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Adaptation of CALM for Comorbid Anxiety and Substance Use Disorders

CALM 适应共病焦虑和药物滥用障碍

基本信息

批准号：
8291820
负责人：
Kate Basia Wolitzky-Taylor
金额：
$ 2.91万
依托单位：
UNIVERSITY OF CALIFORNIA LOS ANGELES
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-08-01 至 2012-11-14
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8291820
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 Development Plans Diagnosis Drug usage Educational process of instructing Effect Modifiers (Epidemiology)Effectiveness Effectiveness of Interventions Ensure Evaluation Evidence based treatment Faculty Fellowship Funding Generalized Anxiety Disorder Goals Improve Access Individual Internships Knowledge Laboratory Study Learning Life Los Angeles Mediating Medical Mental Health Mentorship Methodology Minority National Institute of Mental Health Outcome Outpatients Panic Disorder Patients Persons Pharmaceutical Preparations Phase Population Positioning Attribute Post-Traumatic Stress Disorders Primary Health Care Primary Nursing Care Psychiatry Psychology Public Health Quality of life Reading Recovery Relapse Relative (related person)Research Research Methodology 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 arm austin base brief intervention career career development computerized design effective therapy effectiveness research effectiveness trial experience health training improved interest medical schools meetings prevent primary care setting programs skills success symposium tool treatment as usual treatment center treatment program undergraduate research

项目摘要

DESCRIPTION (provided by applicant): Training Aim: The candidate, Dr. Kate Wolitzky-Taylor, is proposing to receive training in (a) clinical and research issues in treating comorbid anxiety disorders in substance using populations; and (b) effectiveness research methodology. 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 appropriate for delivery to persons with substance use disorders; (c) ensuring that these adapted CBT protocols are consistent with 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 treatments for SUDs, both broadly and in the context of anxiety-SUD comorbidity; and (b) learn methodology of effectiveness research. Attainment of these goals will provide the candidate with skills and knowledge needed to adapt CBT for anxiety disorders to a community clinical setting providing addictions treatment and to evaluate the effectiveness of CBT for anxiety disorders in these settings. These goals will be accomplished through directed readings, clinical experiences, consultation, coursework, and participation in seminars and conferences. PUBLIC HEALTH RELEVANCE: Those with anxiety and substance use disorder comorbidity are rarely treated for their anxiety disorder, and treating anxiety in this population may reduce anxiety symptoms as well as improve substance use outcomes. The proposed research aims to investigate the effectiveness of a cognitive behavioral treatment (CBT) program for anxiety disorders to be delivered in community outpatient substance abuse treatment centers. Addressing anxiety disorders with evidence-based treatments in real-world clinical addictions settings is likely to have significant public health implications, reducing symptoms of both anxiety and substance use disorders.

描述(由申请者提供)：培训目标：候选人Kate Wolitzky-Taylor博士建议接受以下方面的培训：(A)使用人群治疗实质上的焦虑症的临床和研究问题；以及(B)有效性研究方法。获得这些领域培训的目的是为了应聘者制定一项工作计划，旨在(A)增加有物质使用障碍的人获得认知行为治疗(CBT)的机会；(B)调整焦虑症的CBT方案，使其适合于提供给有物质使用障碍的人；(C)确保这些调整后的CBT方案与典型成瘾治疗环境的文化一致；以及(D)检查这些干预措施在现实世界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。以前的经历：应聘者在焦虑症的研究和治疗方面接受过广泛的培训和经验。她在进行焦虑症治疗的研究和向各种患者提供焦虑症的CBT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计划获得本科研究助理奖学金，在德克萨斯大学奥斯汀分校心理学系焦虑障碍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完成创伤应激追踪的研究型临床实习，以及目前在加州大学洛杉矶分校焦虑障碍研究中心的博士后研究奖学金。职业目标：应聘者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治疗共病焦虑和物质使用障碍(SUDS)以及在现实世界临床成瘾环境中评估CBT方案的日益增长的兴趣结合在一起。研究职业发展计划：职业发展计划的主要目标是：(A)广泛地和在焦虑症-焦虑症共病的背景下，了解对自闭症的治疗；(B)学习有效性研究的方法。这些目标的实现将为应聘者提供必要的技能和知识，使焦虑症的CBT适应于提供成瘾治疗的社区临床环境，并评估CBT在这些环境中对焦虑症的有效性。这些目标将通过定向阅读、临床经验、咨询、课程作业和参加研讨会和会议来实现。公共卫生相关性：那些患有焦虑和物质使用障碍共病的人很少接受焦虑症的治疗，在这一人群中治疗焦虑可能会减少焦虑症状，并改善物质使用结果。这项拟议的研究旨在调查认知行为治疗(CBT)计划对焦虑障碍的有效性，该计划将在社区门诊药物滥用治疗中心。解决焦虑症的方法在现实世界的临床成瘾环境中进行循证治疗可能会有重大意义对公共健康的影响，减少焦虑和物质使用障碍的症状。