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Article ; Online: Does Effectiveness of a Brief Substance Use Treatment Depend on PTSD? An Evaluation of Motivational Enhancement Therapy for Active-Duty Army Personnel.

Kaysen, Debra / Jaffe, Anna E / Shoenberger, Bailey / Walton, Thomas O / Pierce, Adam R / Walker, Denise D

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.
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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