Anxiety sensitivity in the association between posttraumatic stress and substance use disorders: A systematic review

Posttraumatic stress disorder (PTSD) and substance use disorders (SUD) are complex psychiatric conditions that commonly co-occur. No evidence-based, “gold standard” treatments for PTSD/SUD comorbidity are currently available. Thus, it is imperative to better understand cognitive-affective mechanisms...

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Bibliographic Details
Published inClinical psychology review Vol. 62; pp. 37 - 55
Main Authors Vujanovic, Anka A., Farris, Samantha G., Bartlett, Brooke A., Lyons, Robert C., Haller, Moira, Colvonen, Peter J., Norman, Sonya B.
Format Journal Article
LanguageEnglish
Published United States Elsevier Ltd 01.06.2018
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Summary:Posttraumatic stress disorder (PTSD) and substance use disorders (SUD) are complex psychiatric conditions that commonly co-occur. No evidence-based, “gold standard” treatments for PTSD/SUD comorbidity are currently available. Thus, it is imperative to better understand cognitive-affective mechanisms, targetable via cognitive-behavioral intervention (i.e., malleable), that may be related to both disorders in order to improve the theory and treatment of PTSD/SUD. Anxiety sensitivity is a malleable cognitive-affective factor with relevance to both PTSD and SUD. This systematic review focused on the published literature on anxiety sensitivity and trauma/PTSD and substance use/SUD from 1966 – May 1, 2018, and includes a total of 35 manuscripts. The state of the literature, limitations, and future research directions are discussed. •Anxiety sensitivity (AS) is a malleable cognitive-affective factor.•AS is related to PTSD and substance use disorders (SUD).•This systematic review summarized the published literature from 1966 – 5/1/2018.•The review includes 35 manuscripts relevant to AS, PTSD, and SUD.•Limitations and future directions are discussed.
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ISSN:0272-7358
1873-7811
DOI:10.1016/j.cpr.2018.05.003