Article ; Online: Does Effectiveness of a Brief Substance Use Treatment Depend on PTSD? An Evaluation of Motivational Enhancement Therapy for Active-Duty Army Personnel.
Journal of studies on alcohol and drugs
2022 Volume 83, Issue 6, Page(s) 924–933
Abstract: Objective: Posttraumatic stress disorder (PTSD) with comorbid substance use disorders (SUDs) has been associated with poorer treatment outcomes. The present study examined associations between provisional PTSD at baseline and 3 months with 6-month ... ...
Abstract | Objective: Posttraumatic stress disorder (PTSD) with comorbid substance use disorders (SUDs) has been associated with poorer treatment outcomes. The present study examined associations between provisional PTSD at baseline and 3 months with 6-month treatment outcomes from either a one-session motivational enhancement therapy (MET) or education intervention addressing substance use. Method: Secondary analyses were conducted on a randomized clinical trial comparing a novel MET intervention to an educational intervention for Army personnel with SUD who were not engaged in SUD treatment ( Results: Individuals with unremitted provisional PTSD were at increased risk for moderate/severe alcohol use disorder at 6 months relative to those without baseline provisional PTSD (odds ratio = 4.53, Conclusions: Both interventions were effective in reducing drinking even for those with provisional PTSD, although, compared with education, MET had slightly better effects on reducing drinking quantity for those with remitted PTSD. Findings suggest that PTSD remission may serve as an early prognostic indicator of long-term alcohol use changes, or alternatively, delivery of MET during heightened transitory distress may be most effective for reducing alcohol use. |
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MeSH term(s) | Male ; Humans ; Female ; Stress Disorders, Post-Traumatic/therapy ; Military Personnel ; Substance-Related Disorders/epidemiology ; Substance-Related Disorders/therapy ; Motivational Interviewing ; Treatment Outcome | |||||
Language | English | |||||
Publishing date | 2022-12-08 | |||||
Publishing country | United States | |||||
Document type | Randomized Controlled Trial ; Journal Article | |||||
ZDB-ID | 2266450-6 | |||||
ISSN | 1938-4114 ; 1934-2683 ; 1937-1888 ; 0096-882X | |||||
ISSN (online) | 1938-4114 ; 1934-2683 | |||||
ISSN | 1937-1888 ; 0096-882X | |||||
DOI | 10.15288/jsad.22-00011 | |||||
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Database | MEDical Literature Analysis and Retrieval System OnLINE |
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