Rotunda Robert J, O'Farrell Timothy J, Murphy Marie, Babey Susan H
University of West Florida, Pensacola, Florida 32514, USA.
Addict Behav. 2008 Jan;33(1):180-7. doi: 10.1016/j.addbeh.2007.06.001. Epub 2007 Jun 9.
Outcomes after behavioral couples therapy (BCT) were compared for 19 dually diagnosed veterans with combat-related PTSD and a substance use disorder (SUD, primarily alcohol dependence) and 19 veterans with SUD only. Clients with and without comorbid PTSD had very similar pre-treatment clinical profiles on dimensions of substance misuse, relationship functioning, and psychological symptoms. Further, both PTSD and non-PTSD clients showed good compliance with BCT, attending a high number of BCT sessions, taking Antabuse, and going to AA. Finally, both PTSD and non-PTSD groups improved from before BCT to immediately after and 12 months after BCT. Specific improvements noted were increased relationship satisfaction and reductions in drinking, negative consequences of drinking, male-to-female violence, and psychological distress symptoms. Extent and pattern of improvement over time were similar whether the client had PTSD or not. The present results suggest that BCT may have promise in treating clients with comorbid SUD and combat-related PTSD.
对19名同时患有与战斗相关创伤后应激障碍（PTSD）和物质使用障碍（SUD，主要是酒精依赖）的双重诊断退伍军人以及19名仅患有物质使用障碍的退伍军人的行为夫妻治疗（BCT）结果进行了比较。患有和未患有共病PTSD的患者在物质滥用、关系功能和心理症状方面的治疗前临床特征非常相似。此外，患有PTSD和未患有PTSD的患者对BCT均表现出良好的依从性，参加了大量的BCT疗程，服用了戒酒硫，并参加了戒酒互助会。最后，PTSD组和非PTSD组在BCT前、BCT刚结束后以及BCT后12个月均有改善。具体改善包括关系满意度提高，饮酒量、饮酒负面影响、男性对女性暴力行为以及心理困扰症状减少。无论患者是否患有PTSD，随着时间推移改善的程度和模式相似。目前的结果表明，行为夫妻治疗在治疗患有共病物质使用障碍和与战斗相关创伤后应激障碍的患者方面可能有前景。
