VA San Diego Healthcare System (VASDHS), San Diego, CA 92108, USA.
J Psychoactive Drugs. 2010 Mar;42(1):83-7. doi: 10.1080/02791072.2010.10399788.
PTSD and substance use disorder (SUD) are highly prevalent among veterans returning from Iraq and Afghanistan (Operation Enduring Freedom/Operation Iraqi Freedom; OEF/OIF). Seeking Safety (SS) is a cognitive-behavioral psychotherapy for co-occurring PTSD/SUD. This pilot study with fourteen male OEF/OIF veterans suggests that SS may help to reduce alcohol use, PTSD, and depression in some participants at clinically significant levels, even when providing less than half of the full model. We emphasize several SS features as especially helpful: the case management component to help engage clients in further mental health and SUD care, offering PTSD as an entry point, and emphasis on community resources. Issues particular to veterans include reintegration to civilian life and supporting their connection with other veterans.
创伤后应激障碍（PTSD）和物质使用障碍（SUD）在从伊拉克和阿富汗（持久自由行动/伊拉克自由行动；OEF/OIF）返回的退伍军人中非常普遍。寻求安全（SS）是一种针对并发 PTSD/SUD 的认知行为心理治疗。这项针对 14 名男性 OEF/OIF 退伍军人的试点研究表明，SS 可能有助于在临床上显著水平上帮助一些参与者减少饮酒、PTSD 和抑郁，即使只提供了完整模型的不到一半。我们强调了 SS 的几个特别有帮助的特点：案例管理部分，以帮助客户进一步参与心理健康和 SUD 护理，将 PTSD 作为切入点，并强调社区资源。退伍军人面临的特殊问题包括重新融入平民生活和支持他们与其他退伍军人的联系。
