Targeting trauma-related interventions and improving outcomes for women with co-occurring disorders
Targeting trauma-related interventions and improving outcomes for women with co-occurring disorders
复制标题
DOI：
10.1007/s10488-007-0150-y
复制
发表时间：
2008-05-01
影响因子：
2.6
通讯作者：
Ellis, Alan R.
中科院分区：
文献类型：
--
作者：
Cusack, Karen J.;Morrissey, Joseph P.;Ellis, Alan R.
国家对人际创伤影响的关注导致精神卫生系统采取了与创伤有关的服务政策;然而，这些服务的目标缺乏明确性。通过对基线PTSD和药物滥用表现的妇女进行分组，并评估对综合心理健康/药物滥用干预的不同反应，重新分析了妇女、共病和暴力研究（WCDVS）的数据。治疗效果最大的亚组的特点是高水平的创伤后应激障碍，而对那些在低症状组的影响接近零。这些发现强调了临床医生对创伤相关症状进行仔细评估的必要性，并将最密集的创伤相关干预措施针对具有PTSD症状的个体。
National attention to the effects of interpersonal trauma has led mental health systems to adopt policies on trauma-related services; however, there is a lack of clarity regarding targeting of these services. Data from the Women, Co-occurring Disorders and Violence Study (WCDVS) were reanalyzed by grouping women on their baseline PTSD and substance abuse presentation and assessing the differential response to an integrated mental health/substance abuse intervention. Treatment effects were largest for subgroups characterized by high levels of PTSD, whereas the effects for those in the low symptom group were near zero. These findings underscore the need for clinicians to conduct careful assessments of trauma-related symptoms and to target the most intensive trauma-related interventions to individuals with PTSD symptoms.