CBT Treatment for PTSD and SUDs in Minority Youth

CBT 治疗少数族裔青少年的 PTSD 和 SUD

• 批准号: 7148213
• 负责人: LISA R FORTUNA
• 金额: $ 15.02万
• 依托单位: CAMBRIDGE HEALTH ALLIANCE
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-30 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7148213
• 关键词: clinical research; community; substance abuse related disorder

DESCRIPTION (provided by applicant): This proposal is a Mentored Patient-Oriented Research Career Development Award (K23) for Dr. Lisa Fortuna, a child and adolescent psychiatrist. Dr. Fortuna's long-term career goal is to be an independent researcher with skills in the translation of empirically supported treatments into community settings, particularly for minority adolescents with co-occurring psychiatric and substance use disorders. This proposal focuses on the treatment of substance abuse in the context of Post Traumatic Stress Disorder (PTSD) in violence exposed minority youth. PTSD is a prevalent co-occurring disorder in persons, including adolescents with substance use disorders. PTSD is associated with initiation and continuation of substance abuse, poor treatment outcomes and poor social functioning for youth. Effective therapies exist, however, the nonimplementation of efficacious therapies in community settings is a well-documented problem in the drug abuse field. Minority youth are at particular risk of not receiving services. This research proposes to 1) assess the efficacy of a cognitive behavioral treatment for Post Traumatic Stress Disorder (PTSD) with multicultural youth with substance abuse; and 2) improve access to this evidence based treatment by integrating it into the services of a community-based organization and to move beyond traditional clinical settings. Using the framework of the Onken et al (1997) Stage Model of Behavioral Therapy development, and community participatory methods, this research proposes a Stage 1a & 1b study of CBT for PTSD with minority adolescents ages 14-18 years with substance abuse disorders and in a community based organization setting. Stage la involves the modification, procedural specification and feasibility testing for addiction, minority youth and community setting. Stage Ib involves a Pilot Trial of the modified intervention compared to waiting list comparison on three outcome measures: 1) substance use; 2) PTSD symptoms; and 3) attrition. If supported by data from these studies, an efficacy study of the treatment is the next step.

描述（由申请人提供）：本提案是一个指导的以病人为导向的研究职业发展奖（K23）博士丽莎福图纳，儿童和青少年精神病学家。福图纳博士的长期职业目标是成为一名独立的研究人员，具备将经验支持的治疗方法转化为社区环境的技能，特别是针对患有精神病和药物使用障碍的少数民族青少年。该提案的重点是在遭受暴力的少数民族青年中治疗创伤后应激障碍（PTSD）背景下的药物滥用。创伤后应激障碍是一种常见的共同发生的疾病的人，包括青少年与物质使用障碍。创伤后应激障碍与药物滥用的开始和持续、治疗效果差和青年社会功能差有关。有效的治疗是存在的，然而，在社区环境中不实施有效的治疗是药物滥用领域中一个有据可查的问题。少数群体青年特别有可能得不到服务。本研究建议：1）评估认知行为治疗创伤后应激障碍（PTSD）与药物滥用的多元文化青年的疗效; 2）通过将其纳入社区组织的服务并超越传统的临床环境，改善这种循证治疗的可及性。使用Onken et al（1997）行为治疗发展阶段模型的框架和社区参与方法，本研究提出了一个1a和1b阶段的CBT研究PTSD与少数民族青少年年龄14-18岁的物质滥用障碍，并在社区为基础的组织设置。第一阶段包括修改，程序规范和可行性测试成瘾，少数民族青年和社区设置。Ib期包括一项改良干预与等待名单比较的初步试验，比较三个结果指标：1）物质使用; 2）PTSD症状; 3）磨损。如果得到这些研究数据的支持，下一步将进行疗效研究。