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Treating Child Abuse Related Posttraumatic Stress
Comorbid Substance Abuse in Adolescents
Judith a Cohen et.al
Strong empirical evidence based on previous research shows a clear association between child abuse and subsequent development of PTSD (Post Traumatic Stress Disorder) and SUD (Substance Use Disorder). This article by Cohen et.al is a research review of several independent studies that show correlation between PTSD and SUD. The authors also discuss specific treatment modalities that are effective in treating child abuse related PTSD and SUD.
The Co-occurrence of child abuse and development of PTSD and SUD as co-morbid conditions implies the necessity of specific treatment methods that take into account the previous history of abuse.
Method
The authors performed a literature review of current treatment practices for adolescents with abuse related PTSD and SUD and synthesized the results. Empirical treatment methods for abuse related PSTD and SUD are discussed. Over a broad spectrum of epidemiological...
Adolescents with a past history of abuse develop negative coping behavior such as avoidance instead of seeking support or counsel. Suppressed emotional behavior carries a strong risk for developing PTSD, which further leads to substance abuse. The co existent and interdependent nature of PTSD and SUD has also been documented in several studies. Giaconia et.al. 2003 for example, documents that substance abuse practiced as a coping strategy may further reinforce PTSD symptoms resulting in adolescents being trapped in a vicious cycle. Stigmatization and isolation by peers may also contribute to increased substance dependence. [Judith A Cohen]
To identify the best possible treatments for adolescents with abuse related PTSD and consequent SUD the authors analyzed outcome of many RCT (randomized controlled Trials) and there was clear evidence in favor of the efficacy of Trauma focused Cognitive behavioral therapy over other non-directive therapies. Studies by Cohen,…
Bibliography
Judith A Cohen, Anthony P. Mannarino, Aren C. Zhitova, Margery E. Capone, " Treating
Child Abuse Related Posttraumatic Stress and Comorbid Substance Abuse in Adolescents," Child Abuse & Neglect, 27 (2003) 1345-1365
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