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Comprehensive psychiatry v.80, 2018년, pp.132 - 139   SCI SCIE SSCI
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Towards a psychopathology specific to Substance Use Disorder: Should emotional responses to life events be included?

Maremmani, Angelo G.I.    (Department of Psychiatry, North-Western Tuscany Region Local Health Unit, Versilia Zone, Viareggio, Italy   ); Maiello, Marco    (School of Psychiatry, University of Pisa, Italy   ); Carbone, Manuel Glauco    (School of Psychiatry, University of Pisa, Italy   ); Pallucchini, Alessandro    (School of Psychiatry, University of Pisa, Italy   ); Brizzi, Francesca    (Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Italy   ); Belcari, Iacopo    (Vincent P. Dole Dual Diagnosis Unit, Department of Specialty Medicine, Psychiatric Unit 2, Santa Chiara University Hospital, University of Pisa, Italy   ); Conversano, Ciro    (Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Italy   ); Perugi, Giulio    (G. De Lisio Institute of Behavioral Sciences, Pisa, Italy   ); Maremmani, Icro    (Association for the Application of Neuroscientific Knowledge to Social Aims (AU-CNS), Pietrasanta, Lucca, Italy  );
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    Abstract Introduction The severity of emotional responses to life events (PTSD spectrum) as part of Post Traumatic Stress Disorder (PTSD) in Substance Use Disorder (SUD) patients has often been considered from a unitary perspective. Light has also been shed on the possible definition of a specific psychopathology of SUD patients. This psychopathology has been proved to be independent of treatment choice, of being active in using substances, of lifetime psychiatric comorbidity and primary substance of abuse (heroin, alcohol, cocaine). Methods To further support this unitary perspective, in this study we have compared the severity and typology of the five psychopathological dimensions found in SUD patients, by dividing 93 HUD patients (77.4% males and 22.6% females), characterized by the lifetime absence of exposure to actual or threatened death, serious injury, or sexual violence, on the basis of the severity of their PTSD spectrum. We used the cut-off that differentiated people developing (High PTSD spectrum; H-PTSD/S) or not developing (Low PTSD spectrum; L-PTSD/S) a PTSD after the earthquake that hit L'Aquila, Italy, in April 2009. Results Using a canonical correlation analysis, the significant (p Conclusions This study further supports the SUD-PTSD spectrum unitary perspective and argues in favor of the inclusion of the PTSD spectrum in the psychopathology of SUD.


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