一种针对创伤后应激障碍与物质使用障碍共病的新型综合认知行为疗法：一项案例研究。
A Novel, Integrated Cognitive-Behavioral Therapy for Co-Occurring Posttraumatic Stress and Substance Use Disorders: A Case Study.
作者信息
Vujanovic Anka A, Smith Lia J, Tipton Kathryn P, Schmitz Joy M
机构信息
University of Houston.
University of Texas Health Science Center at Houston.
出版信息
Cogn Behav Pract. 2019 May;26(2):307-322. doi: 10.1016/j.cbpra.2018.03.003. Epub 2018 Apr 27.
Abstract
Posttraumatic stress disorder (PTSD) and substance use disorders (SUD) are complex psychiatric conditions that commonly co-occur. No preferred, evidence-based treatments for PTSD/SUD comorbidity are presently available. Promising integrated treatments have combined prolonged exposure therapy with cognitive-behavioral relapse prevention therapy for SUD. We describe a case study that showcases a novel, integrated cognitive-behavioral treatment approach for PTSD/SUD, entitled Treatment of Integrated Posttraumatic Stress and Substance Use (TIPSS). The TIPSS program integrates cognitive processing therapy with cognitive-behavioral therapy for SUD for the treatment of co-occurring PTSD/SUD. The present case report, based upon a woman with PTSD comorbid with both cocaine and alcohol dependence, demonstrates that TIPSS has the potential to effectively reduce PTSD symptoms as well as substance use.
摘要
创伤后应激障碍（PTSD）和物质使用障碍（SUD）是常见共病的复杂精神疾病。目前尚无针对PTSD/SUD共病的首选循证治疗方法。有前景的综合治疗方法是将延长暴露疗法与针对SUD的认知行为复发预防疗法相结合。我们描述了一个案例研究，展示了一种针对PTSD/SUD的新型综合认知行为治疗方法，名为创伤后应激与物质使用综合治疗（TIPSS）。TIPSS项目将认知加工疗法与针对SUD的认知行为疗法相结合，用于治疗共病的PTSD/SUD。本病例报告基于一名患有PTSD且同时伴有可卡因和酒精依赖的女性，证明了TIPSS有潜力有效减轻PTSD症状以及物质使用。
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