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Factors associated with high-risk substance use in persons receiving psychiatric treatment for a primary trauma- and stressor-related disorder diagnosis
Ware, O. D., Strickland, J. C., Smith, K. E., Blakey, S. M., & Dunn, K. E. (2023). Factors associated with high-risk substance use in persons receiving psychiatric treatment for a primary trauma- and stressor-related disorder diagnosis. Journal of Dual Diagnosis, 19(4), 199-208. Advance online publication. https://doi.org/10.1080/15504263.2023.2260340
OBJECTIVE: Although mental health disorders and high-risk substance use frequently co-occur, they are typically investigated independently. Clinical trials focused on treatment for individuals with trauma- and stressor-related disorders often exclude individuals with high-risk substance use. Little is also known about the role of gender in the relationship between trauma- and stressor-related disorders and high-risk substance use. We examined the relationship between trauma- and stressor-related disorders, high-risk substance use, and gender.
METHODS: Using the Mental Health Client-Level Data dataset, we examined 15,772 adults receiving treatment in psychiatric hospitals in the United States from 2013 to 2019.
RESULTS: A logistic regression model showed that for men, relative to women, having multiple mental health diagnoses and having a serious mental illness or serious emotional disturbance was associated with greater odds of high-risk substance use.
CONCLUSIONS: This study underscores the value of comprehensive gender-centered treatment for people with trauma- and stressor-related disorders engaging in high-risk substance use.
