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

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...

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Bibliographic Details
Published in:Global mental health 2023, Vol.10, p.e5-e5, Article e5
Main Authors: Kaysen, Debra L., van Stolk-Cooke, Katherine, Kaminer, Debra, Greene, M. Claire, López-Castro, Teresa, Kane, Jeremy C.
Format: Article
Language:English
Subjects:
alcohol
alcohol use disorder
comorbidity
Etiology
global mental health
Individual care
Interventions
low-income countries
posttraumatic stress disorder
PTSD
Review
substance use
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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.
ISSN:2054-4251
2054-4251
DOI:10.1017/gmh.2022.63