Adaptation of CALM for Comorbid Anxiety and Substance Use Disorders

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)使用人群治疗实质上的焦虑症的临床和研究问题。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对焦虑症的认知行为治疗(CBT)的机会；(B)调整焦虑症的认知行为治疗方案，使其适合并适合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和契合；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完成创伤应激追踪的研究型临床实习，目前在加州大学洛杉矶分校焦虑障碍研究中心从事博士后研究。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-焦虑症合并症的背景下，了解基于证据的和通常提供的SUDS治疗，以及(B)发展必要的技能，使焦虑症的CBT适应提供成瘾治疗的社区临床环境，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、课程作业和参加研讨会和会议来实现。研究项目：候选人建议(A)调整CAMPE Tools for Living CBT计划，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U01；Pis Craske和Roy-Byrne是这项建议的导师)；以及(B)在门诊成瘾治疗诊所检查适应的有效性。这种适应将被设计成适合药物使用障碍人群，并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，以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可观的联邦研究资金，临床心理学项目一直被列为全国最好的项目。此外，加州大学洛杉矶分校S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都受到高度重视，并将被用作完成培训目标的资源。

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.