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Titolo:
Exposure therapy in the treatment of PTSD among cocaine-dependent individuals: description of procedures
Autore:
Back, SE; Dansky, BS; Carroll, KM; Foa, EB; Brady, KT;
Indirizzi:
Med Univ S Carolina, Dept Psychiat & Behav Sci, Ctr Drug & Alcohol Programs, Charleston, SC 29425 USA Med Univ S Carolina Charleston SC USA 29425 ams, Charleston, SC 29425 USA Yale Univ, Sch Med, Dept Psychiat, Div Subst Abuse, New Haven, CT 06520 USA Yale Univ New Haven CT USA 06520 Div Subst Abuse, New Haven, CT 06520 USA Univ Penn, Dept Psychiat, Philadelphia, PA 19104 USA Univ Penn Philadelphia PA USA 19104 Psychiat, Philadelphia, PA 19104 USA
Titolo Testata:
JOURNAL OF SUBSTANCE ABUSE TREATMENT
fascicolo: 1, volume: 21, anno: 2001,
pagine: 35 - 45
SICI:
0740-5472(200107)21:1<35:ETITTO>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
POSTTRAUMATIC-STRESS-DISORDER; PERSISTENT MENTAL-ILLNESS; SUBSTANCE USE DISORDER; FLOODING THERAPY; COMBAT VETERANS; ASSAULT VICTIMS; HIV RISK; WOMEN; ABUSE; COMORBIDITY;
Keywords:
PTSD; trauma; cocaine dependence; substance use disorders; dual diagnosis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
73
Recensione:
Indirizzi per estratti:
Indirizzo: Back, SE Univ Georgia, Dept Psychol, Psychol Bldg, Athens, GA 30602 USA Univ Georgia Psychol Bldg Athens GA USA 30602 thens, GA 30602 USA
Citazione:
S.E. Back et al., "Exposure therapy in the treatment of PTSD among cocaine-dependent individuals: description of procedures", J SUBST ABU, 21(1), 2001, pp. 35-45

Abstract

An estimated 30% to 50% of cocaine-dependent individuals meet criteria forlifetime PTSD. This comorbidity has detrimental effects on clinical presentation, and treatment course and outcome. Cocaine dependence is associated with increased rates of exposure to trauma, more severe symptoms, higher rates of treatment attrition and retraumatization, and greater vulnerability to PTSD when compared to other substance use disorders. These associations underscore the need for effective treatments that address issues particularto PTSD in a manner tolerable to cocaine-dependent individuals. This article describes a manualized psychotherapy developed specifically for individuals with PTSD and cocaine dependence. Concurrent Treatment of PTSD and Cocaine Dependence (CTPCD) provides coping skills training, cognitive restructuring techniques, and relapse prevention strategies to reduce cocaine use. In-vivo and imaginal exposure therapy techniques are incorporated to reduce PTSD symptom severity. Primary treatment goals include psychoeducation specific to the interrelationship between PTSD and cocaine dependence, and clinically meaningful reductions in cocaine use and PTSD symptomatology. Secondary goals include a reduction in HIV high-risk behaviors and improved functioning in associated areas, such as anger and negative affect management. (C) 2001 Elsevier Science Inc. All rights reserved.

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Documento generato il 20/01/20 alle ore 16:03:09