Integrated Trauma-Focused Psychotherapy for Traumatic Stress and Substance Use: Two Adolescent Case Studies
| Autor: | Olivia Schollar-Root, Natalie Peach, Ivana Kihas, Kathleen T. Brady, Sarah Bendall, Katherine L. Mills, Vanessa E. Cobham, Katherine A. Dobinson, Sean Perrin, Maree Teeson, Joanne Ross, Emma L. Barrett, Bronwyn Milne, Joanne Cassar, Sudie E. Back |
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| Rok vydání: | 2021 |
| Předmět: |
Treatment response
Psychotherapist business.industry Traumatic stress medicine.disease behavioral disciplines and activities law.invention Prolonged exposure Substance abuse Psychiatry and Mental health Clinical Psychology Randomized controlled trial law mental disorders Medicine Clinical case Substance use business Psychopathology |
| Zdroj: | Clinical Case Studies. 21:192-208 |
| ISSN: | 1552-3802 1534-6501 |
| DOI: | 10.1177/15346501211046054 |
| Popis: | Post-traumatic stress disorder (PTSD) and substance use disorder (SUD) occur frequently as comorbid diagnoses among adolescents. Historically, these conditions have been treated using a sequential model; however, emerging evidence suggests that an integrated treatment model may be most effective. This article presents two de-identified clinical case studies from an ongoing randomised controlled trial examining the efficacy of an integrated, exposure-based, cognitive-behavioral psychotherapy (CBT) for PTSD and SUD among adolescents (COPE-A), relative to a supportive counselling control condition (person-centred therapy). In both case studies, participants were randomised to receive the COPE-A integrated treatment, which incorporates prolonged exposure (PE) including imaginal and in vivo exposure as a core treatment component alongside CBT for PTSD and SUD. The clinical profile and treatment response of each participant is discussed. Promising results were found in both cases, with substantially reduced traumatic stress symptoms and decreased or stable levels of substance use by the end of treatment. Clinical implications of these early findings are discussed. |
| Databáze: | OpenAIRE |
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