"Transcend": Initial outcomes from a posttraumatic stress disorder/substance abuse treatment program

"Transcend": Initial outcomes from a posttraumatic stress disorder/substance abuse treatment program
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DOI:
10.1023/a:1013094206154
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发表时间:
2001-10-01
影响因子:
3.3
通讯作者:
Kowaliw, S
Kowaliw, S
中科院分区:
医学3区
文献类型:
--
作者:
Donovan, B;Padin-Rivera, E;Kowaliw, S

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本文介绍了为诊断患有创伤后应激障碍 (PTSD) 和药物滥用 (SA) 的退伍军人制定的综合治疗计划。结果数据显示了 1996 年至 1998 年间完成治疗的 46 名男性患者。治疗方法由详细手册定义,将认知行为技能培训、建构主义理论方法、SA 复发预防策略和同伴社会支持等要素整合到以团体为中心的计划中。临床医生管理的创伤后应激障碍量表 (CAPS) 和成瘾严重程度指数 (ASI) 用于评估出院时以及 6 个月和 12 个月随访时的治疗效果。分析出院时和随访时 CAPS 和 ASI 评分显示的显着症状变化。讨论重点是有关治疗有效性的假设、研究局限性以及进一步研究的建议。
This paper describes the development of a comprehensive treatment program for combat veterans diagnosed with posttraumatic stress disorder (PTSD) and substance abuse (SA). Outcome data are presented on 46 male patients who completed treatment between 1996 and 1998. The treatment approach, defined by a detailed manual, integrates elements of cognitive-behavioral skills training, constructivist theory approaches, SA relapse prevention strategies, and peer social support into a group-focused program. The Clinician-Administered PTSD Scale (CAPS) and the Addiction Severity Index (ASI) were used to assess treatment effectiveness at discharge and 6- and 12-month follow-up. Significant symptom changes revealed on CAPS and ASI scores at discharge and follow-up are analyzed. Discussion focuses on hypotheses regarding treatment effectiveness, study limitations, and suggestions for further research.