Abstract
The co-occurrence of substance use disorders (SUDs) and posttraumatic stress disorder (PTSD) is prevalent among inmates and is associated with numerous adverse outcomes. The present study sought to estimate the prevalence and patterns of co-occurring PTSD among substance-dependent inmates. Structured diagnostic assessment interview data from 176 adult male inmates incarcerated in a local jail facility were analyzed to assess study aims. Alcohol dependence was the most prevalent SUD with 81.3% of the total sample meeting current Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) criteria. The remaining substance dependence diagnoses that predominated were as follows: cocaine, 35.2%; marijuana, 21.0%; heroin, 15.5%; and stimulant, 6.8%. Over half (54.6%) met diagnostic criteria for PTSD. A bimodal distribution was found for the PTSD cases as inmates tended to report either no symptoms or sub-diagnostic indications (45.4%), or acknowledge sufficient information t...
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