“…A deeper understanding of the nature, extent, and role of psychological factors in this population, as well as their impact on the course and effectiveness of SUD treatment, will facilitate improved assessment practices and the refinement of empirically-supported interventions. Consistent with the recent emergence of treatments that explicitly target experiential avoidance (e.g., Hayes et al 1999), there may ultimately be utility in continuing to develop targeted interventions for SUD-PTSD that are aimed at promoting emotional acceptance, willingness, and mindfulness (e.g., Batten et al 2009). …”
High rates of co-occurring posttraumatic stress disorder (PTSD) have been found among patients receiving treatment for substance use disorders (SUD), and there is evidence that this particular co-occurrence is associated with negative SUD treatment outcomes. Thus, there is utility in establishing the role of psychological vulnerabilities related to PTSD within SUD populations, with the goal of ultimately informing targeted interventions and improving clinical outcomes. Anxiety sensitivity (AS) and emotional avoidance (EA) may be two important factors in this regard, as both have been found to demonstrate associations with posttraumatic stress in other clinical and nonclinical populations. To expand upon this literature, the current study examined the associations between AS and EA and PTSD symptom severity in a sample of traumatic event-exposed crack/cocaine dependent patients in residential SUD treatment (n = 62), as well as the extent to which EA mediated the relation between AS and PTSD symptom severity. As hypothesized, AS and EA were associated with PTSD symptom severity above and beyond the effects of gender and non-specific anxiety symptoms. However, the hypothesis that EA would mediate the relation between AS and PTSD symptom severity was only partially supported. Implications of these findings for understanding and treating co-occurring SUD-PTSD are discussed.
“…A deeper understanding of the nature, extent, and role of psychological factors in this population, as well as their impact on the course and effectiveness of SUD treatment, will facilitate improved assessment practices and the refinement of empirically-supported interventions. Consistent with the recent emergence of treatments that explicitly target experiential avoidance (e.g., Hayes et al 1999), there may ultimately be utility in continuing to develop targeted interventions for SUD-PTSD that are aimed at promoting emotional acceptance, willingness, and mindfulness (e.g., Batten et al 2009). …”
High rates of co-occurring posttraumatic stress disorder (PTSD) have been found among patients receiving treatment for substance use disorders (SUD), and there is evidence that this particular co-occurrence is associated with negative SUD treatment outcomes. Thus, there is utility in establishing the role of psychological vulnerabilities related to PTSD within SUD populations, with the goal of ultimately informing targeted interventions and improving clinical outcomes. Anxiety sensitivity (AS) and emotional avoidance (EA) may be two important factors in this regard, as both have been found to demonstrate associations with posttraumatic stress in other clinical and nonclinical populations. To expand upon this literature, the current study examined the associations between AS and EA and PTSD symptom severity in a sample of traumatic event-exposed crack/cocaine dependent patients in residential SUD treatment (n = 62), as well as the extent to which EA mediated the relation between AS and PTSD symptom severity. As hypothesized, AS and EA were associated with PTSD symptom severity above and beyond the effects of gender and non-specific anxiety symptoms. However, the hypothesis that EA would mediate the relation between AS and PTSD symptom severity was only partially supported. Implications of these findings for understanding and treating co-occurring SUD-PTSD are discussed.
“…Estudios previos en pacientes con síntomas de estrés postraumático (TEPT) y víctimas de abuso sexual (Batten & Hayes, 2005;Burrows, 2013) indican reducción de los síntomas y aceptación de los eventos privados asociados con su trauma. Así mismo, los resultados en veteranos de guerra revelan la mejoría de los indicadores de TEPT (Batten et al, 2009;Blevins et al, 2011;Orsillo & Batten, 2005). En depresión también se ha observado el efecto de intervenciones con ACT y los cambios a largo plazo permanecen estables (Bohlmeijer et al, 2011;Fledderus et al, 2013;Ruiz, 2012;Zettle, 2015).…”
Section: Discussionunclassified
“…En diferentes investigaciones, la ACT ha mostrado su efectividad en problemas emocionales y afectivos, como la depresión (Bohlmeijer et al, 2011), la ansiedad LOGOS V E S T I G I U M (Eifert et al, 2009), la ansiedad generalizada (Wetherell et al, 2011), la comorbilidad entre ansiedad y depresión (Fledderus et al, 2013) y el estrés postraumático (Batten et al, 2009;Batten & Hayes, 2005;Blevins et al, 2011;Burrows, 2013;Orsillo & Batten, 2005).…”
El objetivo de la investigación fue determinar el efecto de la guía de intervención
clínica de Walser y Westrup (2007), basada en la terapia de aceptación y compromiso
para la reducción de las conductas asociadas con trauma emocional y afectivo en
tres participantes víctimas del conflicto armado colombiano. El diseño fue experimental,
de caso único de línea de base múltiple no concurrente entre participantes.
Se emplearon mediciones repetidas, mediante registros de frecuencia e intensidad de
las conductas, así como escalas psicológicas en el pretratamiento, postratamiento y
seguimiento al mes de finalizar la intervención. Los resultados reflejaron que el tratamiento
fue efectivo según el porcentaje de datos no solapados. De acuerdo con el
índice de no solapamiento de todos los pares, el tratamiento tuvo efecto en todas las
variables, excepto en la reexperimentación. También, en las medidas pretest-postest,
se observó un cambio clínico fiable que se mantuvo en el seguimiento. Se concluyó
que el incremento en la aceptación psicológica de los eventos privados en todos los
participantes, junto con la reducción de la frecuencia e intensidad de las conductas
asociadas con trauma emocional y afectivo, evidencia que esta psicoterapia mejora la
salud mental de las víctimas.
“…However, this may be a promising treatment for those who refuse or drop out of exposure therapy. Preliminary observational studies suggest that ACT may be an effective alternative for the treatment of Contents lists available at ScienceDirect journal homepage: www.elsevier.com/locate/jad PTSD (Batten and Hayes, 2005;Batten et al, 2009;Varra et al, Unpublished results;Vujanovic et al, 2009;Walser et al, 2013;Williams, 2006). ACT focuses on the contextual factors that influence behavior and the functional effects of the behavior itself.…”
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.