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Integrated trauma-focused psychotherapy for traumatic stress and substance use: Two adolescent case studies

Schollar-Root, Olivia ; Cassar, Joanne ; Peach, Natalie ; Cobham, Vanessa ; Milne, Bronwyn ; Barrett, Emma ; Back, Sudie ; Bendall, Sarah ; Perrin, Sean LU orcid and Brady, Kathleen , et al. (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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organization
publishing date
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}},
}