Imaginal exposure processing during Concurrent Treatment of PTSD and Substance Use Disorders using Prolonged Exposure (COPE) therapy: Examination of linguistic markers of cohesiveness

2022 ◽  
Author(s):  
Erin M. Gandelman ◽  
Steven A. Miller ◽  
Sudie E. Back
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Prolonged Exposure ◽  
Imaginal Exposure ◽  
Concurrent Treatment ◽  
Linguistic Markers

scholarly journals Does trauma-focused exposure therapy exacerbate symptoms among patients with comorbid PTSD and substance use disorders?

2019 ◽  
Vol 48 (1) ◽  
pp. 38-53
Author(s):  
Cynthia L. Lancaster ◽  
Daniel F. Gros ◽  
Michael C. Mullarkey ◽  
Christal L. Badour ◽  
Therese K. Killeen ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Prolonged Exposure ◽  
Exposure Therapy ◽  
Psychological Symptoms ◽  
Depression Symptoms ◽  
Post Traumatic Stress ◽  
Concurrent Treatment ◽  
Symptom Exacerbation ◽  
Post Traumatic

AbstractBackground: Although exposure-based therapy is a well-established, effective treatment for post-traumatic stress disorder (PTSD), some practitioners report reluctance to implement it due to concerns that it may exacerbate symptoms of PTSD and commonly comorbid disorders, such as substance use disorders (SUD).Aim: This study compared the exacerbation of psychological symptoms among participants with comorbid PTSD and SUD who received either SUD treatment alone or SUD treatment integrated with exposure therapy for PTSD.Method: Participants (N = 71) were treatment-seeking, military Veterans with comorbid PTSD and SUD who were randomized to 12 individual sessions of either (1) an integrated, exposure-based treatment (Concurrent Treatment of PTSD and Substance Use Disorders using Prolonged Exposure; COPE); or (2) a non-exposure-based, SUD-only treatment (Relapse Prevention; RP). We examined between-group differences in the frequency of statistically reliable exacerbations of PTSD, SUD and depression symptoms experienced during treatment.Results: At each of the 12 sessions, symptom exacerbation was minimal and generally equally likely in either treatment group. However, an analysis of treatment completers suggests that RP participants experienced slightly more exacerbations of PTSD symptoms during the course of treatment.Conclusions: This study is the first to investigate symptom exacerbation throughout trauma-focused exposure therapy for individuals with comorbid PTSD and SUD. Results add to a growing literature which suggests that trauma-focused, exposure-based therapy does not increase the risk of symptom exacerbation relative to non-exposure-based therapy.

scholarly journals Concurrent treatment of substance use disorders and PTSD using prolonged exposure: A randomized clinical trial in military veterans

2019 ◽  
Vol 90 ◽  
pp. 369-377 ◽  
Author(s):  
Sudie E. Back ◽  
Therese Killeen ◽  
Christal L. Badour ◽  
Julianne C. Flanagan ◽  
Nicholas P. Allan ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Substance Use ◽  
Randomized Clinical Trial ◽  
Substance Use Disorders ◽  
Prolonged Exposure ◽  
Military Veterans ◽  
Concurrent Treatment

Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE)

2015 ◽  
Author(s):  
Sudie E. Back ◽  
Edna B. Foa ◽  
Therese K. Killeen ◽  
Katherine L. Mills ◽  
Maree Teesson ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Prolonged Exposure ◽  
Real Life ◽  
Integrated Treatment ◽  
Ptsd Symptoms ◽  
Concurrent Treatment ◽  
Evidence Based Treatments ◽  
Drug Use Disorder

Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE) is a an integrated treatment cognitive-behavioral psychotherapy program designed for patients who have posttraumatic stress disorder (PTSD) and a co-occurring alcohol or drug use disorder. COPE represents an integration of two evidence-based treatments: Prolonged Exposure (PE) therapy for PTSD and Relapse Prevention for substance use disorders, where both the PTSD and substance use disorder are addressed concurrently in therapy by the same clinician, and patients can experience substantial reductions in both PTSD symptoms and substance use severity. The program includes information about how PTSD symptoms and substance use interact with one another; information about the most common reactions to trauma; techniques to help the patient manage cravings and thoughts about using alcohol or drugs; coping skills to help the patient prevent relapse to substances; a breathing retraining relaxation exercise; and in vivo (real life) and imaginal exposures to target the patient's PTSD symptoms.

Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE)

2015 ◽  
Author(s):  
Sudie E. Back ◽  
Edna B. Foa ◽  
Therese K. Killeen ◽  
Katherine L. Mills ◽  
Maree Teesson ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Prolonged Exposure ◽  
Real Life ◽  
Integrated Treatment ◽  
Ptsd Symptoms ◽  
Concurrent Treatment ◽  
Evidence Based Treatments ◽  
Drug Use Disorder

Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE) is a an integrated treatment cognitive-behavioral psychotherapy program designed for patients who have posttraumatic stress disorder (PTSD) and a co-occurring alcohol or drug use disorder. COPE represents an integration of two evidence-based treatments: Prolonged Exposure (PE) therapy for PTSD and Relapse Prevention for substance use disorders, where both the PTSD and substance use disorder are addressed concurrently in therapy by the same clinician, and patients can experience substantial reductions in both PTSD symptoms and substance use severity. The program includes information about how PTSD symptoms and substance use interact with one another; information about the most common reactions to trauma; techniques to help the patient manage cravings and thoughts about using alcohol or drugs; coping skills to help the patient prevent relapse to substances; a breathing retraining relaxation exercise; and in vivo (real life) and imaginal exposures to target the patient's PTSD symptoms.

scholarly journals Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE)

2017 ◽  
Vol 11 (2) ◽  
pp. 119-125 ◽  
Author(s):  
Anna Persson ◽  
Sudie E. Back ◽  
Therese K. Killeen ◽  
Kathleen T. Brady ◽  
Melanie L. Schwandt ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Prolonged Exposure ◽  
Concurrent Treatment
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