Abstract:
:This study arose out of a prominent clinical need: effective treatment for comorbid posttraumatic stress disorder (PTSD) and substance use disorder (SUD) in civilian men. This dual diagnosis is estimated to occur in up to 38% of men in substance abuse treatment, and generally portends a more severe clinical course than SUD alone. Clinical issues include self-harm, suicidality, perpetration of violence against others, and HIV risk behaviors. This study appears to be the first outcome trial to address a sample of civilian men with PTSD and SUD using manualized psychosocial treatment. It evaluates a novel combination treatment, Seeking Safety plus Exposure Therapy-Revised. The former is a coping skills treatment designed for PTSD and SUD; the latter is an adaptation of Foa's exposure therapy, modified for PTSD and SUD. In this small sample (n = 5) outpatient pilot trial, patients with current PTSD and current SUD were offered 30 sessions over five months, with the option to select how much of each type of treatment they preferred. Outcome results showed significant improvements in drug use; family/social functioning; trauma symptoms; anxiety; dissociation; sexuality; hostility; overall functioning; meaningfulness; and feelings and thoughts related to safety. Trends indicating improvement on 11 other outcome variables were also found. Treatment attendance, satisfaction, and alliance were extremely high. The need for further evaluation using more rigorous methodology is discussed.
journal_name
J Psychoactive Drugsjournal_title
Journal of psychoactive drugsauthors
Najavits LM,Schmitz M,Gotthardt S,Weiss RDdoi
10.1080/02791072.2005.10399816subject
Has Abstractpub_date
2005-12-01 00:00:00pages
425-35issue
4eissn
0279-1072issn
2159-9777journal_volume
37pub_type
杂志文章abstract::The present study examined whether and how collegians' misuse of prescription drugs and alcohol abuse are associated with mental illness and with a lack of mental health care. Nationally representative data were derived from 5,241 full-time American college students who completed the 2010 National Survey on Drug Use a...
journal_title:Journal of psychoactive drugs
pub_type: 杂志文章
doi:10.1080/02791072.2013.763561
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abstract::A systematic random sample of 267 patients who were involved in outpatient detoxification was surveyed. Their records were evaluated, and the demographics, psychiatric diagnoses, and type(s) of substance of abuse of each patient were recorded. The results indicated that there was a significant relationship between an ...
journal_title:Journal of psychoactive drugs
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doi:10.1080/02791072.2009.10400675
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abstract::The patient-reported toxicity of an overdose of intravenous methamphetamine is described. The authors report the case of a 34-year old man who inadvertently injected himself with approximately 2.3 grams of methamphetamine. The patient reported disorientation, hallucinations, hyperthermia, photophobia, orthostasis and ...
journal_title:Journal of psychoactive drugs
pub_type: 杂志文章
doi:10.1080/02791072.2001.10399926
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abstract::This study examined the relationship between lifetime abuse and suicidal ideation in a sample of 245 injection drug users (IDUs) who attended the Baltimore Needle Exchange Program and received a referral for opiate agonist therapy. Data were obtained from baseline interviews and HIV antibody tests. The sample mean age...
journal_title:Journal of psychoactive drugs
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abstract::A wide range of both prescription and nonprescription drugs has been reported to affect human sexual functioning. While the sexual side effects resulting from drug use have often been attributed to adrenergic, anticholinergic or dopaminergic activity, the present review considers the potential role of serotonin. Based...
journal_title:Journal of psychoactive drugs
pub_type: 杂志文章,评审
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abstract::Traditional ayahuasca can be defined as a brew made from Amazonian vine Banisteriopsis caapi and Amazonian admixture plants. Ayahuasca is used by indigenous groups in Amazonia, as a sacrament in syncretic Brazilian religions, and in healing and spiritual ceremonies internationally. The study aimed to determine concent...
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journal_title:Journal of psychoactive drugs
pub_type: 杂志文章
doi:10.1080/02791072.2015.1118173
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journal_title:Journal of psychoactive drugs
pub_type: 杂志文章,评审
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journal_title:Journal of psychoactive drugs
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doi:10.1080/02791072.1992.10471665
更新日期:1992-10-01 00:00:00
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journal_title:Journal of psychoactive drugs
pub_type: 杂志文章,评审
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abstract::A discussion of California's Substance Abuse and Crime Prevention Act of 2000 (Proposition 36) and how it represents a paradigm shift from incarceration to treatment and collaboration. ...
journal_title:Journal of psychoactive drugs
pub_type: 杂志文章
doi:10.1080/02791072.2001.10399916
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abstract::Emerging trends in market dynamics and the use of new psychoactive substances are both a public health concern and a complex regulatory issue. One novel area of investigation is the availability of homemade opioids, amphetamines and dissociatives, and the potential fueling of interest in clandestine home manufacture o...
journal_title:Journal of psychoactive drugs
pub_type: 杂志文章
doi:10.1080/02791072.2017.1320735
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abstract::Summarized are psychonautic bioassays (human self-experiments) of pharmañopo--crystalline bufotenine (5-HO-DMT; 5-hydroxy-N,N-dimethyltryptamine; dimethylserotonine), at times combined with harmaline or harmine-via intranasal, sublingual, intrarectal, pulmonary (inhaled vapor) and oral routes. This is done by way of p...
journal_title:Journal of psychoactive drugs
pub_type: 杂志文章,评审
doi:10.1080/02791072.2001.10400574
更新日期:2001-07-01 00:00:00
abstract::The relationships between authoritarian ideology and attitudes and beliefs about illegal drugs, the War on Drugs, and prevention strategies were investigated among 353 university faculty, administrators, and students. A confidential mail survey assessed five variables: right-wing authoritarianism, attitude toward drug...
journal_title:Journal of psychoactive drugs
pub_type: 杂志文章
doi:10.1080/02791072.1998.10399672
更新日期:1998-01-01 00:00:00
abstract:UNLABELLED:Abstract Objective: This study investigated the effects of standard eye movement desensitization and reprocessing (EMDR) protocol in chronically dependent patients. We propose that reprocessing traumatic memories with EMDR would lead to measurable changes of addiction symptoms. METHOD:Twelve patients with a...
journal_title:Journal of psychoactive drugs
pub_type: 杂志文章,随机对照试验
doi:10.1080/02791072.2014.921744
更新日期:2014-10-01 00:00:00
abstract::Diseases that threaten life raise existential questions that can be a source of psychological distress. Studies with psychedelics demonstrate therapeutic effects for anxiety and depression associated with life-threatening illnesses. Ayahuasca has been proposed as a possible therapeutic agent in the treatment of psychi...
journal_title:Journal of psychoactive drugs
pub_type: 杂志文章
doi:10.1080/02791072.2020.1854399
更新日期:2020-12-07 00:00:00
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journal_title:Journal of psychoactive drugs
pub_type: 杂志文章,多中心研究
doi:10.1080/02791072.1999.10471763
更新日期:1999-10-01 00:00:00
abstract::This study investigates barriers to utilization of drug abuse treatment by female street sex workers in Nigeria. Twenty-seven (n = 27) street sex workers were recruited through venue-based snow-ball sampling. In-depth, individual interviews were conducted, and transcripts were subjected to thematic, inductive and data...
journal_title:Journal of psychoactive drugs
pub_type: 杂志文章
doi:10.1080/02791072.2019.1605103
更新日期:2019-09-01 00:00:00
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journal_title:Journal of psychoactive drugs
pub_type: 杂志文章
doi:10.1080/02791072.2001.10400478
更新日期:2001-04-01 00:00:00
abstract::The study aimed to examine the age of onset of stages of alcohol use in the general population, and to estimate the association of cohort use with the probability of transitioning from alcohol use to alcohol use disorder (AUD) and remission. French data (N = 2,894) from the European Study of the Epidemiology of Mental...
journal_title:Journal of psychoactive drugs
pub_type: 杂志文章
doi:10.1080/02791072.2019.1612536
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doi:10.1080/02791072.2012.703100
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journal_title:Journal of psychoactive drugs
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doi:10.1080/02791072.2009.10399777
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journal_title:Journal of psychoactive drugs
pub_type: 社论
doi:10.1080/02791072.2012.662105
更新日期:2012-01-01 00:00:00
abstract::The practice of injecting shared drugs, in which drug users prepare, divide and inject portions of a drug solution, is a means of transmitting HIV, HCV, and other blood-borne pathogens. This study examined the process of injecting shared drugs among drug users in San Juan, Puerto Rico, through detailed observations of...
journal_title:Journal of psychoactive drugs
pub_type: 杂志文章
doi:10.1080/02791072.2005.10399747
更新日期:2005-03-01 00:00:00
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journal_title:Journal of psychoactive drugs
pub_type: 杂志文章
doi:10.1080/02791072.2003.10400488
更新日期:2003-10-01 00:00:00
abstract::As COVID-19 converges with loneliness and addiction epidemics in the US, both public health and mental health experts forecast dramatic increases in substance use and mental health conditions. This cross-sectional study evaluated relationships of loneliness with depression, anxiety, alcohol use, and drug use during CO...
journal_title:Journal of psychoactive drugs
pub_type: 杂志文章
doi:10.1080/02791072.2020.1836435
更新日期:2020-10-28 00:00:00
abstract::A discussion is provided of clinical techniques for establishing abstinence and preventing relapse in cocaine addicts within the context of an intensive outpatient treatment program. A basic tenet of this article is that to produce higher success rates in these and other drug-dependent patients more attention must be ...
journal_title:Journal of psychoactive drugs
pub_type: 杂志文章,评审
doi:10.1080/02791072.1990.10472539
更新日期:1990-04-01 00:00:00
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journal_title:Journal of psychoactive drugs
pub_type: 杂志文章
doi:10.1080/02791072.2019.1597224
更新日期:2019-09-01 00:00:00
abstract::Female partners of male drug users may not recognize that they are endangered by sexual transmission of human immunodeficiency virus (HIV). However, even when women acknowledge this problem, there are multiple subsequent impediments to behavior change. Chemically dependent women also have specific additional needs. Mo...
journal_title:Journal of psychoactive drugs
pub_type: 杂志文章
doi:10.1080/02791072.1989.10472183
更新日期:1989-10-01 00:00:00
abstract::Assessing the health status of ayahuasca users has been challenging due to the limitations involved in randomized clinical trials and psychometric approaches. The main objective of this study is the implementation of an approach based on public health indicators. We developed a self-administered questionnaire that was...
journal_title:Journal of psychoactive drugs
pub_type: 杂志文章
doi:10.1080/02791072.2019.1567961
更新日期:2019-04-01 00:00:00