Adaptation of CALM for Comorbid Anxiety and Substance Use Disorders

CALM 适应共病焦虑和药物滥用障碍

• 批准号: 8884570
• 负责人: Kate Basia Wolitzky-Taylor
• 金额: $ 15.08万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-08-01 至 2017-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8884570
• 关键词: Address; Adoption; Affect; Affective; Alcohol or Other Drugs use; Alcohols; Anxiety; Anxiety Disorders; Area; Behavioral; California; Caring; Central Nervous System Depressants; Clinic; Clinical; Clinical Psychology; Clinical Research; Cognitive; Cognitive Therapy; Communities; Comorbidity; Consultations; Country; Data Analyses; Development Plans; Diagnosis; Drug usage; Educational process of instructing; Effect Modifiers (Epidemiology); Effectiveness; Effectiveness of Interventions; Ensure; Environment; Evaluation; Evidence based treatment; Faculty; Fellowship; Funding; Generalized Anxiety Disorder; Goals; Improve Access; Individual; Institutes; Internships; Laboratory Study; Learning; Life; Los Angeles; Mediating; Medical; Mental Health; Mentors; Methodology; Minority; National Institute of Mental Health; Outcome; Outpatients; Panic Disorder; Patients; Persons; Pharmaceutical Preparations; Phase; Pilot Projects; Population; Positioning Attribute; Post-Traumatic Stress Disorders; Primary Health Care; Primary Nursing Care; Psychiatry; Psychology; Public Health; Public Health Schools; Quality of life; Reading; Recovery; Relapse; Relative (related person); Research; Research Methodology; Research Project Grants; Resources; Social Phobia; Social Workers; South Carolina; Stress; Structure; Substance Abuse Treatment Centers; Substance Use Disorder; Substance abuse problem; Symptoms; System; Testing; Texas; Theoretical model; Time; Training; Trauma; Treatment Protocols; Treatment outcome; Universities; Withdrawal; Work; addiction; anxiety sensitivity; anxiety symptoms; anxiety treatment; anxious; arm; austin; base; brief intervention; career; career development; computerized; design; effective therapy; effectiveness research; effectiveness trial; evidence base; experience; health science research; health training; improved; interest; medical schools; meetings; prevent; primary care setting; programs; skills; social; success; symposium; tool; treatment as usual; treatment center; treatment of anxiety disorders; treatment program; undergraduate research

DESCRIPTION (provided by applicant): The candidate, Dr. Kate Wolitzky-Taylor, is proposing to receive training in (a) effectiveness research methodology; and (b) clinical and research issues in treating comorbid anxiety disorders in substance using populations. The purpose of acquiring training in these areas is for the candidate to develop a program of work aimed at (a) increasing access to cognitive-behavioral treatment (CBT) for anxiety disorders among those with substance use disorders; (b) adapting CBT protocols for anxiety disorders to be suitable and appropriate for delivery to persons with substance use disorders; (c) ensuring that these adapted CBT protocols are consistent with and fit into the culture of typical addictions treatment settings; and (d) examining the effectiveness of these interventions in real-world clinical settings such as Intensive Outpatient Programs in community addictions treatment centers. Previous Experience: The candidate has received extensive training and experience in the research and treatment of anxiety disorders. She has excelled in both conducting research in the treatment of anxiety disorders and in delivering CBT for anxiety disorders to a wide variety of patients. Her experiences include an undergraduate research assistantship at the Trauma and Anxiety Recovery Program at the Emory University School of Medicine, doctoral training in clinical psychology at the Laboratory for the Study of Anxiety Disorders at the University of Texas at Austin s Department of Psychology, completing a research-oriented clinical internship in the Department of Psychiatry at the Medical University of South Carolina in the Traumatic Stress Track, and her current postdoctoral research fellowship at the Anxiety Disorders Research Center at the University of California-Los Angeles Department of Psychology. Career Goals: The candidate aspires to obtain a tenure-track faculty position in a psychology department in which she can build a research program that incorporates her current expertise in anxiety disorders with her burgeoning interest in the treatment of comorbid anxiety and substance use disorders (SUDs) and the evaluation of CBT protocols in real-world clinical addictions settings. Research Career Development Plan: The primary goals of the career development plan are to (a) learn about both evidence-based and typically delivered treatments for SUDs, both broadly and in the context of anxiety-SUD comorbidity and (b) develop skills needed to adapt CBT for anxiety disorders to a community clinical setting providing addictions treatment and secondary goals include (a) learning methodology of effectiveness research and (b) advanced statistical training in approaches for analyzing data from effectiveness trials. These goals will be accomplished through directed readings, clinical experiences, consultation, coursework, and participation in seminars and conferences. Research Project: The candidate is proposing to (a) adapt the CALM Tools for Living CBT program for anxiety disorders that demonstrated effectiveness in a large-scale effectiveness study in primary care (NIMH-funded U01; PIs Craske and Roy-Byrne are mentors on this proposal); and (b) examine the effectiveness of the adaptation in an outpatient addictions treatment clinic. The adaptation will be designed to be appropriate for a substance use disorder population and feasible for integration and adoption into a typical outpatient addictions treatment program. The effectiveness trial will be a pilot study to assess preliminary effectiveness and feasibility. Institutional Environment: The UCLA community provides a wealth of relevant training opportunities. The UCLA Department of Psychology receives considerable federal funding for research, and the clinical psychology program is consistently ranked as the top program in the country. In addition, UCLA s School of Public Health, Health Sciences Research Center, Integrated Substance Abuse Programs, and Institute for Social Research are highly regarded and will all be utilized as resources for completing training objectives.

描述（由申请人提供）：候选人 Kate Wolitzky-Taylor 博士提议接受 (a) 有效性研究方法方面的培训； (b) 治疗药物滥用人群共病焦虑症的临床和研究问题。获得这些领域培训的目的是让候选人制定一项工作计划，旨在 (a) 增加药物滥用障碍患者获得焦虑症认知行为治疗 (CBT) 的机会； (b) 调整针对焦虑症的 CBT 方案，使其适合并适当地向患有药物滥用障碍的人提供； (c) 确保这些经过调整的 CBT 方案符合并适应典型成瘾治疗环境的文化； (d) 检查这些干预措施在现实临床环境中的有效性，例如社区成瘾治疗中心的强化门诊计划。 以往经验：候选人在焦虑症的研究和治疗方面接受过广泛的培训和经验。她在治疗焦虑症的研究以及向各类患者提供针对焦虑症的认知行为治疗方面都表现出色。她的经历包括在埃默里大学医学院创伤和焦虑恢复项目获得本科研究助理职位，在德克萨斯大学奥斯汀分校心理学系焦虑症研究实验室接受临床心理学博士培训，在南卡罗来纳医科大学精神病学系创伤应激跟踪项目中完成以研究为导向的临床实习，以及她目前在焦虑研究中心的博士后研究奖学金 加州大学洛杉矶分校心理学系疾病研究中心。 职业目标：候选人渴望在心理学系获得终身教职，在那里她可以建立一个研究项目，将她目前在焦虑症方面的专业知识与她对共病焦虑和物质使用障碍（SUD）的治疗以及在现实世界的临床成瘾环境中评估CBT方案的兴趣相结合。 研究职业发展计划：职业发展计划的主要目标是 (a) 了解基于证据和通常提供的 SUD 治疗方法，无论是广泛的还是在焦虑 SUD 合并症的背景下，以及 (b) 培养将焦虑症 CBT 适应提供成瘾治疗的社区临床环境所需的技能，次要目标包括 (a) 学习有效性研究方法和 (b) 分析有效性试验数据的方法的高级统计培训。这些目标将通过定向阅读、临床经验、咨询、课程作业以及参加研讨会和会议来实现。 研究项目：候选人提议 (a) 调整 CALM 生活工具 CBT 项目以治疗焦虑症，该项目在初级保健的大规模有效性研究中证明了有效性（NIMH 资助的 U01；PI Craske 和 Roy-Byrne 是该提案的导师）； (b) 检查门诊成瘾治疗诊所的适应效果。该改编将被设计为适合物质使用障碍人群，并且可以整合和采用到典型的门诊成瘾治疗计划中。有效性试验将是一项试点研究，旨在评估初步有效性和可行性。 机构环境：加州大学洛杉矶分校社区提供了大量的相关培训机会。加州大学洛杉矶分校心理学系获得了大量的联邦研究经费，临床心理学项目一直被评为全国顶尖项目。此外，加州大学洛杉矶分校的公共卫生学院、健康科学研究中心、综合药物滥用项目和社会研究所也受到高度重视，将被用作完成培训目标的资源。