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Integrated Treatment of PTSD and Substance Use Disorders: Examination of Imaginal Exposure Length.

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Title: Integrated Treatment of PTSD and Substance Use Disorders: Examination of Imaginal Exposure Length.
Authors: Mills, Adam C., Badour, Christal L., Korte, Kristina J., Killeen, Therese K., Henschel, Aisling V., Back, Sudie E.
Source: Journal of Traumatic Stress. Apr2017, Vol. 30 Issue 2, p166-172. 7p. 2 Charts.
Subjects: Post-traumatic stress disorder, Substance-induced disorders, Randomized controlled trials, Psychotherapy, Mental depression, Therapeutics, Treatment of post-traumatic stress disorder, Substance abuse treatment, Behavior therapy, Comparative studies, Research methodology, Medical cooperation, Psychological tests, Research, Research funding, Substance abuse, Time, Psychology of veterans, Evaluation research, Treatment effectiveness, Severity of illness index, Disease complications
Abstract: Efforts to improve the efficiency of prolonged exposure (PE) therapy for posttraumatic stress disorder (PTSD) have demonstrated that reducing the length of imaginal exposures does not negatively affect treatment outcome. A recent adaptation of PE, called Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure [COPE], integrates substance use disorder treatment with PE in the same timeframe (twelve 90-minute sessions, 8 of which include imaginal exposure). The current study, which represents a subanalysis of a larger randomized controlled trial, examined how the length of imaginal exposures (nonrandomized and measured continually) related to PTSD, substance use, and depression in a sample of military veterans (N = 31) who completed the COPE treatment. Participants completed an average of 11.5 of the 12 therapy sessions and 7.2 of the 8 imaginal exposures during treatment. Results of 3 linear mixed models indicate that PTSD, substance use, and depressive symptoms all improved over the course of treatment (ps < .001; η2 ranged between .17 and .40), and that the length of imaginal exposures did not significantly interact with any outcome. Although preliminary, the findings suggest that it may be feasible to shorten imaginal exposures without mitigating treatment gains. Implications for treatment are discussed. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Traumatic Stress is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Efforts to improve the efficiency of prolonged exposure (PE) therapy for posttraumatic stress disorder (PTSD) have demonstrated that reducing the length of imaginal exposures does not negatively affect treatment outcome. A recent adaptation of PE, called Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure [COPE], integrates substance use disorder treatment with PE in the same timeframe (twelve 90-minute sessions, 8 of which include imaginal exposure). The current study, which represents a subanalysis of a larger randomized controlled trial, examined how the length of imaginal exposures (nonrandomized and measured continually) related to PTSD, substance use, and depression in a sample of military veterans (N = 31) who completed the COPE treatment. Participants completed an average of 11.5 of the 12 therapy sessions and 7.2 of the 8 imaginal exposures during treatment. Results of 3 linear mixed models indicate that PTSD, substance use, and depressive symptoms all improved over the course of treatment (ps &lt; .001; η2 ranged between .17 and .40), and that the length of imaginal exposures did not significantly interact with any outcome. Although preliminary, the findings suggest that it may be feasible to shorten imaginal exposures without mitigating treatment gains. Implications for treatment are discussed. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Journal of Traumatic Stress is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=122876176
RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1002/jts.22175
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
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        PageCount: 7
        StartPage: 166
    Subjects:
      – SubjectFull: Post-traumatic stress disorder
        Type: general
      – SubjectFull: Substance-induced disorders
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Psychotherapy
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Therapeutics
        Type: general
      – SubjectFull: Treatment of post-traumatic stress disorder
        Type: general
      – SubjectFull: Substance abuse treatment
        Type: general
      – SubjectFull: Behavior therapy
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      – SubjectFull: Comparative studies
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      – SubjectFull: Research methodology
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      – SubjectFull: Medical cooperation
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      – SubjectFull: Psychological tests
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      – SubjectFull: Research
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      – SubjectFull: Research funding
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      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Time
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      – SubjectFull: Psychology of veterans
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      – SubjectFull: Treatment effectiveness
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      – SubjectFull: Severity of illness index
        Type: general
      – SubjectFull: Disease complications
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    Titles:
      – TitleFull: Integrated Treatment of PTSD and Substance Use Disorders: Examination of Imaginal Exposure Length.
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              Text: Apr2017
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              Y: 2017
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