Integrated trauma-focused psychotherapy for traumatic stress and substance use: Two adolescent case studies
(2022) In Clinical Case Studies 21(3). p.192-208- Abstract
- Post-traumatic stress disorder (PTSD) and substance use disorder (SUD) occur frequently as comorbid diagnoses among adolescents. Historically, these conditions have been treated using a sequential model; however, emerging evidence suggests that an integrated treatment model may be most effective. This article presents two de-identified clinical case studies from an ongoing randomised controlled trial examining the efficacy of an integrated, exposure-based, cognitive-behavioral psychotherapy (CBT) for PTSD and SUD among adolescents (COPE-A), relative to a supportive counselling control condition (person-centred therapy). In both case studies, participants were randomised to receive the COPE-A integrated treatment, which incorporates... (More)
- Post-traumatic stress disorder (PTSD) and substance use disorder (SUD) occur frequently as comorbid diagnoses among adolescents. Historically, these conditions have been treated using a sequential model; however, emerging evidence suggests that an integrated treatment model may be most effective. This article presents two de-identified clinical case studies from an ongoing randomised controlled trial examining the efficacy of an integrated, exposure-based, cognitive-behavioral psychotherapy (CBT) for PTSD and SUD among adolescents (COPE-A), relative to a supportive counselling control condition (person-centred therapy). In both case studies, participants were randomised to receive the COPE-A integrated treatment, which incorporates prolonged exposure (PE) including imaginal and in vivo exposure as a core treatment component alongside CBT for PTSD and SUD. The clinical profile and treatment response of each participant is discussed. Promising results were found in both cases, with substantially reduced traumatic stress symptoms and decreased or stable levels of substance use by the end of treatment. Clinical implications of these early findings are discussed. (Less)
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https://lup.lub.lu.se/record/be8a3e1d-a9b7-4a42-adb3-012b1f5b8903
- author
- organization
- publishing date
- 2022
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- traumatic stress, PTSD, substance use, adolescence, case studies, prolonged exposure, CBT
- in
- Clinical Case Studies
- volume
- 21
- issue
- 3
- pages
- 192 - 208
- publisher
- SAGE Publications
- external identifiers
-
- scopus:85117436876
- ISSN
- 1534-6501
- DOI
- 10.1177/15346501211046054
- project
- Randomised controlled trial of an integrated cognitive-behavioural therapy for the treatment of co-occurring post traumatic stress disorder and substance use disorder in adolescents
- language
- English
- LU publication?
- yes
- id
- be8a3e1d-a9b7-4a42-adb3-012b1f5b8903
- date added to LUP
- 2021-08-26 09:07:54
- date last changed
- 2022-06-29 19:24:36
@article{be8a3e1d-a9b7-4a42-adb3-012b1f5b8903, abstract = {{Post-traumatic stress disorder (PTSD) and substance use disorder (SUD) occur frequently as comorbid diagnoses among adolescents. Historically, these conditions have been treated using a sequential model; however, emerging evidence suggests that an integrated treatment model may be most effective. This article presents two de-identified clinical case studies from an ongoing randomised controlled trial examining the efficacy of an integrated, exposure-based, cognitive-behavioral psychotherapy (CBT) for PTSD and SUD among adolescents (COPE-A), relative to a supportive counselling control condition (person-centred therapy). In both case studies, participants were randomised to receive the COPE-A integrated treatment, which incorporates prolonged exposure (PE) including imaginal and in vivo exposure as a core treatment component alongside CBT for PTSD and SUD. The clinical profile and treatment response of each participant is discussed. Promising results were found in both cases, with substantially reduced traumatic stress symptoms and decreased or stable levels of substance use by the end of treatment. Clinical implications of these early findings are discussed.}}, author = {{Schollar-Root, Olivia and Cassar, Joanne and Peach, Natalie and Cobham, Vanessa and Milne, Bronwyn and Barrett, Emma and Back, Sudie and Bendall, Sarah and Perrin, Sean and Brady, Kathleen and Ross, Joanne and Teeson, Maree and Kihas, Ivana and Dobinson, Katherine and Mills, Katherine}}, issn = {{1534-6501}}, keywords = {{traumatic stress; PTSD; substance use; adolescence; case studies; prolonged exposure; CBT}}, language = {{eng}}, number = {{3}}, pages = {{192--208}}, publisher = {{SAGE Publications}}, series = {{Clinical Case Studies}}, title = {{Integrated trauma-focused psychotherapy for traumatic stress and substance use: Two adolescent case studies}}, url = {{http://dx.doi.org/10.1177/15346501211046054}}, doi = {{10.1177/15346501211046054}}, volume = {{21}}, year = {{2022}}, }