"Seeking safety": Outcome of a new cognitive-behavioral psychotherapy for women with posttraumatic stress disorder and substance dependence
"Seeking safety": Outcome of a new cognitive-behavioral psychotherapy for women with posttraumatic stress disorder and substance dependence
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DOI：
10.1023/a:1024496427434
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发表时间：
1998-07-01
影响因子：
3.3
通讯作者：
Muenz, LR
中科院分区：
文献类型：
--
作者：
Najavits, LM;Weiss, RD;Muenz, LR
患有当前创伤后应激障碍 (PTSD) 的女性占药物滥用治疗样本的 30-59%，并且比单独患有任何一种疾病的女性经历更严重的病程。目前尚未找到针对该人群的有效治疗方法。本文根据治疗前、治疗期间、治疗后和 3 个月随访时的评估，报告了 17 名女性完成了新的基于手册的 24 疗程认知行为团体治疗方案治疗的结果结果。结果显示，物质使用、创伤相关症状、自杀风险、自杀念头、社会适应、家庭功能、问题解决、抑郁、物质使用认知以及与治疗相关的教学知识都有显着改善，患者的治疗出勤率、联盟和满意度也非常强。完成治疗者比退出者受损更严重，但更积极地参与治疗总体而言，我们的数据表明，患有创伤后应激障碍和药物滥用的女性在接受专为她们设计的治疗时可以得到帮助。然而，由于缺乏对照组、多重比较以及缺乏对退出者的评估，所有结果显然都是暂定的。
Women with current posttraumatic stress disorder (PTSD) comprise 30-59% of substance abuse treatment samples and experience a more severe course than women with either disorder alone. Rs yet, no effective treatment for this population has been identified. This paper reports outcome results on 17 women who completed a new manual-based 24-session cognitive behavioral group therapy protocol treatment, based on assessments at pretreatment, during treatment, posttreatment, and at 3-month follow-up. Results showed significant improvements in substance use, trauma-related symptoms, suicide risk suicidal thoughts, social adjustment, family functioning, problem solving, depression, cognitions about substance use, and didactic knowledge related to the treatment, patients' treatment attendance, alliance, and satisfaction were also very strong. Treatment completers were more impaired than dropouts, yet more engaged in the treatment Overall, our data suggest that women with PTSD and substance abuse can be helped when provided with a treatment designed for them. All results are clearly tentative, however due to the lack of a control group, multiple comparisons, and absence of assessment of dropouts.