Comorbid trauma and substance misuse : enhancing conceptual knowledge
Ashton, Victoria (2003) Comorbid trauma and substance misuse : enhancing conceptual knowledge. DClinPsych thesis, University of Warwick.
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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
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|
|Institution:||University of Warwick|
|Theses Department:||Department of Psychology|
|Supervisor(s)/Advisor:||Garvey, Kay ; Day, Melanie|
Completed in conjunction with Coventry University. School of Health and Social Sciences.
|Extent:||x, 110 p.|
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