Vujanovic Anka A, Smith Lia J, Tipton Kathryn P, Schmitz Joy M
University of Houston.
University of Texas Health Science Center at Houston.
Cogn Behav Pract. 2019 May;26(2):307-322. doi: 10.1016/j.cbpra.2018.03.003. Epub 2018 Apr 27.
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.
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。
