Comorbid posttraumatic stress disorder and alcohol use disorder in low- and middle-income countries: A narrative review.

Journal: Global mental health (Cambridge, England)

Volume: 10

Issue: 

Year of Publication: 

Affiliated Institutions:  Division of Public Mental Health and Population Sciences, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA. Department of Psychology, University of Cape Town, Cape Town, South Africa. Program on Forced Migration and Health, Heilbrunn Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, NY, USA. Department of Psychology, Colin Powell School of Civic and Global Leadership, The City College of New York, Convent Avenue, New York, NY, USA. Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.

Abstract summary 

Much of the research on posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD) has been conducted in high-income countries (HICs). However, PTSD and AUD commonly co-occur (PTSD + AUD) are both associated with high global burden of disease, and disproportionately impact those in low- and middle-income countries (LMICs). This narrative review attempts to synthesize the research on prevalence, impact, etiological models, and treatment of PTSD + AUD drawing from research conducted in HICs and discussing the research that has been conducted to date in LMICs. The review also discusses overall limitations in the field, including a lack of research on PTSD + AUD outside of HICs, issues with measurement of key constructs, and limitations in sampling strategies across comorbidity studies. Future directions are discussed, including a need for rigorous research studies conducted in LMICs that focus on both etiological mechanisms and on treatment approaches.

Authors & Co-authors:  Kaysen Debra L DL van Stolk-Cooke Katherine K Kaminer Debra D Greene M Claire MC López-Castro Teresa T Kane Jeremy C JC

Study Outcome 

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Statistics
Citations :  Afzali MH, Sunderland M, Batterham PJ, Carragher N, Calear A and Slade T (2017) Network approach to the symptom-level association between alcohol use disorder and posttraumatic stress disorder. Social Psychiatry and Psychiatric Epidemiology 52(3), 329–339.
Authors :  6
Identifiers
Doi : e5
SSN : 2054-4251
Study Population
Male,Female
Mesh Terms
Other Terms
PTSD;alcohol;alcohol use disorder;comorbidity;global mental health;low-income countries;posttraumatic stress disorder;review;substance use
Study Design
Narrative Study,Cross Sectional Study
Study Approach
Country of Study
Publication Country
England