Couple Treatment for Alcohol Use Disorder and Posttraumatic Stress Disorder: Pilot Results From U.S. Military Veterans and Their Partners.
Couple Treatment for Alcohol Use Disorder and Posttraumatic Stress Disorder: Pilot Results From U.S. Military Veterans and Their Partners.
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酒精使用障碍和创伤后应激障碍的夫妻治疗：美国退伍军人及其伴侣的试点结果。
DOI：
10.1002/jts.22007
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发表时间：
2015
影响因子：
3.3
通讯作者：
Kathleen M Chard
中科院分区：
文献类型：
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作者：
Jeremiah A. Schumm;C. Monson;T. O'farrell;Nancy G Gustin;Kathleen M Chard
我们研究了13名美国男性退伍军人和他们的女性伴侣，他们同意参加一项夫妻治疗酒精使用障碍和创伤后应激障碍（CTAP）的无控制试验。CTAP是一项15期的手动治疗，将酒精使用障碍（AUD）的行为夫妻治疗与创伤后应激障碍（PTSD）的认知-行为联合治疗相结合。由于不合格（n = 1）和流失（n = 3）， 9对夫妇完成了研究，7对完成了12次或更多的疗程。有8名退伍军人表现出临床可靠的治疗前后PTSD结果的减少。临床医生、退伍军人和伴侣评定的PTSD症状在组水平上也有显著降低（d = 0.94至1.71）。大多数退伍军人表现出临床可靠的大量饮酒天数百分比的减少。退伍军人重度饮酒天数百分比的组水平降低是显著的（d = 1.01）。有4名退伍军人和3名伴侣的抑郁症临床可靠地减少，退伍军人（d = 0.93）和伴侣（d = 1.06）的组水平变化显著。在关系满意度方面，3名退伍军人和4名伴侣有可靠改善，2名退伍军人和1名伴侣有可靠恶化。退伍军人关系满意度（d = 0.26）和伴侣满意度（d = 0.52）在组水平上无显著差异。这些发现表明，CTAP可能是一种有伴侣的PTSD和AUD合并症患者的有希望的干预措施。
We studied 13 U.S. male military veterans and their female partners who consented to participate in an uncontrolled trial of couple treatment for alcohol use disorder and posttraumatic stress disorder (CTAP). CTAP is a 15-session, manualized therapy, integrating behavioral couples therapy for alcohol use disorder (AUD) with cognitive-behavioral conjoint therapy for posttraumatic stress disorder (PTSD). Due to ineligibility (n = 1) and attrition (n = 3), 9 couples completed the study, and 7 completed 12 or more sessions. There were 8 veterans who showed clinically reliable pre- to posttreatment reduction of PTSD outcomes. There were also significant group-level reductions in clinician-, veteran-, and partner-rated PTSD symptoms (d = 0.94 to 1.71). Most veterans showed clinically reliable reductions in percentage days of heavy drinking. Group-level reduction in veterans' percentage days of heavy drinking was significant (d = 1.01). There were 4 veterans and 3 partners with clinically reliable reductions in depression, and group-level change was significant for veterans (d = 0.93) and partners (d = 1.06). On relationship satisfaction, 3 veterans and 4 partners had reliable improvements, and 2 veterans and 1 partner had reliable deterioration. Group-level findings were nonsignificant for veteran relationship satisfaction (d = 0.26) and for partners (d = 0.52). These findings indicate that CTAP may be a promising intervention for individuals with comorbid PTSD and AUD who have relationship partners.
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影响因子：
--
作者：
KESSLER, RC;SONNEGA, A;NELSON, CB
通讯作者：
NELSON, CB
影响因子：
5.9
作者：
JACOBSON, NS;TRUAX, P
通讯作者：
TRUAX, P
影响因子：
120.7
作者：
Monson, Candice M.;Fredman, Steffany J.;Macdonald, Alexandra;Pukay-Martin, Nicole D.;Resick, Patricia A.;Schnurr, Paula P.
通讯作者：
Schnurr, Paula P.
影响因子：
5.9
作者：
McCrady, Barbara S.;Epstein, Elizabeth E.;Cook, Sharon;Jensen, Noelle;Hildebrandt, Thomas
通讯作者：
Hildebrandt, Thomas