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The Relationship Between Daily PTSD Symptom Fluctuations and Substance Use: A Systematic Literature Review

Hofbauer, Lotte (2024) The Relationship Between Daily PTSD Symptom Fluctuations and Substance Use: A Systematic Literature Review. Bachelor thesis, Psychology.

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Abstract

Posttraumatic stress disorder (PTSD) and substance use disorder (SUD) are highly comorbid. The occurrence of both disorders in an individual is associated with increased symptom severity, increased violence, poorer treatment outcomes, and additional adverse effects. At this point in time self-medication hypothesis (SMH) seems to be most promising in explaining the relationship. The SMH proposes that individuals use substances to alleviate PTSD symptoms. This systematic literature review, which is to my knowledge the first to include only EMA studies, aimed to synthesize current literature on the topic. EMA studies can help to gain a deeper understanding of the relationship between substance use and daily fluctuations in PTSD symptoms. In total the search of the database identified 14 studies that met the inclusion criteria. Findings for alcohol point in the direction that SMH is valuable in explaining the relationship. However, findings for other substances were less clear. These outcomes highlight the importance of further research on the topic, especially considering other substances than alcohol. Furthermore, future research should consider the role of specific PTSD symptom clusters, different populations, as well as moderating factors that could influence the relationship. Findings from this literature can be useful for designing interventions especially mobile health interventions that reach the individual at highly vulnerable moments. Keywords: Posttraumatic Stress Disorder (PTSD), Psychological Trauma, Substance Use, Self-Medication Hypothesis (SMH), Ecological Momentary Assessment (EMA)

Item Type: Thesis (Bachelor)
Supervisor name: Myroniuk, S. and Ballato, L.
Degree programme: Psychology
Differentiation route: None [Bachelor Psychology]
Date Deposited: 23 Jul 2024 12:03
Last Modified: 23 Jul 2024 12:03
URI: http://gmwpublic.studenttheses.ub.rug.nl/id/eprint/4044

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