Abstract:
BACKGROUND:Posttraumatic stress disorder (PTSD) and substance use disorder (SUD) co-occur in military veterans and other populations. OBJECTIVE:To conduct a randomized controlled trial to compare a new past-focused treatment (Creating Change; CC), to a well-established, evidence-based present-focused treatment for PTSD/SUD (Seeking Safety; SS), on symptoms of both disorders. CC guides patients to process the past through exploration of PTSD/SUD life themes and memories whereas SS focuses on coping skills in the present. METHODS:Fifty-two male and female veterans with current PTSD/SUD were randomized (n = 26 per treatment) and assessed at baseline, end-of-treatment and 3-month follow-up. They received 17 individual one-hour sessions. RESULTS:Intent-to-treat analyses indicated that both conditions improved over time, with no difference between conditions, on PTSD, alcohol use, and drug use (our primary outcomes) as well as mental health symptoms, quality of life, self-efficacy, and SUD cognitions. Effect sizes were medium except for alcohol use, which was large. Change over time reflected improvement from baseline to end-of-treatment, with gains sustained at follow-up, although alcohol use showed continued improvement from end-of-treatment to follow-up. Both treatments evidenced a strong safety profile; and attendance, alliance, and treatment satisfaction were also very strong. Conclusions/importance: CC has promise as a PTSD/SUD therapy with strong public health relevance and the potential to fill important gaps in the field. We used minimal exclusionary criteria to obtain a real-world sample, which was severe-predominantly substance-dependent with chronic PTSD and additional psychiatric diagnoses. Future research is warranted, especially on nonveteran samples and treatment mechanisms of action.
journal_name
Subst Use Misusejournal_title
Substance use & misuseauthors
Najavits LM,Krinsley K,Waring ME,Gallagher MW,Skidmore Cdoi
10.1080/10826084.2018.1432653subject
Has Abstractpub_date
2018-09-19 00:00:00pages
1788-1800issue
11eissn
1082-6084issn
1532-2491journal_volume
53pub_type
杂志文章,随机对照试验abstract::Many persons with chronic and severe substance use disorders (SUDs) enter and exit public substance dependence treatment systems with limited benefit, but continue overuse of high-cost health and human services. Less than a third holds jobs, earning income below U.S. federal poverty levels. Long-term integrated substa...
journal_title:Substance use & misuse
pub_type: 临床试验,杂志文章
doi:10.1081/ja-200034667
更新日期:2004-01-01 00:00:00
abstract::Background: The bulk of research on adoption of injecting is from Europe and America, despite the existence of syndemics of drug injecting, HIV, and viral hepatitis globally. Objectives: This study explores adoption and continuation of injecting drug use. Methods: The study draws on in-depth interviews with 41 (n = 41...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2019.1681452
更新日期:2020-01-01 00:00:00
abstract::This article assesses the operations of Porto Alegre, State of Rio Grande do Sul, (southern Brazil) needle exchange program (NEP), a setting where HIV infection rates have been on the rise among injection drug users (IDUs) in recent years, contrasting with substantial declines observed in this population, in major Bra...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826080600667185
更新日期:2006-01-01 00:00:00
abstract::We predicted Grade 12 use of illicit drugs other than marijuana ("hard" drugs) from characteristics at Grade 10, examining the protective value of social bonds and testing whether certain social bonds have greater importance for some racial/ethnic groups. We also explored the association of previous substance use with...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826089909035649
更新日期:1999-02-01 00:00:00
abstract::In the mid-20th century, Selvararajan Yesudian (1916-1998), who was born in India to a Christian father, a physician, and spent most of his life in Switzerland, coauthored (with Elisabeth Haich) a book entitled Yoga and Health; since then, the coupling of these two words has largely defined the meaning of yoga in the ...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2013.803878
更新日期:2013-09-01 00:00:00
abstract::This review examines cognitive, neurological, and neuroanatomical recovery associated with abstinence from volatile substance misuse (VSM). Articles describing functional or structural brain changes longitudinally or cross-sectional reports comparing current and abstinent users were identified and reviewed. A signific...
journal_title:Substance use & misuse
pub_type: 杂志文章,评审
doi:10.3109/10826084.2011.580221
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Drinking goal preferences could change over time in alcohol treatment and during follow up. OBJECTIVES:To examine the stability of drinking goals over time, types of drinking goal trajectory, and the associations between drinking goal trajectories and baseline client characteristics and treatment outcomes. ...
journal_title:Substance use & misuse
pub_type: 杂志文章,多中心研究
doi:10.1080/10826084.2018.1461222
更新日期:2018-11-10 00:00:00
abstract::While marijuana and cocaine are the two most prevalent drugs used among arrestee populations, benzodiazepine use has surpassed that of opiates in several jurisdictions across the United States. Despite this proliferation, few scholarly works have focused on benzodiazepine use among individuals under criminal justice s...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1081/ja-120016569
更新日期:2003-01-01 00:00:00
abstract:BACKGROUND:Transnational marriage-based immigrant women in Taiwan have moved to a country where alcohol use is prevalent and they face the challenge of adaptation into a new society, which could influence their drinking behavior. OBJECTIVES:To describe the prevalence of alcohol drinking and examine factors associated ...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2016.1253745
更新日期:2017-04-16 00:00:00
abstract:BACKGROUND:Web-based cognitive-behavioral interventions to reduce substance use can be a useful low-cost treatment for a large number of people, and an attractive option in countries where a greater availability of treatment is needed. OBJECTIVE:To evaluate the feasibility and initial effectiveness of a web-based cogn...
journal_title:Substance use & misuse
pub_type: 杂志文章,随机对照试验
doi:10.1080/10826084.2018.1467452
更新日期:2018-11-10 00:00:00
abstract::This study aims to investigate whether the administration of questionnaires measuring subjective craving induces more craving for opiates compared to questionnaires measuring other subjective states. The study was conducted in 2000. The sample was composed of 53 patients that were treated as inpatients and outpatients...
journal_title:Substance use & misuse
pub_type: 杂志文章,随机对照试验
doi:10.1080/10826080601006334
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:While there is evidence for socioeconomic inequalities in some adolescent substance use behaviors, there is limited information on how socioeconomic inequalities compare across European countries and over time. OBJECTIVES:To compare socioeconomic inequalities in problematic adolescent substance use (regular...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2018.1549080
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:To extend our knowledge of general strain theory by exploring how under-researched strains such as racial discrimination, witnessing violence, physical victimization and verbal bullying affect adolescent substance use while considering differences according to racial identification. METHODS:This research ut...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2016.1191513
更新日期:2016-10-14 00:00:00
abstract:BACKGROUND:Extended-release naltrexone (XRNT) was developed to overcome poor treatment compliance with oral naltrexone in alcohol and opioid-dependent patients. XRNT injections are registered in the United States and Russia, but not in The Netherlands. However, XRNT can be obtained for individual patients, but it is ex...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2016.1201117
更新日期:2016-12-05 00:00:00
abstract::We examined the contribution of culturally relevant protective factors (i.e., adolescent religiosity, family connectedness, and perceived close friends' substance use) to the probability of young adult binge drinking among African American males. Participants (n = 1,599) drawn from the National Longitudinal Study of A...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826081003754765
更新日期:2010-08-01 00:00:00
abstract:BACKGROUND:Pre-exposure prophylaxis (PrEP) for HIV prevention is indicated for people who inject drugs (PWID), yet most studies do not focus on PWID. This study examines factors associated with PrEP awareness and willingness, and identifies perceived barriers to PrEP among PWID. Methods: PWID were interviewed in Los An...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2020.1823419
更新日期:2020-01-01 00:00:00
abstract::Despite evidence of a strong association between stress and level of drinking in adolescent populations, the role of stress in accounting for changes in drinking behavior throughout the adolescent years is unclear. This study uses a linear growth curve analysis to examine the determinants of within-individual changes ...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826080009148415
更新日期:2000-04-01 00:00:00
abstract::The use of criminal justice authority is discussed as a possibility for keeping drug users in treatment to decrease drug use, decrease injection, and to reduce the spread of HIV. It is hypothesized that the perception of treatment and control is a central factor in the limited use of criminal justice authority by comm...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826089709039374
更新日期:1997-05-01 00:00:00
abstract::This systematic review seeks to expand the description and understanding of late-onset AUD and asks "Which risk factors have been reported for late-onset heavy drinking and AUD?" METHOD:Using PRISMA guidelines, a literature review and search was performed on May 19, 2015 using the following databases: MEDLINE, EMBASE...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2017.1293102
更新日期:2017-10-15 00:00:00
abstract::This paper presents alternative models for reducing alcohol-involved problems at the local level and a review of research evidence about effectiveness. A computer simulation model and results from a community trial in the United States is used to illustrate and demonstrate possibilities. ...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1081/ja-120004158
更新日期:2002-06-01 00:00:00
abstract:BACKGROUND:Gay and bisexual men (GBM) report distinctive patterns and contexts of drug use, yet little has been published about their attitudes toward drug use. OBJECTIVES:We developed measures of attitudes and perceived social norms toward drug use, and examined covariates of more accepting attitudes and norms among ...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2018.1552302
更新日期:2019-01-01 00:00:00
abstract::Programs for the treatment of benzodiazepine dependency differ in a number of ways. Their outcome goals, for example, vary. In some of the programs the reduction or the elimination of benzodiazepine use is the main objective. In others a reduction in anxiety and depression among patients is regarded as much more impor...
journal_title:Substance use & misuse
pub_type: 杂志文章,评审
doi:10.1081/ja-100106224
更新日期:2001-07-01 00:00:00
abstract::This article discusses the use and distribution of heroin in New York City, both historically and especially currently. Data on the current situation derive in large measure from the Heroin Project, a recently completed five-year ethnographic study of heroin in New York City funded by the National Institute on Drug Ab...
journal_title:Substance use & misuse
pub_type: 杂志文章,评审
doi:10.1081/ja-120023397
更新日期:2003-08-01 00:00:00
abstract:BACKGROUND:Mandated college students (those in violation of a campus alcohol policy) are heterogenous with respect to alcohol consumption. Thus, when universities consider required treatment for mandated students, one promising option is to match treatment intensity according to level of alcohol involvement. The presen...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2017.1318148
更新日期:2017-12-06 00:00:00
abstract:BACKGROUND:Alcohol use/misuse is a prevalent health issue among youth and may lead to adverse consequences. Religiosity has been identified as a protective factor against alcohol use/misuse among youth. Identifying moderators in the religiosity-alcohol relationship has important implications for intervention developmen...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2018.1555598
更新日期:2019-01-01 00:00:00
abstract::Social distance, or how close or distant individuals consider others, is an important influence on drug injectors' HIV risk behavior. Qualitative in-depth interviews with a vignette were employed with a sample of drug injectors in England to explore the influence of social distance on HIV risk behavior. Analysis of th...
journal_title:Substance use & misuse
pub_type: 杂志文章,评审
doi:10.3109/10826080009147477
更新日期:2000-08-01 00:00:00
abstract::This study examined typologies of alcohol use among 2,948 White and African American adolescent girls using data from the National Longitudinal Study of Adolescent Health. Self-report data were collected on frequency and quantity of alcohol use, negative consequences, and high-risk drinking behaviors, as well as co-oc...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826080802494727
更新日期:2009-01-01 00:00:00
abstract::This study assesses the frequency that users of illicit drugs display unprofessional behaviors in an employment setting. This research was conducted in the therapeutic workplace, a model employment-based treatment program for chronically unemployed adults with long histories of illicit drug use in 2003. Fifty-three un...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826080701410089
更新日期:2007-01-01 00:00:00
abstract::A study was conducted in June 2004 to find out the epidemiology of HIV infection among injecting drug users (IDUs) of Darjeeling District of West Bengal, eastern India. The district headquarter, Darjeeling town, also known as "Queen of Hills," is a beautiful spot situated in Himalayan West Bengal that attracts a large...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826080500410991
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Because substance use disorder (SUD) treatment is expanding, and detoxification (detox) is often the entry point to SUD treatment, it is critical to provide ready access to detox services. OBJECTIVES:The purpose of the current study was to examine patient, program, and system barriers or facilitators to det...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2016.1168446
更新日期:2016-08-23 00:00:00