Treatment of substance use disorders: Effects on patients with higher or lower levels of PTSD symptoms

Wieferink, Carol E.M.; Haan, Hein A. de; Dijkstra, B.A.G.; Fledderus, Martine; Kok, Tim

doi:10.1016/j.addbeh.2017.06.005

Cited by 6 publications

(21 citation statements)

References 21 publications

(36 reference statements)

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“…Table 1 summarizes the main characteristics of the 32 unique studies included in the review, with one companion article [16] for a study which was later reported with a more thorough examination of findings [17] totaling 33 articles. More than half (n = 19) of the 32 studies were RCTs [17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] whereas twelve studies were quasi-experimental [36][37][38][39][40][41][42][43][44][45][46][47] and one was retrospective study [48]. Thirteen studies were conducted in the U.S. [17][18][19]22,26,27,29,35,[39][40][41]45,47]; five in the Netherlands …”

Section: Overview Of Studiesmentioning

confidence: 99%

“…Fourteen of the studies only included females in their sample [18,20,21,[23][24][25]27,28,[38][39][40][41]45,48]. The average sample size was 78 participants, with a range from 10 participants [38] to 297 participants [48]. Of the studies included, 67% had a sample size above 50 [18][19][20][21][22]26,[29][30][31][32][33][34]36,37,[39][40][41][42][46][47][48].…”

Section: Overview Of Studiesmentioning

confidence: 99%

“…The studies included in this review recruited their study populations largely based on the type of trauma they were aiming to address, such as individuals that experienced interpersonal traumatic event such as child abuse, sexual assault, or domestic violence [16][17][18][20][21][22][24][25][26]35,[40][41][42][43]45,46], individuals with substance abuse disorders [19,47,48], couples experiencing clinically significant marital issues [23], individuals with limb amputations [38], dental phobia [28], or fire service personnel suffering from post-traumatic stress disorder [44]. Trauma was self-reported in eight articles [16,17,20,22,26,34,35,47].…”

Section: Overview Of Studiesmentioning

confidence: 99%

“…eye movement desensitization and reprocessing [38] and Diagnostic and Statistical Manual of Mental Disorders, 4 th edition [41] to identify or diagnose trauma. Fifteen studies did not include direct measurements for trauma [21,24,[28][29][30][31][32][33]36,37,40,[42][43][44]48]. shows final scores of quality assessment.…”

Section: Overview Of Studiesmentioning

confidence: 99%

“…Setting, scope, and delivery of intervention. Twenty of the interventions were identified to occur in an outpatient clinic/setting [19][20][21]24,25,[27][28][29][31][32][33][34]36,39,40,42,43,[46][47][48]. Four of the studies took place in a research lab or office [23,26,41,45], one study occurred in the community [17], and one study implemented therapy in three locations, two of which were outpatient and one of which was a residential treatment center [47].…”

Section: Characteristics Of Trauma-informed Interventionsmentioning

confidence: 99%

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Trauma informed interventions: A systematic review

et al. 2021

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Background Health inequities remain a public health concern. Chronic adversity such as discrimination or racism as trauma may perpetuate health inequities in marginalized populations. There is a growing body of the literature on trauma informed and culturally competent care as essential elements of promoting health equity, yet no prior review has systematically addressed trauma informed interventions. The purpose of this study was to appraise the types, setting, scope, and delivery of trauma informed interventions and associated outcomes. Methods We performed database searches— PubMed, Embase, CINAHL, SCOPUS and PsycINFO—to identify quantitative studies published in English before June 2019. Thirty-two unique studies with one companion article met the eligibility criteria. Results More than half of the 32 studies were randomized controlled trials (n = 19). Thirteen studies were conducted in the United States. Child abuse, domestic violence, or sexual assault were the most common types of trauma addressed (n = 16). While the interventions were largely focused on reducing symptoms of post-traumatic stress disorder (PTSD) (n = 23), depression (n = 16), or anxiety (n = 10), trauma informed interventions were mostly delivered in an outpatient setting (n = 20) by medical professionals (n = 21). Two most frequently used interventions were eye movement desensitization and reprocessing (n = 6) and cognitive behavioral therapy (n = 5). Intervention fidelity was addressed in 16 studies. Trauma informed interventions significantly reduced PTSD symptoms in 11 of 23 studies. Fifteen studies found improvements in three main psychological outcomes including PTSD symptoms (11 of 23), depression (9 of 16), and anxiety (5 of 10). Cognitive behavioral therapy consistently improved a wide range of outcomes including depression, anxiety, emotional dysregulation, interpersonal problems, and risky behaviors (n = 5). Conclusions There is inconsistent evidence to support trauma informed interventions as an effective approach for psychological outcomes. Future trauma informed intervention should be expanded in scope to address a wide range of trauma types such as racism and discrimination. Additionally, a wider range of trauma outcomes should be studied.

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