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Gender Differences in Post-Traumatic Stress Disorder and Depression Among Iranian Population With Substance Use Disorder Publisher



Merghati Khoei E1 ; Rezaei Z2 ; Mohraz M3 ; Brady KT4 ; Killeen T4 ; Korte JE5 ; Bayat A1 ; Yousefi H1
Authors
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Authors Affiliations
  1. 1. Iranian National Center for Addiction Studies, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Social Determinants of Health Research Center, Gonabad University of Medical Science, Gonabad, Iran
  3. 3. Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, United States
  5. 5. Department of Public Health Sciences, School of Medicine, Medical University of South Carolina, Charleston, SC, United States

Source: Journal of Substance Use Published:2023


Abstract

Background: In a review of Iranian studies, no studies have yet to explore a relationship between substance use disorders (SUDs), depression and/or PTSD. In this paper, we report whether the Iranian women and men with SUDs exhibit differences in PTSD and depression. Methods: A cross-sectional study was performed on 600 SUDs patients in treatment. Assessments included socio demographic questionnaire, the Beck Depression Inventory II, and the PTSD Checklist. Data were analyzed using descriptive, chi-square (χ2) and logistic regression analysis. Results: PTSD was 61.5% in the study population. The mean PTSD score was 47.92 ± 12.07 for all men and women. The participants revealed mild, moderate, and severe depressive symptoms 19.7%, 24.3%, and 32.3%, respectively. Women were more likely than men to be diagnosed with PTSD (adjusted odds ratio (AOR) =1.82, 95%CI: 1.19, 2.80) and depression (AOR =1.65, 95%CI: 1.01, 2.77). In addition, marital status and job status were significantly associated with depression and PTSD. Conclusions: This study shows remarkably higher prevalence of PTSD and depression in drug using women than their male counterparts. The results illustrate a number of gender differences that may shed light on etiologic models of co-morbid SUDs, PTSD, and depression. © 2022 Taylor & Francis Group, LLC.