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Titolo:
Exposure therapy in the treatment of PTSD among cocaine-dependent individuals: preliminary findings
Autore:
Brady, KT; Dansky, BS; Back, SE; Foa, EB; Carroll, KM;
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 Univ Penn, Dept Psychiat, Philadelphia, PA 19104 USA Univ Penn Philadelphia PA USA 19104 Psychiat, Philadelphia, PA 19104 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
Titolo Testata:
JOURNAL OF SUBSTANCE ABUSE TREATMENT
fascicolo: 1, volume: 21, anno: 2001,
pagine: 47 - 54
SICI:
0740-5472(200107)21:1<47:ETITTO>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
POSTTRAUMATIC-STRESS-DISORDER; SUBSTANCE-ABUSE; PSYCHOSOCIAL TREATMENTS; NATIONAL-INSTITUTE; COMORBIDITY; TRAUMA; SCALE; WOMEN;
Keywords:
PTSD; posttraumatic stress disorder; cocaine; substance use; exposure therapy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
37
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:
K.T. Brady et al., "Exposure therapy in the treatment of PTSD among cocaine-dependent individuals: preliminary findings", J SUBST ABU, 21(1), 2001, pp. 47-54

Abstract

Individuals (n = 39) participated in an outpatient, 16-session individual,manual-guided psychotherapy designed to treat concurrent PTSD and cocaine dependence. Therapy consisted of a combination of imaginal and in-vivo exposure therapy techniques to treat PTSD symptoms and cognitive-behavioral techniques to treat cocaine dependence. Although the dropout rate was high, treatment completers; (i.e., patients who attended at least 10 sessions; n = 15) demonstrated significant reductions in all PTSD symptom clusters and cocaine use from baseline to end of treatment. Significant reductions in depressive symptomatology, as measured by the Beck Depression Inventory, and psychiatric and cocaine use severity, as measured by the Addiction Severity Index, were also observed. These improvements in PTSD symptoms and cocaine use were maintained over a 6-month follow-up period among completers. The average pre- to posttreatment effect size was 1.80 for PTSD symptoms and 1.26for drug and alcohol use severity. Baseline comparisons between treatment completers and noncompleters revealed significantly higher avoidance symptoms, as measured by the Impact of Events Scale, and fewer years of educationamong treatment noncompleters as compared to completers. This study provides preliminary evidence to suggest that exposure therapy can be used safelyand may be effective in the treatment of PTSD in some individuals with cocaine dependence. However, the study is limited by the uncontrolled nature of the study design, small number of subjects, and high dropout rate. (C) 2001 Elsevier Science Inc. All rights reserved.

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Documento generato il 31/03/20 alle ore 10:05:07