Seeking safety therapy for adolescent girls with PTSD and substance use disorder:: A randomized controlled trial

被引:150
作者
Najavits, Lisa M.
Gallop, Robert J.
Weiss, Roger D.
机构
[1] Harvard Univ, Sch Med, Brookline, MA 02445 USA
[2] Treatment Innovat, Brookline, MA 02445 USA
[3] W Chester Univ, Appl Sci Program, W Chester, PA 19383 USA
[4] Harvard Univ, Sch Med, McLean Hosp, Belmont, MA 02478 USA
关键词
D O I
10.1007/s11414-006-9034-2
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This randomized, controlled trial evaluated a manualized psychotherapy, Seeking Safety (SS), for posttraumatic stress disorder (PTSD) and substance use disorder (SUD) in adolescent females. To our knowledge, no prior study has evaluated any psychotherapy designed for this population. SS was compared to treatment as usual (TAU) for 33 outpatients, at intake, end-of-treatment, and 3 months follow-up. SS evidenced significantly better outcomes than TAU in a variety of domains at posttreatment, including substance use and associated problems, some trauma-related symptoms, cognitions related to SUD and PTSD, and several areas of pathology not targeted in the treatment (e.g., anorexia, somatization). Effect sizes were generally in the moderate to high range. Some gains were sustained at follow-up. SS appears a promising treatment for this population, but needs further study and perhaps additional clinical modification.
引用
收藏
页码:453 / 463
页数:11
相关论文
共 39 条
[1]  
Allen JP, 1997, J STUD ALCOHOL, V58, P7
[2]  
[Anonymous], 2005, FED PRACT
[3]  
[Anonymous], 1989, PERSONAL EXPERIENCE
[4]  
[Anonymous], CLIN ADM PTSD SCALE
[5]  
[Anonymous], 1993, Adolescent Diagnostic Interview (ADI) Manual
[6]  
Attkisson C C, 1982, Eval Program Plann, V5, P233, DOI 10.1016/0149-7189(82)90074-X
[7]   Exposure therapy in the treatment of PTSD among cocaine-dependent individuals: preliminary findings [J].
Brady, KT ;
Dansky, BS ;
Back, SE ;
Foa, EB ;
Carroll, KM .
JOURNAL OF SUBSTANCE ABUSE TREATMENT, 2001, 21 (01) :47-54
[8]  
Briere J., 1996, TRAUMA SYMPTOM CHECK
[9]  
BULMAN RJ, 1989, UNPUB WORLD ASSUMPTI
[10]  
BURCHFIELD B, 2002, ANXIETY SYMPTOMATOLO