Prevalence of Symptoms of PTSD among Inpatients with Substance Use Disorders in Drug Rehabilitation Centres in Nairobi, Kenya
Keywords:
Inpatient Drug Rehabilitation, Post Traumatic Stress Disorder, Substance Use DisorderAbstract
Post-Traumatic Stress Disorder (PTSD) and Substance Use Disorder (SUD) are two mental conditions that often coexist and can exacerbate each other's effects. The study aimed to establish the prevalence of symptoms of PTSD in a sample of 178 individuals undergoing substance use rehabilitation in Nairobi, Kenya. This study employed a quantitative, correlational approach. Data was collected using a customized socio-demographic questionnaire and the Post-Traumatic Stress Disorder (PTSD) Checklist (PCL 5). Analysis used the Statistical Package for Social Scientists Version 28 (SPSS v. 28). The results indicated that 42.7% of participants exhibited symptoms of PTSD. Regarding socio-demographic characteristics, the prevalence of PTSD was higher in females (50.0%) in those aged between 18 -27 years (50.0%) in the widowed (50.0%), those who had completed college (50.0%) and the unemployed (48.3%). A further analysis to determine whether the prevalence is associated with various socio-demographic characteristics; gender, age, marital status, level of education, and employment status showed no statistically significant association. Consequently, the study recommends ongoing PTSD screenings for individuals in inpatient treatment centres to enhance the likelihood of successful treatment outcomes.
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th Ed.). Atypon Literatum.
Ashbaugh, A. R., Houle-Johnson, S., Herbert, C., El-Hage, W., & Brunet, A. (2016) Psychometric Validation of the English and French Versions of the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5). PloS ONE II (10), e0161645. Doi: 10.1371/journal.pone.0161645
Benjet, C., Bromet. E., Karam. E. G., et al., (2016). The epidemiology of traumatic event exposure worldwide: results from the World Mental Health Survey Consortium. Psychological Medicine, 46, 327- 343, DOI: 10.1017/s0033291715001981
Blakey, S. M., Dillon, K. H., Wagner, H. R., Simpson, T. L., Beckham, J. C., Calhoun, P. S., & Elbogen, E. B. (2022). Psychosocial well-being among veterans with posttraumatic stress disorder and substance use disorder. Psychological Trauma: Theory, Research, Practice and Policy, 14(3), 421–430. Doi: 10.1037/tra0001018
Blevins, C. A., Weathers, F. W., Davis, M. T., Witte, T. K., & Domino, J. L. (2015). The Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28, 489-498. doi: 10.1002/jts.22059
Gania, A. M., Margoob, M. A., Shah, H. U., Khan, A. W., Ghosh, A., & Basu, D. (2017). Psychiatric comorbidity in patients with substance use disorder: A hospital-based study. Indian Journal of Social Psychiatry; 33, 63-66.
Hoppen, T. H., & Morina. N. (2019) The prevalence of PTSD and major depression in the global population of adult war survivors: a meta-analytically informed estimate in absolute numbers. European Journal of Psychotraumatology, 10, 1, 1578637, DOI: 10.1080/20008198.2019.1578637
Hooker, S. A., Sherman, M. D., Lonergan-Cullum, M., et al. (2020). Mental Health and Psychosocial Needs of Patients Being Treated for Opioid Use Disorder in a Primary Care Residency Clinic. Journal of Primary Care & Community Health. 11. Doi: 10.1177/2150132720932017
Jaguga, F., Kuboi, N., Barasa, J., &Kwobah, E. K. (2022). Prevalence of co-occurring mental disorders among in-patients at the Alcohol & Drug Abuse Rehabilitation Unit, Moi Teaching & Referral Hospital in Eldoret. African Journal of Alcohol & Drug Abuse, 7, 36-44.
Kekibiina, A., Adong, J., Fatch, R., Emenyonu, N. I., Marson, K., Beesiga, B., Lodi, S., Muyindike, W. R., Kamya, M., Chamie, G., McDonell, M. G., & Hahn, J. A. (2021). Post-traumatic stress disorder among persons with HIV who engage in heavy alcohol consumption in southwestern Uganda. BMC Psychiatry; 21(1), 457. doi: 10.1186/s12888-021-03464-z
Khantzian, E. J. (1997). The self-medication hypothesis of substance use disorders: a reconsideration and recent applications. Harvard Review of Psychiatry, 4(5), 231–244.doi: 10.3109/10673229709030550
Koenen, K. C., Ratanatharathorn, A., Ng, et al, (2017). Post-traumatic stress disorder in the world mental health surveys. Psychological Medicine; 47, 2260 – 2274. https://doi.org/10.1017/s0033291717000708
Lopez-Quintero, C., Pérez de losCobos, J., Hasin, D. S., Okuda, M., Wang, S., Grant, B. F., & Blanco, C. (2011). Probability and predictors of transition from first use to dependence on nicotine, alcohol, cannabis, and cocaine: results of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Drug Alcohol Dependence; 115(1-2), 120-30. doi: 10.1016/j.drugalcdep.2010.11.004.
Lortye, S.A., Will, J.P., Marquenie, L.A. et al. (2021). Treating posttraumatic stress disorder in substance use disorder patients with co-occurring posttraumatic stress disorder: study protocol for a randomized controlled trial to compare the effectiveness of different types and timings of treatment. BMC Psychiatry; 21, 442. https://doi.org/10.1186/s12888-021-03366-0
María-Ríos, C. E., & Morrow, J. D. (2020). Mechanisms of Shared Vulnerability to Post-traumatic Stress Disorder and Substance Use Disorders. Frontiers in Behavioral Neuroscience. https://doi.org/10.3389/fnbeh.2020.00006
National Institute on Drug Abuse (2018). Principles of Drug Addiction Treatment: A Research-based Guide, 3rd edition. Bethesda (MD): National Institute on Drug Abuse; National Institutes of Health; U.S. Department of Health and Human Services.
Neupane, S. P., Bramness, J. G. & Lien, L. (2017). Comorbid post-traumatic stress disorder in alcohol use disorder: relationships to demography, drinking, and neuroimmune profile. BMC Psychiatry 17, 312 https://doi.org/10.1186/s12888-017-1479-8
Roberts, N. P., Back, S. E., Mueser, K. T., & Murray, L. (2020). Treatment considerations for PTSD comorbidities. Chapter ineffective treatments for PTSD: Practice guidelines from the international society for traumatic stress studies. (3rd ed. pp. 417–450).
Salas, J., Norman, S. B., Tuerk, P. W., van den Berk-Clark, C., Cohen, B. E., Schneider, F. D., Chard, K. M., Lustman, P. J., Schnurr, P. P., Friedman, M. J., Grucza, R., & Scherrer, J. F. (2021). PTSD improvement and substance use disorder treatment utilization in veterans: Evidence from medical record data. Drug, 218, 108365, https://doi.org/10.1016/j.drugalcdep.2020.108365
Somohano, V. C., Rehder, K. L., Dingle, T., Shank, T., & Bowen S. (2019). PTSD Symptom Clusters and Craving Differs by Primary Drug of Choice. Journal of Dual Diagnosis; 15(4), 233-242. doi: 10.1080/15504263.2019.1637039.
United Nations Office on Drugs and Crime (UNODC). (2021). Global Overview of Drug Demand and Supply, World Drug Report 2021. United Nations Publication; 11-12
Yadollahi, M., Zamani, M., Jamali, K., Mahmoudi, A., Rasaee, M. A., & Kashkooe, A. (2019). A Survey of Accidental Fall-induced Injuries and Mortality in a Central Trauma Hospital in Iran: 2015-2016. Trauma Monthly, 24(2), 1-6.
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Copyright (c) 2023 Audrey Onyango, Michael Kihara, Stella Nyagwencha
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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
