Integrated vs Sequential Treatment for PTSD and Addiction Among OEF/OIF Veterans
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- PTSD
- Sponsor
- VA Office of Research and Development
- Enrollment
- 183
- Locations
- 2
- Primary Endpoint
- PTSD Symptoms
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
The investigators are examining different treatment strategies of helping patients with PTSD and addiction.
Detailed Description
The investigators hypothesize that Veterans in the integrated conditions will show greater reductions in substance abuse and PTSD symptom severity at the end of treatment and at 6 and 9 month follow-ups. The investigators further hypothesize that offering Veterans Prolonged Exposure (PE) at the onset of treatment in the integrated condition will leader to greater retention and satisfaction than in the sequential treatment design.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Male or female Persian Gulf Era veterans between 18-65 years old. Older individuals are unlikely to have served in Iraq or Afghanistan.
- •Current diagnosis of PTSD (symptom duration \> 3 months) with clinically significant trauma-related symptoms, as indicated by a score of at least 50 on the PCL
- •Current abuse or dependence on alcohol, stimulants such as cocaine, opioids, including prescription opioids or benzodiazepines. Subjects must report using on average at least 10 out of 30 days prior to signing consent. Of note: subjects can be abusing or dependent upon nicotine or marijuana but these will not be considered sufficient for inclusion
- •Provides informed consent
- •Speaks and reads English
Exclusion Criteria
- •Current suicidal or homicidal ideation with intent and/or plan that, in the judgment of the investigator, should be the focus of treatment
- •Meets current DSM-IV criteria for bipolar affective disorder, schizophrenia or any psychotic disorder
- •Has unstable or serious medical illness, including history of stroke, seizure disorder, or unstable cardiac disease
- •History of moderate or severe traumatic brain injury (TBI)
- •Participation in Prolonged Exposure Therapy in the last 6 months.
- •Initiation of a new psychotherapy program in the last 2 months.
- •Active participation in a formal addiction treatment program. Actively engaged is defined as any visit in the program in the prior month and pending future appointments for the treatment of addictions
- •Change in psychotropic medication in the 1 month prior to treatment except for the use of oxazepam for alcohol detoxification or a taper of a previously used benzodiazepine.
- •Therapeutic use of a benzodiazepine greater than the equivalent of more than 40 mg of diazepam (see chart) at the time of randomization.
Outcomes
Primary Outcomes
PTSD Symptoms
Time Frame: 16 weeks
PTSD checklist (PCL), the PCL version used with the civilian PCL. The PCL is a standardized self-report rating scale for PTSD comprising 17 items that correspond to the key symptoms of PTSD. Respondents indicate how much they have been bothered by a symptom over the past month using a 5-point (1-5) scale, circling their responses. Responses range from 1 Not at All - 5 Extremely thus the total score ranges from 17 - 85. Lower scores are associated with less severity/symptoms.
Drinking Outcome
Time Frame: 16 weeks
Percent days of heavy drinking during the sixteen weeks. The percentage of days in which heavy drinking occurred ranges from 0 - 100% with lower days associated with better outcomes.