| Integrated treatment programs for individuals with concurrent substance use disorders and trauma experiences: a systematic review and meta-analysis. | |
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MedLine Citation:
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PMID: 22035700 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The purpose of this study was to examine the evidence of psychotherapeutic integrated treatment (IT) programs for individuals with concurrent substance use disorders and trauma histories. Electronic searches of Cochrane Central Register of Controlled Trials, MEDLINE, Web of knowledge, PubMed, PsycINFO, CINAHL, PILOTS, and EMBASE identified 17 IT trials (9 controlled trials). Both narrative review and meta-analysis indicate that IT effectively reduces trauma symptoms and substance abuse from pretreatment to longest follow-up. However, IT and nonintegrated programs appear to produce similar declines in symptoms. Methodological issues limiting the current body of work and recommendations for future research are discussed. Well-designed randomized controlled trials are clearly needed, particularly large sample studies evaluating understudied IT programs and exposure-based approaches. |
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Authors:
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Iris Torchalla; Liz Nosen; Hajera Rostam; Patrice Allen |
Publication Detail:
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Type: Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't; Review Date: 2011-10-27 |
Journal Detail:
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Title: Journal of substance abuse treatment Volume: 42 ISSN: 1873-6483 ISO Abbreviation: J Subst Abuse Treat Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2011-11-28 Completed Date: 2012-03-28 Revised Date: 2012-04-17 |
Medline Journal Info:
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Nlm Unique ID: 8500909 Medline TA: J Subst Abuse Treat Country: United States |
Other Details:
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Languages: eng Pagination: 65-77 Citation Subset: IM |
Copyright Information:
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Copyright © 2012 Elsevier Inc. All rights reserved. |
Affiliation:
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British Columbia Centre of Excellence for Women's Health, 311-4500 Oak Street, Vancouver, BC, Canada. itorchalla@cheos.ubc.ca |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Delivery of Health Care, Integrated
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methods* Diagnosis, Dual (Psychiatry) Humans Psychotherapy / methods Stress Disorders, Post-Traumatic / complications, therapy* Substance-Related Disorders / complications, rehabilitation* Time Factors Treatment Outcome |
| Grant Support | |
ID/Acronym/Agency:
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//Canadian Institutes of Health Research |
| Comments/Corrections | |
Erratum In:
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J Subst Abuse Treat. 2012 Apr;42(3):337 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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