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Chunk #26 — 4. Discussion

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Exposure to trauma: a comparison of cocaine-dependent cases and a community-matched sample.
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This study is unique in its use of a case-cohort sampling design. Cases were cocaine dependent participants recruited from chemical dependency treatment settings and this group was compared to a cohort recruited from the same community. We examined the types of traumatic events and risk of PTSD after experiencing a traumatic event (conditional risk of PTSD) in cocaine dependent cases and community-based cohort. Overall, the pattern of traumatic events in this study is consistent with previous reports (Breslau et al., 1998; Kessler et al., 1995). What differs is the magnitude of the violence and traumatic events experienced by both cocaine dependent cases recruited from treatment and individuals in the community-based cohort.