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: 8711417
• 负责人: Kate Basia Wolitzky-Taylor
• 金额: $ 15.08万
• 依托单位: UNIVERSITY OF SOUTHERN CALIFORNIA
• 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 2015-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8711417
• 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; 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 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博士建议接受以下方面的培训：（a）有效性研究方法;（B）治疗物质使用人群中共病焦虑症的临床和研究问题。获得这些领域的培训的目的是让候选人制定一个工作方案，目的是：（a）增加吸毒障碍患者获得焦虑症认知行为治疗的机会;（B）调整焦虑症认知行为治疗方案，使其适合并适合向吸毒障碍患者提供;（c）确保这些经过调整的CBT方案符合并适合典型成瘾治疗环境的文化;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。 以前的经验：候选人在焦虑症的研究和治疗方面接受了广泛的培训和经验。她在进行焦虑症治疗的研究和向各种各样的患者提供焦虑症的CBT方面表现出色。她的经历包括埃默里大学医学院创伤和焦虑恢复项目的本科研究助理，德克萨斯大学奥斯汀分校心理学系焦虑障碍研究实验室的临床心理学博士培训，在南卡罗来纳州医科大学精神病学系完成创伤压力跟踪的研究型临床实习，她目前在加州大学洛杉矶分校心理学系焦虑症研究中心从事博士后研究。 职业目标：候选人渴望在心理学系获得终身教职，她可以建立一个研究计划，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（SUD）的新兴兴趣结合起来，并在现实世界的临床成瘾环境中评估CBT协议。 研究职业发展计划：职业发展计划的主要目标是（a）了解SUD的循证治疗和典型治疗，广泛地和在焦虑-SUD合并症的背景下，以及（B）开发使焦虑症的CBT适应社区临床环境所需的技能，提供成瘾治疗，次要目标包括（a）有效性研究的学习方法和（B）在有效性试验数据分析方法方面进行高级统计培训。这些目标将通过定向阅读，临床经验，咨询，课程，并参加研讨会和会议来实现。 研究项目：候选人建议（a）调整CALM生活CBT计划的工具，用于焦虑症，该计划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U 01; PI Craske和Roy-Byrne是该建议的导师）;（B）检查门诊成瘾治疗诊所的适应效果。适应将被设计为适合于物质使用障碍人群，并可行的整合和采用到一个典型的门诊成瘾治疗计划。有效性试验将是一项试点研究，以评估初步的有效性和可行性。 机构环境：UCLA社区提供了丰富的相关培训机会。加州大学洛杉矶分校心理学系获得了相当多的联邦研究资金，临床心理学项目一直被评为全国最佳项目。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，综合药物滥用计划和社会研究所都受到高度重视，并将被用作完成培训目标的资源。