Severity of Post-traumatic Stress and Non-medical, Concomitant Opioid and Benzodiazepine Use in a Sample of Women at High Risk of Overdose.

Women who exchange sex and use opioids experience substantial post-traumatic stress disorder (PTSD) symptoms. Among veterans, PTSD increases the risk of concomitant opioid-benzodiazepine use, increasing overdose risk, but this relationship is underexplored in other at-risk populations. We examined c...

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Publicado en:International Journal of Mental Health & Addiction Vol. 23; no. 2; pp. 1292 - 1308
Autores principales: Tomko, Catherine, Schneider, Kristin E., Nestadt, Danielle Friedman, Zemlak, Jessica L., Sherman, Susan G.
Formato: Artículo
Publicado: Springer Nature Apr2025
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2025
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      pub: Springer Nature
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        10.1007/s11469-023-01169-w
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        atl: Severity of Post-traumatic Stress and Non-medical, Concomitant Opioid and Benzodiazepine Use in a Sample of Women at High Risk of Overdose.
      aug:
        au:
          Tomko, Catherine
          Schneider, Kristin E.
          Nestadt, Danielle Friedman
          Zemlak, Jessica L.
          Sherman, Susan G.
        affil:
          https://ror.org/00za53h95 Department of Health, Behavior, and Society, Johns Hopkins University Bloomberg School of Public Health, 624 N. Broadway, HH161, 21205, Baltimore, MD, USA
          https://ror.org/04gr4te78 College of Nursing, Marquette University, Milwaukee, WI, USA
      su:
        Post-traumatic stress
        Post-traumatic stress disorder
        Medical sciences
        Public health
        Opioid epidemic
        Narcotic laws
      sug:
        subj:
          Post-traumatic stress
          Post-traumatic stress disorder
          Medical sciences
          Public health
          Pharmaceuticals and pharmacy supplies merchant wholesalers
          Pharmaceutical and medicine manufacturing
          Health and Welfare Funds
          Opioid epidemic
          Narcotic laws
      keyword:
        Benzodiazepine
        Medical and Health Sciences Public Health and Health Services
        Opioid
        Polysubstance
        Post-traumatic Stress
        Sex Work
        Trauma
        Benzodiazepine
        Medical and Health Sciences Public Health and Health Services
        Opioid
        Polysubstance
        Post-traumatic Stress
        Sex Work
        Trauma
      ab: Women who exchange sex and use opioids experience substantial post-traumatic stress disorder (PTSD) symptoms. Among veterans, PTSD increases the risk of concomitant opioid-benzodiazepine use, increasing overdose risk, but this relationship is underexplored in other at-risk populations. We examined correlates of non-medical benzodiazepine use among a cohort of women who exchange sex and use opioids daily (N = 270) in Baltimore, MD. PTSD symptom severity was measured by the full PCL-5 (possible range: 0–80, categorized by tertile as low, medium, high) and four symptom-specific subscales. The prevalence of benzodiazepine use was 27% and the median PCL-5 score was 34. In adjusted models, women with high PCL-5 scores were more likely to use benzodiazepines than those with low scores, overall and across subscales. Severe PTSD symptoms conferred elevated risk of concomitant opioid-benzodiazepine use, calling attention to the importance of addressing trauma in combating the opioid and overdose crises.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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