Ashton, Victoria (2003) Comorbid trauma and substance misuse : enhancing conceptual knowledge. DClinPsych thesis, University of Warwick.

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Abstract

The comorbid presence of trauma and substance misuse is becoming
increasingly recognized as a common occurrence that causes significant
functional impairment in clients, and presents numerous challenges to clinicians.
The first chapter in this thesis reviews recent empirical and theoretical literature
regarding the nature of the relationship between trauma and substance misuse
so as to highlight principal considerations applicable to the process of
conceptualisation.
In addition, Chapter two presents results of a principal component analysis of the
Beliefs About Substance Use inventory (BASU) in order to facilitate the accurate
measurement of beliefs in individuals who misuse substances. Findings indicated
that in addition to its overall score reflecting the extent of dysfunctional be1iefs
about substance use, the BASU is also able to evaluate important beliefs with
regard to motivations for continued use, barriers to cessation and withdrawal,
beliefs about dependence whilst also addressing contemplative state.
With a view to further enhancing current conceptual knowledge, findings from the
main empirical paper focussing on the role of beliefs in the relationship between
trauma and alcohol abuse, are presented in chapter three. Associations between
trauma exposure, trauma symptom severity, negative posttraumatic cognitions,
beliefs about substance use and drinking expectations were examined. Following
this preliminary investigation, results highlighted the significant contribution of
trauma symptom severity and negative posttraumatic cognitions in relation to
beliefs and expectancies about alcohol.

Item Type:	Thesis or Dissertation (DClinPsych)
Subjects:	R Medicine > RC Internal medicine
Library of Congress Subject Headings (LCSH):	Dual diagnosis, Drug abuse, Traumatism, Alcoholism
Official Date:	May 2003
Dates:	Date Event May 2003 Submitted
Institution:	University of Warwick
Theses Department:	Department of Psychology
Thesis Type:	DClinPsych
Publication Status:	Unpublished
Supervisor(s)/Advisor:	Garvey, Kay ; Day, Melanie
Description:	Completed in conjunction with Coventry University. School of Health and Social Sciences.
Extent:	x, 110 p.
Language:	eng
URI:	http://wrap.warwick.ac.uk/id/eprint/4508

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