@article{ref1,
title="Posttraumatic stress disorder is a risk factor for multiple addictions in police officers hospitalized for alcohol",
journal="European addiction research",
year="2019",
author="Brunault, Paul and Lebigre, Kevin and Idbrik, Fatima and Maugé, Damien and Adam, Philippe and El Ayoubi, Hussein and Hingray, Coraline and Barrault, Servane and Grall-Bronnec, Marie and Ballon, Nicolas and El-Hage, Wissam",
volume="25",
number="4",
pages="198-206",
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. <br><br>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. <br><br>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). <br><br>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. <br><br>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.<br><br>© 2019 S. Karger AG, Basel.<p /> <p>Language: en</p>",
language="en",
issn="1022-6877",
doi="10.1159/000499936",
url="http://dx.doi.org/10.1159/000499936"
}