Exposure therapy for posttraumatic stress disorder in a residential substance use treatment facility.

Henslee, Amber M.; Coffey, Scott F.

doi:10.1037/a0018235

Cited by 32 publications

(27 citation statements)

References 37 publications

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“…Foa and Yusko reported similar outcomes for a study with PTSD and alcohol dependence comorbidity [31]. In a review of the literature on treatment of comorbid substance abuse and PTSD, Henslee and Coffey provide empirically based specific suggestions for the use of PE as part of a residential substance abuse and PTSD program [34]. Thus, people with PTSD and comorbid conditions appear to benefit from PE, both for PTSD symptoms and comorbid conditions.…”

Section: Resultsmentioning

confidence: 73%

“…These trials, as well as additional research in clinic settings, include populations that have previously been ruled out of PE studies (i.e., active suicidal risk [50][51], substance dependence [31,34], psychotic disorder [52][53]). Such studies will continue to close the gap as we learn how to apply PE to patients with these severe comorbidities who experience PTSD.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Review of exposure therapy: A gold standard for PTSD treatment

Rauch

Eftekhari²,

Ruzek³

2012

JRRD

196

121

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Abstract-Prolonged exposure (PE) is an effective first-line treatment for posttraumatic stress disorder (PTSD), regardless of the type of trauma, for Veterans and military personnel. Extensive research and clinical practice guidelines from various organizations support this conclusion. PE is effective in reducing PTSD symptoms and has also demonstrated efficacy in reducing comorbid issues such as anger, guilt, negative health perceptions, and depression. PE has demonstrated efficacy in diagnostically complex populations and survivors of single-and multiple-incident traumas. The PE protocol includes four main therapeutic components (i.e., psychoeducation, in vivo exposure, imaginal exposure, and emotional processing). In light of PE's efficacy, the Veterans Health Administration designed and supported a PE training program for mental health professionals that has trained over 1,300 providers. Research examining the mechanisms involved in PE and working to improve its acceptability, efficacy, and efficiency is underway with promising results.

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Section: Resultsmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Review of exposure therapy: A gold standard for PTSD treatment

Rauch

Eftekhari²,

Ruzek³

2012

JRRD

196

121

View full text Add to dashboard Cite

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“…Thus, in view of high PTSD rates in SUD inpatients and high dropout rates during detoxification treatment [11], not addressing trauma/PTSD in early detoxification treatment bears a substantial risk of leaving patients without adequate diagnosis and treatment and putting them at an increased risk for dropout and a less favorable treatment outcome [15,16].…”

Section: Introductionmentioning

confidence: 99%

Early Screening for Posttraumatic Stress Disorder in Inpatient Detoxification and Motivation Treatment: Results and Consequences

et al. 2018

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Aims: Posttraumatic stress disorder (PTSD) is a significant comorbidity in substance use disorders (SUDs). While most studies have addressed trauma/PTSD in abstinent patients, little is known about trauma/PTSD in early detoxification treatment. The current study therefore addresses the systematic evaluation of trauma/PTSD in early inpatient detoxification. Methods: A cross-sectional survey was accomplished in three German-speaking clinics (n = 134) specialized in inpatient detoxification and motivation treatment. All measures are based on self-report using trauma-specific questionnaires and measures for general psychopathological burden. Results: Participation rate was 60.1% and patients did not show clinically obvious psychological distress during or after assessment. DSM-IV traumatic events were reported by 66.4%. Of the total sample, 38.1% screened positive for PTSD, and 14.9% screened positive for subsyndromal PTSD. PTSD patients reported significantly more childhood adversities and significantly higher scores in depression and general psychopathology compared to subsyndromal PTSD and SUD-only patients. Conclusions: Early and systematic evaluation of PTSD in SUD inpatient detoxification treatment is largely safe and yields important information for individual treatment. The high PTSD-rate and the high symptom load in SUD patients during inpatient detoxification treatment highlight the need for a more stringent address of trauma/PTSD in early SUD treatment.

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“…Drug abuse services have traditionally advocated a sequential treatment of substance abuse and other psychiatric disorders like PTSD in order to protect their clients during the stressful and emotionally overwhelming period of withdrawal symptoms. However, recently this basic assumption has been questioned [42] . It has been demonstrated that including trauma treatment in substance use treatment is safe and does not produce more adverse events [43] , and that it has positive effects on the course of the substance use disorder [44] .…”

Section: Discussionmentioning

confidence: 99%

Reducing Dropout among Traumatized Alcohol Patients in Detoxification Treatment: A Pilot Intervention Study

Odenwald

Semrau²

2011

Eur Addict Res

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Dropout rates from detoxification treatment are high. We tested whether high trauma event load was related to a higher dropout from alcohol detoxification. Furthermore, we studied the feasibility and effects of a short psychoeducational tool to increase retention among traumatized alcohol in-patients. Retention and treatment length were compared between treatment as usual (TAU) and standard therapy plus a psychoeducational group intervention on alcohol drinking related to stress and trauma (PAST). Patients with high trauma load were identified with the Trauma History Questionnaire. Of the 159 in-patients treated during the study period, 66 were included in the analysis: 33 in TAU and 33 in PAST. Sociodemographic characteristics did not differ between the groups. During TAU, patients with high trauma load tended to drop out more often (p = 0.056). Among patients with high trauma load, retention level increased from 29 to 80% (p = 0.006), and among those with low trauma load from 63 to 83% (p = 0.250). Treatment length only tendentially improved among patients with lower burden (p = 0.056). The pilot study supports the idea that detoxification treatment dropout occurs more often among alcohol patients with high trauma load and that their retention can be increased by a psychoeducational group intervention.

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Exposure therapy for posttraumatic stress disorder in a residential substance use treatment facility.

Cited by 32 publications

References 37 publications

Review of exposure therapy: A gold standard for PTSD treatment

Review of exposure therapy: A gold standard for PTSD treatment

Early Screening for Posttraumatic Stress Disorder in Inpatient Detoxification and Motivation Treatment: Results and Consequences

Reducing Dropout among Traumatized Alcohol Patients in Detoxification Treatment: A Pilot Intervention Study

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