Acceptance and commitment therapy for co-occurring PTSD and substance use: A manual development study

被引：20

作者：

Hermann, Barbara A. ^{[1
,2
]}

Meyer, Eric C. ^{[3
,4
]}

Schnurr, Paula P. ^{[1
,2
]}

Batten, Sonja V. ^{[5
,7
]}

Walser, Robyn D. ^{[6
]}

机构：

[1] VA Med Ctr, Natl Ctr PTSD, Execut Div, 116D,215 North Main St, White River Jct, VT 05009 USA

[2] Geisel Sch Med, Dartmouth, NS, Canada

[3] Waco VA Med Ctr, VA VISN Ctr Excellence Res Returning War Vet 17, 4800 Mem Dr 151C, Waco, TX 76711 USA

[4] Texas A&M Hlth Sci Ctr, Coll Med, Temple, TX USA

[5] Mental Hlth Serv 10P4M, VA Cent Off, 810 Vermont Ave,NW, Washington, DC 20420 USA

[6] Palo Alto Hlth Care Syst NCPTSD 334, Disseminat & Training Div, Natl Ctr PTSD, 795 Willow Rd, Menlo Pk, CA 94025 USA

[7] Booz Allen Hamilton, Washington, DC USA

来源：

JOURNAL OF CONTEXTUAL BEHAVIORAL SCIENCE | 2016年 / 5卷 / 04期

关键词：

PTSD; Substance use; Acceptance and commitment therapy; Veterans; POSTTRAUMATIC-STRESS-DISORDER; ACTION QUESTIONNAIRE-II; PSYCHOMETRIC PROPERTIES; HEALTH; VETERANS;

D O I：

10.1016/j.jcbs.2016.07.001

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

We present the theoretical rationale for addressing comorbid posttraumatic stress disorder (PTSD) and substance use disorder (SUD) with Acceptance and Commitment Therapy (ACT). We then describe the development of a treatment manual of ACT for PTSD/SUD and the subsequent refinement to this manual following a feasibility study with a small sample of veterans. Treatment retention was similar to what has been observed in studies of other integrated treatments for PTSD/SUD. Overall treatment satisfaction was positive. Pilot outcomes are presented for descriptive purposes. We describe changes we made to the initial manual following the trial to bolster retention and improve the intervention. Revisions were based on feedback from therapists, consultants, and participants and examination of pilot outcome data. Additional strategies for adapting ACT to this challenging clinical presentation are offered. Published by Elsevier Inc. on behalf of Association for Contextual Behavioral Science.

引用

页码：225 / 234

页数：10

共 57 条

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