Document Detail


Randomized controlled pilot study of cognitive-behavioral therapy in a sample of incarcerated women with substance use disorder and PTSD.
MedLine Citation:
PMID:  19892078     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This randomized controlled pilot study compared a cognitive-behavioral therapy (Seeking Safety; SS) plus treatment-as-usual (TAU) to TAU-alone in 49 incarcerated women with substance use disorder (SUD) and posttraumatic stress disorder (PTSD; full or subthreshold). Seeking Safety consisted of a voluntary group treatment during incarceration and individual treatment after prison release. TAU was required in the prison and comprised 180 to 240 hours of individual and group treatment over 6 to 8 weeks. Assessments occurred at intake, 12 weeks after intake, and 3 and 6 months after release from prison. There were no significant differences between conditions on all key domains (PTSD, SUD, psychopathology, and legal problems); but both conditions showed significant improvements from intake to later time points on all of these outcomes across time. Secondary analyses at follow-up found trends for SS participants improving on clinician-rated PTSD symptoms and TAU participants worsening on self-reported PTSD symptoms. Also, SS demonstrated continued improvement on psychopathology at 3 and 6 months, whereas TAU did not. However, alcohol use improved more for TAU during follow-up. Satisfaction with SS was high, and a greater number of SS sessions was associated with greater improvement on PTSD and drug use. Six months after release from prison, 53% of the women in both conditions reported a remission in PTSD. Study limitations include lack of assessment of SS outcomes at end of group treatment; lack of blind assessment; omission of the SS case management component; and possible contamination between the two conditions. The complex needs of this population are discussed.
Authors:
Caron Zlotnick; Jennifer Johnson; Lisa M Najavits
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural     Date:  2008-10-31
Journal Detail:
Title:  Behavior therapy     Volume:  40     ISSN:  1878-1888     ISO Abbreviation:  Behav Ther     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-06     Completed Date:  2009-12-09     Revised Date:  2014-09-13    
Medline Journal Info:
Nlm Unique ID:  1251640     Medline TA:  Behav Ther     Country:  England    
Other Details:
Languages:  eng     Pagination:  325-36     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Analysis of Variance
Cognitive Therapy / methods*
Female
Humans
Pilot Projects
Prisoners / psychology*
Psychiatric Status Rating Scales
Questionnaires
Stress Disorders, Post-Traumatic / therapy*
Substance-Related Disorders / therapy*
Time Factors
Treatment Outcome
Grant Support
ID/Acronym/Agency:
DA013935-03/DA/NIDA NIH HHS; R01 DA013935/DA/NIDA NIH HHS; R01 DA013935-02/DA/NIDA NIH HHS
Comments/Corrections

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