PTSD, dysregulation profile and substance use: exploring differences in a sample of adolescents in an outpatient clinic
IntroductionExperiencing traumatic events (TEs), especially interpersonal TEs, is related to an increased risk of developing post-traumatic stress disorder (PTSD). Both TEs and PTSD are associated with a higher risk of substance use and problems in emotion regulation. Little is known about the assoc...
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Frontiers Media S.A.
2024-12-01
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| Series: | Frontiers in Child and Adolescent Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/frcha.2024.1421486/full |
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| author | Emely Reyentanz Emely Reyentanz Lukas A. Basedow Veit Roessner Yulia Golub Yulia Golub |
| author_facet | Emely Reyentanz Emely Reyentanz Lukas A. Basedow Veit Roessner Yulia Golub Yulia Golub |
| author_sort | Emely Reyentanz |
| collection | DOAJ |
| description | IntroductionExperiencing traumatic events (TEs), especially interpersonal TEs, is related to an increased risk of developing post-traumatic stress disorder (PTSD). Both TEs and PTSD are associated with a higher risk of substance use and problems in emotion regulation. Little is known about the associations between specific types of TEs, problems with general self-regulation (including cognitive and behavioral components) and substance use severity in adolescents. Knowledge on these associations could provide important approaches for prevention and therapy for adolescents with a history of trauma.MethodsThis study investigated associations between different types of TEs and PTSD, self-regulation and substance use severity. Moreover, participants were categorized into three groups according to their trauma status: (I) no history of TEs (noTEs), (II) history of TEs but no PTSD diagnosis (TEs), and (III) history of TEs and PTSD diagnosis (PTSD). Differences between the three groups were analyzed in terms of self-regulation and substance use severity. Our sample consisted of N = 89 adolescents aged 12 to 18 years in a child and adolescent psychiatric outpatient clinic in Germany. Substance use severity was only assessed in a smaller subsample (n = 37). Data were obtained from standardized diagnostic procedures and included information on types of TEs and PTSD diagnosis according to ICD-10, problems in self-regulation assessed with the Child Behavior Checklist (CBCL)/ Youth Self Report (YSR) Dysregulation Profile (DP), and substance use severity measured with the Drug Use Disorders Identification Test (DUDIT).ResultsWe found that interpersonal TEs were significantly associated with higher rates of PTSD diagnosis compared to non-interpersonal TEs. We found no significant associations between different types of TEs and both problems in self-regulation and substance use severity. Moreover, our findings do not indicate differences in both self-regulation and substance use severity between trauma statuses (noTEs, TEs, PTSD).DiscussionFuture studies should consider other characteristics of TEs such as timing and duration when investigating associations with self-regulation. Longitudinal studies are needed to investigate developmental pathways, as a better understanding of the role of characteristics of TEs and self-regulation in the development of PTSD and substance use problems would provide opportunities for prevention and therapy for trauma-exposed patients. |
| format | Article |
| id | doaj-art-a392fb623cfc4761a5bf79ed848c5843 |
| institution | OA Journals |
| issn | 2813-4540 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Child and Adolescent Psychiatry |
| spelling | doaj-art-a392fb623cfc4761a5bf79ed848c58432025-08-20T01:58:08ZengFrontiers Media S.A.Frontiers in Child and Adolescent Psychiatry2813-45402024-12-01310.3389/frcha.2024.14214861421486PTSD, dysregulation profile and substance use: exploring differences in a sample of adolescents in an outpatient clinicEmely Reyentanz0Emely Reyentanz1Lukas A. Basedow2Veit Roessner3Yulia Golub4Yulia Golub5Department of Child and Adolescent Psychiatry, Carl von Ossietzky Universität Oldenburg, Oldenburg, GermanyDepartment of Child and Adolescent Psychiatry, Faculty of Medicine, Technische Universität Dresden, Dresden, GermanyFachbereich Psychologie, Klinische Psychologie und Psychotherapie, Phillips Universität Marburg, Marburg, GermanyDepartment of Child and Adolescent Psychiatry, Faculty of Medicine, Technische Universität Dresden, Dresden, GermanyDepartment of Child and Adolescent Psychiatry, Carl von Ossietzky Universität Oldenburg, Oldenburg, GermanyDepartment of Child and Adolescent Psychiatry, Faculty of Medicine, Technische Universität Dresden, Dresden, GermanyIntroductionExperiencing traumatic events (TEs), especially interpersonal TEs, is related to an increased risk of developing post-traumatic stress disorder (PTSD). Both TEs and PTSD are associated with a higher risk of substance use and problems in emotion regulation. Little is known about the associations between specific types of TEs, problems with general self-regulation (including cognitive and behavioral components) and substance use severity in adolescents. Knowledge on these associations could provide important approaches for prevention and therapy for adolescents with a history of trauma.MethodsThis study investigated associations between different types of TEs and PTSD, self-regulation and substance use severity. Moreover, participants were categorized into three groups according to their trauma status: (I) no history of TEs (noTEs), (II) history of TEs but no PTSD diagnosis (TEs), and (III) history of TEs and PTSD diagnosis (PTSD). Differences between the three groups were analyzed in terms of self-regulation and substance use severity. Our sample consisted of N = 89 adolescents aged 12 to 18 years in a child and adolescent psychiatric outpatient clinic in Germany. Substance use severity was only assessed in a smaller subsample (n = 37). Data were obtained from standardized diagnostic procedures and included information on types of TEs and PTSD diagnosis according to ICD-10, problems in self-regulation assessed with the Child Behavior Checklist (CBCL)/ Youth Self Report (YSR) Dysregulation Profile (DP), and substance use severity measured with the Drug Use Disorders Identification Test (DUDIT).ResultsWe found that interpersonal TEs were significantly associated with higher rates of PTSD diagnosis compared to non-interpersonal TEs. We found no significant associations between different types of TEs and both problems in self-regulation and substance use severity. Moreover, our findings do not indicate differences in both self-regulation and substance use severity between trauma statuses (noTEs, TEs, PTSD).DiscussionFuture studies should consider other characteristics of TEs such as timing and duration when investigating associations with self-regulation. Longitudinal studies are needed to investigate developmental pathways, as a better understanding of the role of characteristics of TEs and self-regulation in the development of PTSD and substance use problems would provide opportunities for prevention and therapy for trauma-exposed patients.https://www.frontiersin.org/articles/10.3389/frcha.2024.1421486/fulladolescentstraumatic eventsPTSD–posttraumatic stress disorderdysregulation profilesubstance use |
| spellingShingle | Emely Reyentanz Emely Reyentanz Lukas A. Basedow Veit Roessner Yulia Golub Yulia Golub PTSD, dysregulation profile and substance use: exploring differences in a sample of adolescents in an outpatient clinic Frontiers in Child and Adolescent Psychiatry adolescents traumatic events PTSD–posttraumatic stress disorder dysregulation profile substance use |
| title | PTSD, dysregulation profile and substance use: exploring differences in a sample of adolescents in an outpatient clinic |
| title_full | PTSD, dysregulation profile and substance use: exploring differences in a sample of adolescents in an outpatient clinic |
| title_fullStr | PTSD, dysregulation profile and substance use: exploring differences in a sample of adolescents in an outpatient clinic |
| title_full_unstemmed | PTSD, dysregulation profile and substance use: exploring differences in a sample of adolescents in an outpatient clinic |
| title_short | PTSD, dysregulation profile and substance use: exploring differences in a sample of adolescents in an outpatient clinic |
| title_sort | ptsd dysregulation profile and substance use exploring differences in a sample of adolescents in an outpatient clinic |
| topic | adolescents traumatic events PTSD–posttraumatic stress disorder dysregulation profile substance use |
| url | https://www.frontiersin.org/articles/10.3389/frcha.2024.1421486/full |
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