Adaptation of CALM for Comorbid Anxiety and Substance Use Disorders

培训目标：候选人Kate Wolitzky-Taylor博士拟接受以下方面的培训：(a)治疗药物使用人群共病焦虑症的临床和研究问题；（二）有效性研究方法。获得这些领域培训的目的是让候选人制定一个工作计划，旨在(a)增加对物质使用障碍患者的焦虑症的认知行为治疗（CBT）；(b)调整焦虑症的CBT方案，使其适合于向物质使用障碍患者提供治疗；(c)确保这些经改编的CBT协议与典型的成瘾治疗环境的文化相一致；(d)检查这些干预措施在现实世界的临床环境中的有效性，例如社区成瘾治疗中心的强化门诊项目。先前经历：候选人在焦虑障碍的研究和治疗方面接受了广泛的培训和经验。她擅长进行焦虑症治疗方面的研究，并为各种各样的焦虑症患者提供CBT治疗。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创伤应激专业完成以研究为导向的临床实习，以及她目前在加州大学洛杉矶分校心理学系焦虑症研究中心的博士后研究。职业目标：候选人希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在共病焦虑症和物质使用障碍（SUDs）治疗方面的新兴兴趣结合起来，并在现实世界的临床成瘾设置中评估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的治疗方法，无论是在广义上还是在焦虑- sud共病的背景下；(2)学习有效性研究的方法论。这些目标的实现将为候选人提供所需的技能和知识，使CBT治疗焦虑症适应社区临床环境，提供成瘾治疗，并评估CBT治疗焦虑症在这些环境中的有效性。这些目标将通过指导阅读、临床经验、咨询、课程作业以及参加研讨会和会议来实现。

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.