel militaire (psychologie)</term><term>Personnel militaire (statistiques et données numériques)</term><term>Prévalence (MeSH)</term><term>Récidive (MeSH)</term><term>Traitement résidentiel (MeSH)</term><term>Troubles de stress post-traumatique (psychologie)</term><term>Troubles de stress post-traumatique (thérapie)</term><term>Valeur prédictive des tests (MeSH)</term><term>Échelles d'évaluation en psychiatrie (MeSH)</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Marijuana Smoking</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Anciens combattants</term><term>Fumer de la marijuana</term><term>Personnel militaire</term><term>Troubles de stress post-traumatique</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Marijuana Smoking</term><term>Military Personnel</term><term>Stress Disorders, Post-Traumatic</term><term>Veterans</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Military Personnel</term><term>Veterans</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Anciens combattants</term><term>Personnel militaire</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Stress Disorders, Post-Traumatic</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Troubles de stress post-traumatique</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Fumer de la marijuana</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Male</term><term>Predictive Value of Tests</term><term>Prevalence</term><term>Psychiatric Status Rating Scales</term><term>Recurrence</term><term>Residential Treatment</term><term>Severity of Illness Index</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Humains</term><term>Indice de gravité de la maladie</term><term>Mâle</term><term>Prévalence</term><term>Récidive</term><term>Traitement résidentiel</term><term>Valeur prédictive des tests</term><term>Échelles d'évaluation en psychiatrie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The present investigation prospectively evaluated whether treatment changes in PTSD symptom severity, among military Veterans in residential PTSD treatment, were related to cannabis use 4 months after discharge from residential rehabilitation. The sample was comprised of 432 male military Veteran patients (Mage = 51.06 years, SD = 4.17), who had a primary diagnosis of PTSD and were admitted to a VA residential rehabilitation program for PTSD. Results demonstrated that lower levels of change in PCL-M scores between treatment intake and discharge were significantly predictive of greater frequency of cannabis use at 4-month follow-up (p < .05), even after accounting for the effects of length of treatment stay and frequency of cannabis use during the 2 months before treatment intake. Furthermore, post hoc analyses revealed that less change in PTSD avoidance/numbing and hyperarousal symptom severity during treatment was significantly predictive of a greater frequency of cannabis use at 4-month follow-up, after controlling for relevant covariates. Notably, these effects were specific to cannabis and were not found for the other substances examined among this sample, including alcohol and opiates. Implications of the findings are discussed with regard to the extant literature and future directions.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21261407</PMID><DateCompleted><Year>2012</Year><Month>01</Month><Day>27</Day></DateCompleted><DateRevised><Year>2011</Year><Month>09</Month><Day>20</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1939-1501</ISSN><JournalIssue CitedMedium="Internet"><Volume>25</Volume><Issue>3</Issue><PubDate><Year>2011</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors</Title><ISOAbbreviation>Psychol Addict Behav</ISOAbbreviation></Journal><ArticleTitle>Cannabis use among military veterans after residential treatment for posttraumatic stress disorder.</ArticleTitle><Pagination><MedlinePgn>485-91</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1037/a0021945</ELocationID><Abstract><AbstractText>The present investigation prospectively evaluated whether treatment changes in PTSD symptom severity, among military Veterans in residential PTSD treatment, were related to cannabis use 4 months after discharge from residential rehabilitation. The sample was comprised of 432 male military Veteran patients (Mage = 51.06 years, SD = 4.17), who had a primary diagnosis of PTSD and were admitted to a VA residential rehabilitation program for PTSD. Results demonstrated that lower levels of change in PCL-M scores between treatment intake and discharge were significantly predictive of greater frequency of cannabis use at 4-month follow-up (p < .05), even after accounting for the effects of length of treatment stay and frequency of cannabis use during the 2 months before treatment intake. Furthermore, post hoc analyses revealed that less change in PTSD avoidance/numbing and hyperarousal symptom severity during treatment was significantly predictive of a greater frequency of cannabis use at 4-month follow-up, after controlling for relevant covariates. Notably, these effects were specific to cannabis and were not found for the other substances examined among this sample, including alcohol and opiates. Implications of the findings are discussed with regard to the extant literature and future directions.</AbstractText><CopyrightInformation>(c) 2011 APA, all rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bonn-Miller</LastName><ForeName>Marcel O</ForeName><Initials>MO</Initials><AffiliationInfo><Affiliation>The Center for Health Care Evaluation, VA Palo Alto Health Care System, Menlo Park Division (152), 795 Willow Road, Menlo Park, CA 94025, USA. Marcel.Bonn-Miller@va.gov</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vujanovic</LastName><ForeName>Anka A</ForeName><Initials>AA</Initials></Author><Author ValidYN="Y"><LastName>Drescher</LastName><ForeName>Kent D</ForeName><Initials>KD</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013486">Research Support, U.S. Gov't, Non-P.H.S.</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Psychol Addict Behav</MedlineTA><NlmUniqueID>8802734</NlmUniqueID><ISSNLinking>0893-164X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008385" MajorTopicYN="N">Marijuana Smoking</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008889" MajorTopicYN="N">Military Personnel</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011237" MajorTopicYN="N">Predictive Value of Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011569" MajorTopicYN="N">Psychiatric Status Rating Scales</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012008" MajorTopicYN="N">Recurrence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012114" MajorTopicYN="Y">Residential Treatment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013313" MajorTopicYN="N">Stress Disorders, Post-Traumatic</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014728" MajorTopicYN="N">Veterans</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>1</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>1</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>1</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21261407</ArticleId><ArticleId IdType="pii">2011-01110-001</ArticleId><ArticleId IdType="doi">10.1037/a0021945</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><noCountry><name sortKey="Drescher, Kent D" sort="Drescher, Kent D" uniqKey="Drescher K" first="Kent D" last="Drescher">Kent D. Drescher</name><name sortKey="Vujanovic, Anka A" sort="Vujanovic, Anka A" uniqKey="Vujanovic A" first="Anka A" last="Vujanovic">Anka A. Vujanovic</name></noCountry><country name="États-Unis"><region name="Californie"><name sortKey="Bonn Miller, Marcel O" sort="Bonn Miller, Marcel O" uniqKey="Bonn Miller M" first="Marcel O" last="Bonn-Miller">Marcel O. Bonn-Miller</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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