Unlabelled: BACKGROUND AND OBJECTIVES: Posttraumatic stress disorder (PTSD) is highly comorbid with substance use disorders (SUD) and can impede SUD recovery. Residential SUD treatment is a crucial opportunity to address PTSD. However, PTSD treatment is lacking in residential SUD care.
Methods: We conducted a nonrandomized feasibility study of Written Exposure Therapy (WET), a brief, evidence-based treatment for PTSD, with patients in residential SUD treatment. We assessed attitudes towards treatment (Credibility and Expectancy Questionnaire, Barriers to Treatment Participation Scale) and mental health indicators (PTSD Checklist for DSM-5, Trauma Coping Self-Efficacy, Difficulties in Emotion Regulation-Short Form, and Brief Assessment of Recovery Capital).
Results: Thirty of 49 eligible participants completed WET (61%) and 92% (n = 45) attended at least one WET session. Paired sample t-tests revealed significant posttreatment improvement across all mental health indicators, with medium to large effect sizes.
Discussion And Conclusions: Attendance and completion rates compared favorably to prior exposure-based treatment for PTSD in SUD settings. Although causality cannot be inferred without a randomized controlled trial, mental health indicators, including PTSD, improved significantly following WET.
Scientific Significance: These findings provide evidence that PTSD can be successfully treated in short-term residential care using brief exposure-based interventions, which is a crucial clinical need that has been minimally studied in the past.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1111/ajad.13442 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Patient experience of an abstinence-based Indigenous residential treatment program in Northern Ontario: a descriptive qualitative study.
Front Health Serv
December 2024
Northern Ontario School of Medicine University, Sudbury, ON, Canada.
Background: Indigenous peoples with substance use disorders (SUD) and intergenerational trauma (IGT) face complex healthcare needs. Therefore understanding Indigenous patient experiences is crucial for enhancing care delivery, fostering engagement, and achieving optimal outcomes, yet few studies explore the motivations for seeking, staying in, and utilizing treatment from an Indigenous perspective. The goal of this study was to understand the patient experience with an abstinence-based treatment model in a residential treatment setting.
View Article and Find Full Text PDFPosttraumatic Stress Disorder and Emotion Regulation Difficulties among Sexual Minority Adults in Residential Substance Use Disorder Treatment.
Subst Use Misuse
December 2024
Department of Psychology, University of Maryland, Baltimore County, Baltimore, MD, USA.
Article Synopsis
- This study highlights that rates of PTSD are higher among sexual minority adults (LGB+) compared to heterosexual individuals, especially in the context of substance use disorders (SUD).
- The research found that LGB+ individuals reported experiencing more trauma, higher PTSD severity, and greater difficulties with emotion regulation than their heterosexual counterparts.
- Importantly, when emotion regulation difficulties were taken into account, the link between being a sexual minority and experiencing severe PTSD symptoms became less significant, suggesting that improving emotion regulation may help reduce PTSD severity in this population.
Mental disorder diagnoses and symptoms and functional impairment in school-age children in the care of child protective services.
Child Abuse Negl
January 2025
CIUSSS Centre-Sud-de-l'île-de-Montréal (Institut universitaire Jeunes en difficulté), Montréal, Quebec, Canada; Université de Sherbrooke (Department of psychoeducation), Montréal, Quebec, Canada.
Background: About 50 % of children in the care of child protective services present at least one mental disorder, but few studies have looked at whether there are differences in mental disorders or symptoms between children placed in out-of-home care (foster care and residential care) and their community peers.
Objective: This study documents the mental disorder diagnoses and symptoms among children in out-of-home care and their associations with children functional impairment. It also compares out-of-home care children with those from the community.
Lack of Premeditation Mediates the Relationship Between Adverse Childhood Experiences and Posttraumatic Stress Disorder in Individuals in Residential Treatment for Substance Use Disorder.
J Dual Diagn
December 2024
Maryland Treatment Centers, Baltimore, Maryland, USA.
Article Synopsis
- This study explores how Adverse Childhood Experiences (ACEs) affect the risk of developing Posttraumatic Stress Disorder (PTSD) in adults undergoing residential treatment for Substance Use Disorder (SUD), suggesting a link between impulsivity and PTSD.
- The research involved 134 adults in treatment, using questionnaires to measure their levels of ACEs, PTSD symptoms, and impulsivity, ultimately finding that two-thirds of participants showed potential PTSD symptoms.
- Among various impulsivity traits examined, lack of premeditation specifically partially mediated the connection between ACEs and PTSD symptoms, highlighting its importance in understanding PTSD development in the context of SUD.
Feasibility and outcomes of a trauma-informed model of care in residential treatment for substance use.
J Subst Use Addict Treat
November 2024
School of Psychology, Faculty of Health and Behavioural Sciences, University of Queensland, Brisbane, QLD, Australia; National Centre for Youth Substance Use Research, Faculty of Health and Behavioural Sciences, University of Queensland, Brisbane, QLD, Australia; Lives Lived Well, Brisbane, QLD, Australia. Electronic address:
Article Synopsis
- - The study explored how a new trauma-informed care (TIC) model was implemented in a residential treatment center for young adults with substance use disorders (SUD) in Australia, evaluating its feasibility and impact on treatment outcomes.
- - Results showed that the TIC model was followed about 88% of the time, with nearly half of the clients completing the full treatment program, and significant reductions in substance use and improvements in mental health measures like depression and PTSD symptoms after three months.
- - Feedback from staff indicated that they felt capable and knowledgeable in delivering the TIC model, maintaining high professional quality of life throughout the study, which suggests that TIC is a promising approach for enhancing treatment effectiveness in residential settings.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!