Primary Care Treatment Integrating Motivation and Exposure for PTSD Symptoms and Hazardous Alcohol Use: A Case Series

IF 2.9 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Cognitive and Behavioral Practice Pub Date : 2023-08-01 DOI:10.1016/j.cbpra.2022.02.020
Katherine A. Buckheit, Eileen Barden, Rachael Shaw, Kyle Possemato, Nadine R. Mastroleo, Sheila A.M. Rauch
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引用次数: 1

Abstract

Symptoms of posttraumatic stress disorder (PTSD) and hazardous alcohol use are highly comorbid. Research on integrated interventions to address PTSD symptoms and hazardous alcohol use concurrently has demonstrated efficacy, yet integrated treatments are underutilized. Both patient (e.g., stigma, scheduling/logistics) and clinician (e.g., concern about symptom exacerbation and/or treatment dropout) barriers may impede utilization of integrated interventions among those with comorbid PTSD symptoms and hazardous alcohol use. Primary care behavioral health models (PCBH), in which embedded behavioral health providers deliver treatment to individuals with mild or moderate behavioral health symptoms in primary care, may help address treatment barriers by offering accessible behavioral health interventions in a destigmatizing setting. This paper presents two case examples from a randomized controlled trial testing the efficacy of an integrated intervention for PTSD symptoms and hazardous alcohol use developed for and delivered in primary care. Outcome data and session-by-session content for two participants are included, along with discussion of barriers encountered during the course of treatment. Clinician-suggested strategies for navigating barriers to facilitate utilization of integrated interventions for PTSD symptoms and hazardous alcohol use are also discussed.

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创伤后应激障碍症状和危险饮酒的动机和暴露相结合的初级保健治疗:一个案例系列。
创伤后应激障碍(PTSD)和危险饮酒的症状是高度共病的。对同时解决创伤后应激障碍症状和危险饮酒的综合干预措施的研究已经证明了疗效,但综合治疗没有得到充分利用。患者(例如,污名、日程安排/后勤安排)和临床医生(例如,对症状恶化和/或治疗中断的担忧)的障碍都可能阻碍患有创伤后应激障碍症状和危险饮酒的患者使用综合干预措施。初级保健行为健康模型(PCBH)中,嵌入式行为健康提供者为初级保健中有轻度或中度行为健康症状的个人提供治疗,通过在消除污名化的环境中提供可获得的行为健康干预措施,可能有助于解决治疗障碍。本文介绍了一项随机对照试验的两个案例,该试验测试了为初级保健开发并提供的综合干预措施对创伤后应激障碍症状和危险饮酒的疗效。包括两名参与者的结果数据和逐节课内容,以及对治疗过程中遇到的障碍的讨论。还讨论了临床医生提出的克服障碍的策略,以促进对创伤后应激障碍症状和危险饮酒的综合干预。
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来源期刊
Cognitive and Behavioral Practice
Cognitive and Behavioral Practice PSYCHOLOGY, CLINICAL-
CiteScore
4.80
自引率
3.40%
发文量
118
审稿时长
84 days
期刊介绍: Cognitive and Behavioral Practice is a quarterly international journal that serves an enduring resource for empirically informed methods of clinical practice. Its mission is to bridge the gap between published research and the actual clinical practice of cognitive behavior therapy. Cognitive and Behavioral Practice publishes clinically rich accounts of innovative assessment and diagnostic and therapeutic procedures that are clearly grounded in empirical research. A focus on application and implementation of procedures is maintained.
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