GROUP COGNITIVE BEHAVIOR THERAPY & DUAL DIAGNOSIS--WOMEN

这项提案的主要目标是开发一种心理治疗方法， 共病妇女集体认知行为治疗手册 物质使用障碍（SUD）和创伤后应激障碍（PTSD）。在 此外，该手册将在受试者组中进行试点测试 共有24名患者和3名治疗师接受治疗。的理由 针对这一人群的目标来自于相对较高的合作， 这两种疾病的发生，研究表明， 特别是SUD/PTSD的发病率相对较高， 在不同临床表现的临床文献中， 女性SUD/PTSD患者与男性SUD/PTSD患者的治疗需求比较 患者（其中大多数是退伍军人）。认知行为疗法 是一种治疗方法，因为它可以促进自我控制 技能来控制压倒性的影响，这是一个标志， 人口;它教功能行为可能已经恶化或 未能发展作为一个结果的障碍（关系技能，自我， 培养，活动规划）;并提供明确的培训， 预防复发，这是SUD和PTSD的一个已知障碍。组格式是 建议的成本效益，并提供社会支持 环境被认为是治疗这些疾病的重要因素。在 在制定治疗手册时，将相当重视 通过以下方式使这一人群获得有效的治疗 运用从教育研究中得出的几个基本原则， 包括视觉辅助，患者角色教育， 概括，强调结构化治疗，获得性测试 CBT的知识，情感上吸引人的主题和材料，以及记忆 增强装置）。该手册的影响将由一个 重复测量结果研究，评估患者对 团体治疗，教材知识获取，还原 在SUD和PTSD症状中， 治疗此外，治疗师的满意度和坚持， 将评估治疗手册。

The main goal of this proposal is to develop a psychotherapy treatment manual for the group cognitive-behavioral treatment of women with comorbid substance use disorder (SUD) and post-traumatic stress disorder (PTSD). In addition, the manual will be pilot-tested in a within-subjects group treatment with a total of 24 patients and three therapists. The rationale for targeting this population derives from the relatively high co- occurrence of these two disorders, from research indicating that women in particular have relatively high rates of SUD/PTSD, and from descriptions in the clinical literature of the different clinical presentation and treatment needs of women SUD/PTSD patients in comparison to male SUD/PTSD patients (most of whom are combat veterans). Cognitive-behavioral therapy is suggested as a treatment of choice because it promotes self-control skills to control the overwhelming affects that are a hallmark of this population; it teaches functional behaviors that may have deteriorated or failed to develop as a result of the disorders (relationship skills, self- nurturing, activity planning); and it provides explicit training to prevent relapse, a known danger-for both SUD and PTSD. A group format is recommended for cost-effectiveness and to provide a socially supportive environment considered important for the treatment of these disorders. In developing the treatment manual, considerable emphasis will be placed on making the treatment effective and accessible for this population through the use of several fundamental principles drawn from educational research, including visual aids, education for the patient role, teaching for generalization, emphasis on structured treatment, testing of acquired knowledge of CBT, affectively engaging themes and materials, and memory enhancement devices). The impact of the manual will be tested by a repeated-measures outcome study, assessing patients' satisfaction with the group treatment, knowledge acquisition of the didactic material, reduction in SUD and PTSD symptoms, and level of therapeutic alliance toward the treatment. In addition, therapists' satisfaction with and adherence to the treatment manual will be assessed.