Erschienen in:
01.10.2012 | Substance Use and Related Disorders (JR McKay, Section Editor)
Treatment of Co-occurring Posttraumatic Stress Disorder and Substance Use Disorders
verfasst von:
Erin C. Berenz, Scott F. Coffey
Erschienen in:
Current Psychiatry Reports
|
Ausgabe 5/2012
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Abstract
There is a significant need for advanced understanding of treatment of co-occurring posttraumatic stress disorder (PTSD) and substance use disorders (SUD). Approximately half of individuals seeking SUD treatment meet criteria for current PTSD, and individuals with co-occurring PTSD-SUD tend to have poorer treatment outcomes compared with those without such comorbidity. However, there is not sufficient empirical evidence to determine a best course of treatment for these individuals. This paper provides a review of the literature relevant to the treatment of co-occurring PTSD-SUD. To date, treatment studies have focused primarily on non-exposure-based psychosocial treatments, exposure-based psychosocial treatments, and medication trials. The most promising outcome data thus far are for psychosocial treatments that incorporate an exposure therapy component; however, further research is needed, particularly as related to how best to implement these approaches in real-world treatment settings.