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A pilot test of Written Exposure Therapy for PTSD in residential substance use treatment.

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Title: A pilot test of Written Exposure Therapy for PTSD in residential substance use treatment.
Authors: Schacht, Rebecca L. (AUTHOR), Wenzel, Kevin R. (AUTHOR), Meyer, Laurel E. (AUTHOR), Mette, Meghan (AUTHOR), Mallik‐Kane, Kamala (AUTHOR), Rabalais, Aline (AUTHOR), Berg, Samantha K. (AUTHOR), Fishman, Marc (AUTHOR)
Source: American Journal on Addictions. Sep2023, Vol. 32 Issue 5, p488-496. 9p. 1 Diagram, 1 Chart, 1 Graph.
Subjects: Exposure therapy, Substance abuse, Post-traumatic stress disorder, Residential care, Randomized controlled trials
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of American Journal on Addictions 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: A pilot test of Written Exposure Therapy for PTSD in residential substance use treatment.
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  Data: <searchLink fieldCode="AR" term="%22Schacht%2C+Rebecca+L%2E%22">Schacht, Rebecca L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wenzel%2C+Kevin+R%2E%22">Wenzel, Kevin R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Meyer%2C+Laurel+E%2E%22">Meyer, Laurel E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mette%2C+Meghan%22">Mette, Meghan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mallik‐Kane%2C+Kamala%22">Mallik‐Kane, Kamala</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rabalais%2C+Aline%22">Rabalais, Aline</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Berg%2C+Samantha+K%2E%22">Berg, Samantha K.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fishman%2C+Marc%22">Fishman, Marc</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+on+Addictions%22">American Journal on Addictions</searchLink>. Sep2023, Vol. 32 Issue 5, p488-496. 9p. 1 Diagram, 1 Chart, 1 Graph.
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  Data: <searchLink fieldCode="DE" term="%22Exposure+therapy%22">Exposure therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Post-traumatic+stress+disorder%22">Post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Residential+care%22">Residential care</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink>
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  Data: 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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of American Journal on Addictions 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.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=170394394
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              Text: Sep2023
              Type: published
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