Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
권호 표지

Symptoms of Posttraumatic Stress Disorder in Relation to the Alcohol Problem in Korean Veterans of Vietnam War

월남전 참전자에서 문제음주와 관련한 외상 후 스트레스 장애의 증상 차이

  • Kwon, Tae Hyo (Department of Neuropsychiatry, Seoul Veterans Hospital) ;
  • Chung, Hae Gyung (Department of Neuropsychiatry, Seoul Veterans Hospital) ;
  • Kim, Dong Su (Department of Neuropsychiatry, Seoul Veterans Hospital) ;
  • Choi, Jin Hee (Department of Neuropsychiatry, Seoul Veterans Hospital) ;
  • Kim, Tae Yong (Department of Neuropsychiatry, Seoul Veterans Hospital) ;
  • So, Hyung Seok (Department of Neuropsychiatry, Seoul Veterans Hospital) ;
  • Chung, Moon Yong (Department of Neuropsychiatry, Seoul Veterans Hospital)
  • 권태효 (서울보훈병원 정신건강의학과) ;
  • 정혜경 (서울보훈병원 정신건강의학과) ;
  • 김동수 (서울보훈병원 정신건강의학과) ;
  • 최진희 (서울보훈병원 정신건강의학과) ;
  • 김태용 (서울보훈병원 정신건강의학과) ;
  • 소형석 (서울보훈병원 정신건강의학과) ;
  • 정문용 (서울보훈병원 정신건강의학과)
  • Received : 2011.09.21
  • Accepted : 2011.10.18
  • Published : 2011.10.30
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Abstract

Objectives : The three symptom clusters of posttraumatic stress disorder (PTSD) are reexperience, avoidance, and hyperarousal. Alcohol use disorders frequently co-occur with PTSD, and possible functional correlations are suspected. Scholarly evaluation of the differences between the symptoms of PTSD and those of alcohol problems may be useful in understanding the pathophysiology of the comorbidity. Methods : We recruited Vietnam veterans with PTSD (n=97) and without PTSD (n=132). The alcohol use disorder identification test (AUDIT), and clinician-administered PTSD scale (CAPS) were administered to participants. The PTSD group was divided into two categories: those with PTSD only (n=57) and those with concurrent alcohol-related problems (n=40). Results : The PTSD group showed higher AUDIT scores compared to the control group. In the PTSD group, participants with alcohol problems had a severer symptoms of recurrent dream and sleep disturbance symptoms compared to the PTSD only group. No significant differences were found in the three major symptom clusters of PTSD. Conclusion : These findings support the proposed existence of a functional correlation between PTSD and alcohol use disorder. Clinicians should carefully evaluate and treat comorbid alcohol use disorder in patients with PTSD.

Keywords

References

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