A cognitive processing therapy-based treatment program for veterans diagnosed with co-occurring posttraumatic stress disorder and substance use disorder: The relationship between trauma-related cognitions and outcomes of a 6-week treatment program
•Prior to treatment, dysfunctional trauma-related cognitions were associated with PTSD and depressive symptoms, and trauma-cued craving.•Following treatment dysfunctional trauma-related cognitions, PTSD and depressive symptoms, and trauma-cued craving decreased.•Decreases in dysfunctional trauma-rel...
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| Published in | Journal of anxiety disorders Vol. 59; pp. 34 - 41 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Netherlands
Elsevier Ltd
01.10.2018
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0887-6185 1873-7897 1873-7897 |
| DOI | 10.1016/j.janxdis.2018.09.001 |
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| Abstract | •Prior to treatment, dysfunctional trauma-related cognitions were associated with PTSD and depressive symptoms, and trauma-cued craving.•Following treatment dysfunctional trauma-related cognitions, PTSD and depressive symptoms, and trauma-cued craving decreased.•Decreases in dysfunctional trauma-related cognitions mediated the corresponding improvement in treatment outcomes upon program completion.•Reductions in maladaptive trauma-related cognitions appear to play an important role in recovery from PTSD.•CPT-based interventions that modify trauma-related cognitions can lead to desirable outcomes among veterans with co-occurring PTSD and SUD.
Dysfunctional trauma-related cognitions are important in the emergence and maintenance of posttraumatic stress disorder (PTSD) and the modification of such cognitions is a proposed mechanism of trauma treatment. However, the authors are not aware of any research examining trauma-related cognitions as a treatment mechanism in a sample of individuals with comorbid PTSD and substance use disorder (SUD). Accordingly, the present study sought to address this gap in the literature and examined the relationship between trauma-related cognitions and treatment outcomes within a sample of seventy-two veterans diagnosed with PTSD and SUD. Veterans completed a 6-week day CPT-based treatment program that included cognitive processing therapy as a central component. Measures of trauma-related cognitions, PTSD symptoms, depressive symptoms, and trauma-cued substance craving were completed at pre- and post-treatment. As expected, trauma-related cognitions were associated with several PTSD-related variables prior to treatment. Furthermore, results of a within-subjects mediational analysis indicated that maladaptive trauma-related cognitions decreased during the treatment program and accounted for a significant portion of the variance in the reduction of PTSD and depressive symptoms at post-treatment. This study provides support for the position that attempts to modify dysfunctional trauma-related cognitions among veterans with co-occurring PTSD and SUD can lead to desirable treatment outcomes. |
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| AbstractList | •Prior to treatment, dysfunctional trauma-related cognitions were associated with PTSD and depressive symptoms, and trauma-cued craving.•Following treatment dysfunctional trauma-related cognitions, PTSD and depressive symptoms, and trauma-cued craving decreased.•Decreases in dysfunctional trauma-related cognitions mediated the corresponding improvement in treatment outcomes upon program completion.•Reductions in maladaptive trauma-related cognitions appear to play an important role in recovery from PTSD.•CPT-based interventions that modify trauma-related cognitions can lead to desirable outcomes among veterans with co-occurring PTSD and SUD.
Dysfunctional trauma-related cognitions are important in the emergence and maintenance of posttraumatic stress disorder (PTSD) and the modification of such cognitions is a proposed mechanism of trauma treatment. However, the authors are not aware of any research examining trauma-related cognitions as a treatment mechanism in a sample of individuals with comorbid PTSD and substance use disorder (SUD). Accordingly, the present study sought to address this gap in the literature and examined the relationship between trauma-related cognitions and treatment outcomes within a sample of seventy-two veterans diagnosed with PTSD and SUD. Veterans completed a 6-week day CPT-based treatment program that included cognitive processing therapy as a central component. Measures of trauma-related cognitions, PTSD symptoms, depressive symptoms, and trauma-cued substance craving were completed at pre- and post-treatment. As expected, trauma-related cognitions were associated with several PTSD-related variables prior to treatment. Furthermore, results of a within-subjects mediational analysis indicated that maladaptive trauma-related cognitions decreased during the treatment program and accounted for a significant portion of the variance in the reduction of PTSD and depressive symptoms at post-treatment. This study provides support for the position that attempts to modify dysfunctional trauma-related cognitions among veterans with co-occurring PTSD and SUD can lead to desirable treatment outcomes. Dysfunctional trauma-related cognitions are important in the emergence and maintenance of posttraumatic stress disorder (PTSD) and the modification of such cognitions is a proposed mechanism of trauma treatment. However, the authors are not aware of any research examining trauma-related cognitions as a treatment mechanism in a sample of individuals with comorbid PTSD and substance use disorder (SUD). Accordingly, the present study sought to address this gap in the literature and examined the relationship between trauma-related cognitions and treatment outcomes within a sample of seventy-two veterans diagnosed with PTSD and SUD. Veterans completed a 6-week day CPT-based treatment program that included cognitive processing therapy as a central component. Measures of trauma-related cognitions, PTSD symptoms, depressive symptoms, and trauma-cued substance craving were completed at pre- and post-treatment. As expected, trauma-related cognitions were associated with several PTSD-related variables prior to treatment. Furthermore, results of a within-subjects mediational analysis indicated that maladaptive trauma-related cognitions decreased during the treatment program and accounted for a significant portion of the variance in the reduction of PTSD and depressive symptoms at post-treatment. This study provides support for the position that attempts to modify dysfunctional trauma-related cognitions among veterans with co-occurring PTSD and SUD can lead to desirable treatment outcomes. Dysfunctional trauma-related cognitions are important in the emergence and maintenance of posttraumatic stress disorder (PTSD) and the modification of such cognitions is a proposed mechanism of trauma treatment. However, the authors are not aware of any research examining trauma-related cognitions as a treatment mechanism in a sample of individuals with comorbid PTSD and substance use disorder (SUD). Accordingly, the present study sought to address this gap in the literature and examined the relationship between trauma-related cognitions and treatment outcomes within a sample of seventy-two veterans diagnosed with PTSD and SUD. Veterans completed a 6-week day CPT-based treatment program that included cognitive processing therapy as a central component. Measures of trauma-related cognitions, PTSD symptoms, depressive symptoms, and trauma-cued substance craving were completed at pre- and post-treatment. As expected, trauma-related cognitions were associated with several PTSD-related variables prior to treatment. Furthermore, results of a within-subjects mediational analysis indicated that maladaptive trauma-related cognitions decreased during the treatment program and accounted for a significant portion of the variance in the reduction of PTSD and depressive symptoms at post-treatment. This study provides support for the position that attempts to modify dysfunctional trauma-related cognitions among veterans with co-occurring PTSD and SUD can lead to desirable treatment outcomes.Dysfunctional trauma-related cognitions are important in the emergence and maintenance of posttraumatic stress disorder (PTSD) and the modification of such cognitions is a proposed mechanism of trauma treatment. However, the authors are not aware of any research examining trauma-related cognitions as a treatment mechanism in a sample of individuals with comorbid PTSD and substance use disorder (SUD). Accordingly, the present study sought to address this gap in the literature and examined the relationship between trauma-related cognitions and treatment outcomes within a sample of seventy-two veterans diagnosed with PTSD and SUD. Veterans completed a 6-week day CPT-based treatment program that included cognitive processing therapy as a central component. Measures of trauma-related cognitions, PTSD symptoms, depressive symptoms, and trauma-cued substance craving were completed at pre- and post-treatment. As expected, trauma-related cognitions were associated with several PTSD-related variables prior to treatment. Furthermore, results of a within-subjects mediational analysis indicated that maladaptive trauma-related cognitions decreased during the treatment program and accounted for a significant portion of the variance in the reduction of PTSD and depressive symptoms at post-treatment. This study provides support for the position that attempts to modify dysfunctional trauma-related cognitions among veterans with co-occurring PTSD and SUD can lead to desirable treatment outcomes. |
| Author | McGuire, Adam P. Connolly, Kevin M. Voluse, Andrew C. Coffey, Scott F. Peck, Kelly R. |
| Author_xml | – sequence: 1 givenname: Kelly R. surname: Peck fullname: Peck, Kelly R. email: krpeck@uvm.edu organization: G.V. (Sonny) Montgomery VA Medical Center, 1500 East Woodrow Wilson Drive, Jackson, Mississippi 39216, USA – sequence: 2 givenname: Scott F. surname: Coffey fullname: Coffey, Scott F. organization: Department of Psychiatry and Human Behavior, The University of Mississippi Medical Center, 2500 North State St., Jackson, MS 39216, USA – sequence: 3 givenname: Adam P. orcidid: 0000-0002-4512-1207 surname: McGuire fullname: McGuire, Adam P. organization: G.V. (Sonny) Montgomery VA Medical Center, 1500 East Woodrow Wilson Drive, Jackson, Mississippi 39216, USA – sequence: 4 givenname: Andrew C. surname: Voluse fullname: Voluse, Andrew C. organization: G.V. (Sonny) Montgomery VA Medical Center, 1500 East Woodrow Wilson Drive, Jackson, Mississippi 39216, USA – sequence: 5 givenname: Kevin M. surname: Connolly fullname: Connolly, Kevin M. organization: G.V. (Sonny) Montgomery VA Medical Center, 1500 East Woodrow Wilson Drive, Jackson, Mississippi 39216, USA |
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| Keywords | Substance use disorders Posttraumatic stress disorder Cognitive processing therapy Veterans Mediation |
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| Snippet | •Prior to treatment, dysfunctional trauma-related cognitions were associated with PTSD and depressive symptoms, and trauma-cued craving.•Following treatment... Dysfunctional trauma-related cognitions are important in the emergence and maintenance of posttraumatic stress disorder (PTSD) and the modification of such... |
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| SubjectTerms | Cognitive processing therapy Mediation Posttraumatic stress disorder Substance use disorders Veterans |
| Title | A cognitive processing therapy-based treatment program for veterans diagnosed with co-occurring posttraumatic stress disorder and substance use disorder: The relationship between trauma-related cognitions and outcomes of a 6-week treatment program |
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