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Original Articles

Characterizing and Comparing Evidence-Based Psychotherapy Utilization Among Veterans with Co-occurring PTSD and Substance Use Disorder

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References

  • US Department of Veterans Affairs, U. D. o V. (2019). National veteran suicide prevention annual report. Office of Mental Health and Suicide Prevention.
  • Bowe, A., & Rosenheck, R. (2015). PTSD and substance use disorder among veterans: Characteristics, service utilization and pharmacotherapy. Journal of Dual Diagnosis, 11(1), 22–32. https://doi.org/10.1080/15504263.2014.989653
  • Dworkin, E. R., Bergman, H. E., Walton, T. O., Walker, D. D., & Kaysen, D. L. (2018). Co-occurring post-traumatic stress disorder and alcohol use disorder in U.S. military and veteran populations. Alcohol Research: Current Reviews, 39(2), 161–169. https://pubmed.ncbi.nlm.nih.gov/31198655.
  • Flanagan, J. C., Korte, K. J., Killeen, T. K., & Back, S. E. (2016). Concurrent treatment of substance use and PTSD. Current Psychiatry Reports, 18(8), 70. https://doi.org/10.1007/s11920-016-0709-y
  • Foa, E., Hembree, E., & Rothbaum, B. O. (2007). Prolonged exposure therapy for PTSD: Emotional processing of traumatic experiences therapist guide. Oxford University Press.
  • Haagen, J. F., Smid, G. E., Knipscheer, J. W., & Kleber, R. J. (2015). The efficacy of recommended treatments for veterans with PTSD: A metaregression analysis. Clinical Psychology Review, 40, 184–194. https://doi.org/10.1016/j.cpr.2015.06.008
  • Holder, N., Shiner, B., Li, Y., Madden, E., Neylan, T. C., Seal, K. H., Lujan, C., Patterson, O. V., DuVall, S. L., & Maguen, S. (2020). Cognitive processing therapy for veterans with posttraumatic stress disorder: What is the median effective dose? Journal of Affective Disorders, 273, 425–433. https://doi.org/10.1016/j.jad.2020.04.030
  • Hruska, B., & Delahanty, D. L. (2014). PTSD-SUD biological mechanisms: Self-medication and beyond. American Psychological Association.
  • Hundt, N. E., Ecker, A. H., Thompson, K., Helm, A., Smith, T. L., Stanley, M. A., & Cully, J. A. (2020). “It didn’t fit for me:” A qualitative examination of dropout from prolonged exposure and cognitive processing therapy in veterans. Psychological Services, 17(4), 414–421. https://doi.org/10.1037/ser0000316
  • Hundt, N. E., Harik, J. M., Barrera, T. L., Cully, J. A., & Stanley, M. A. (2016). Treatment decision-making for posttraumatic stress disorder: The impact of patient and therapist characteristics. Psychological Trauma: Theory, Research, Practice and Policy, 8(6), 728–735. https://doi.org/10.1037/tra0000102
  • Jeffreys, M. D., Reinfeld, C., Nair, P. V., Garcia, H. A., Mata-Galan, E., & Rentz, T. O. (2014). Evaluating treatment of posttraumatic stress disorder with cognitive processing therapy and prolonged exposure therapy in a VHA specialty clinic. Journal of Anxiety Disorders, 28(1), 108–114. https://doi.org/10.1016/j.janxdis.2013.04.010
  • Karlin, B. E., & Cross, G. (2014). From the laboratory to the therapy room: National dissemination and implementation of evidence-based psychotherapies in the U.S. Department of Veterans Affairs Health Care System. The American Psychologist, 69(1), 19–33. https://doi.org/10.1037/a0033888
  • Karlin, B. E., Ruzek, J. I., Chard, K. M., Eftekhari, A., Monson, C. M., Hembree, E. A., Resick, P. A., & Foa, E. B. (2010). Dissemination of evidence-based psychological treatments for posttraumatic stress disorder in the Veterans Health Administration. Journal of Traumatic Stress, 23(6), 663–673. https://doi.org/10.1002/jts.20588
  • Kehle-Forbes, S. M., Meis, L. A., Spoont, M. R., & Polusny, M. A. (2016). Treatment initiation and dropout from prolonged exposure and cognitive processing therapy in a VA outpatient clinic. Psychological Trauma: Theory, Research, Practice and Policy, 8(1), 107–114. https://doi.org/10.1037/tra0000065
  • Khantzian, E. J. (1997). The self-medication hypothesis of substance use disorders: A reconsideration and recent applications. Harvard Review of Psychiatry, 4(5), 231–244. https://doi.org/10.3109/10673229709030550
  • Kramer, M. D., Polusny, M. A., Arbisi, P. A., & Krueger, R. F. (2014). Comorbidity of PTSD and SUDs: Toward an etiologic understanding. In P. Ouimette & J. P. Read (Eds.), Trauma and substance abuse: Causes, consequences, and treatment of comorbid disorders (pp. 53–75). Washington, D.C.:American Psychological Association. https://doi.org/10.1037/14273-004
  • Lancaster, C. L., Gros, D. F., Mullarkey, M. C., Badour, C. L., Killeen, T. K., Brady, K. T., & Back, S. E. (2020). Does trauma-focused exposure therapy exacerbate symptoms among patients with comorbid PTSD and substance use disorders? Behavioural and Cognitive Psychotherapy, 48(1), 38–53. https://doi.org/10.1017/S1352465819000304
  • Maguen, S., Cohen, B., Ren, L., Bosch, J., Kimerling, R., & Seal, K. (2012). Gender differences in military sexual trauma and mental health diagnoses among Iraq and Afghanistan veterans with posttraumatic stress disorder. Women’s Health Issues, 22(1), e61-66–e66. https://doi.org/10.1016/j.whi.2011.07.010
  • Maguen, S., Li, Y., Madden, E., Seal, K. H., Neylan, T. C., Patterson, O. V., DuVall, S. L., Lujan, C., & Shiner, B. (2019). Factors associated with completing evidence-based psychotherapy for PTSD among veterans in a national healthcare system. Psychiatry Research, 274, 112–128. https://doi.org/10.1016/j.psychres.2019.02.027
  • Najavits, L. M. (2006). Present-versus past-focused therapy for posttraumatic stress disorder/substance abuse: A study of clinician preferences. Brief Treatment and Crisis Intervention, 6(3), 248–254. https://doi.org/10.1093/brief-treatment/mhl005
  • Najavits, L. M. (2015). The problem of dropout from "gold standard" PTSD therapies. F1000prime Reports, 7, 43–43. https://doi.org/10.12703/P7-43
  • Najavits, L. M., & Hien, D. (2013). Helping vulnerable populations: A comprehensive review of the treatment outcome literature on substance use disorder and PTSD. Journal of Clinical Psychology, 69(5), 433–479. https://doi.org/10.1002/jclp.21980
  • Nazarian, D., Kimerling, R., & Frayne, S. M. (2012). Posttraumatic stress disorder, substance use disorders, and medical comorbidity among returning US veterans. Journal of Traumatic Stress, 25(2), 220–225. https://doi.org/10.1002/jts.21690
  • Norman, S. B., Haller, M., Hamblen, J. L., Southwick, S. M., & Pietrzak, R. H. (2018). The burden of co-occurring alcohol use disorder and PTSD in US military veterans: Comorbidities, functioning, and suicidality. Psychology of Addictive Behaviors, 32(2), 224–229. https://doi.org/10.1037/adb0000348
  • Norman, S. B., Tate, S. R., Anderson, K. G., & Brown, S. A. (2007). Do trauma history and PTSD symptoms influence addiction relapse context? Drug and Alcohol Dependence, 90(1), 89–96. https://doi.org/10.1016/j.drugalcdep.2007.03.002
  • Resick, P. A., Monson, C. M., & Chard, K. M. (2016). Cognitive processing therapy for PTSD: A comprehensive manual. Guilford Publications.
  • Rodriguez, L., Jenzer, T., & Read, J. P. (2019). Physical and mental health and other functional outcomes in co-occurring PTSD and substance use disorders. In A.A. Vujanovic & S.E. Back (Eds.), Posttraumatic stress and substance use disorders: A comprehensive clinical handbook, 28–50. New Nork, NY: Routledge.
  • Ronzitti, S., Loree, A. M., Potenza, M. N., Decker, S. E., Wilson, S. M., Abel, E. A., Haskell, S. G., Brandt, C. A., & Goulet, J. L. (2019). Gender differences in suicide and self-directed violence risk among veterans with post-traumatic stress and substance use disorders. Women’s Health Issues, 29(Suppl 1), S94–S102. https://doi.org/10.1016/j.whi.2019.04.010
  • Rutt, B. T., Oehlert, M. E., Krieshok, T. S., & Lichtenberg, J. W. (2018). Effectiveness of cognitive processing therapy and prolonged exposure in the Department of Veterans Affairs. Psychological Reports, 121(2), 282–302. https://doi.org/10.1177/0033294117727746
  • Saha, T. D., Grant, B. F., Chou, S. P., Kerridge, B. T., Pickering, R. P., & Ruan, W. J. (2018). Concurrent use of alcohol with other drugs and DSM-5 alcohol use disorder comorbid with other drug use disorders: Sociodemographic characteristics, severity, and psychopathology. Drug and Alcohol Dependence, 187, 261–269. https://doi.org/10.1016/j.drugalcdep.2018.03.006
  • Schnurr, P. P., Chard, K. M., Ruzek, J. I., Chow, B. K., Resick, P. A., Foa, E. B., Marx, B. P., Friedman, M. J., Bovin, M. J., Caudle, K. L., Castillo, D., Curry, K. T., Hollifield, M., Huang, G. D., Chee, C. L., Astin, M. C., Dickstein, B., Renner, K., Clancy, C. P., … Shih, M.-C. (2022). Comparison of prolonged exposure vs. cognitive processing therapy for treatment of posttraumatic stress disorder among US veterans: A randomized clinical trial. JAMA Network Open, 5(1), e2136921–e2136921. https://doi.org/10.1001/jamanetworkopen.2021.36921
  • Services, O. o M. H. (2008). Uniform mental health services in VA Medical Centers and clinics (Handbook VHA 1160.01). Veteran’s Health Administration.
  • Shiner, B., Levis, M., Dufort, V. M., Patterson, O. V., Watts, B. V., DuVall, S. L., … & Maguen, S. (2022). Improvements to PTSD quality metrics with natural language processing. Journal of Evaluation in Clinical Practice, 28(4), 520–530.
  • Shmulewitz, D., Greene, E. R., & Hasin, D. (2015). Commonalities and differences across substance use disorders: Phenomenological and epidemiological aspects. Alcoholism, Clinical and Experimental Research, 39(10), 1878–1900. https://doi.org/10.1111/acer.12838
  • Simpson, T. L., Goldberg, S. B., Louden, D. K., Blakey, S. M., Hawn, S. E., Lott, A., Browne, K. C., Lehavot, K., & Kaysen, D. (2021). Efficacy and acceptability of interventions for co-occurring PTSD and SUD: A meta-analysis. Journal of Anxiety Disorders, 84, 102490. https://doi.org/10.1016/j.janxdis.2021.102490
  • Simpson, T. L., Lehavot, K., & Petrakis, I. L. (2017). No wrong doors: Findings from a critical review of behavioral randomized clinical trials for individuals with co-occurring alcohol/drug problems and posttraumatic stress disorder. Alcoholism, Clinical and Experimental Research, 41(4), 681–702. https://doi.org/10.1111/acer.13325
  • Somohano, V. C., Rehder, K. L., Dingle, T., Shank, T., & Bowen, S. (2019). PTSD symptom clusters and craving differs by primary drug of choice. Journal of Dual Diagnosis, 15(4), 233–242. https://doi.org/10.1080/15504263.2019.1637039
  • Stimmel, M. A., Rosenthal, J., Blue-Howells, J., Clark, S., Harris, A. H., Rubinsky, A. D., Bowe, T., & Finlay, A. K. (2019). The impact of substance use disorders on treatment engagement among justice-involved veterans with posttraumatic stress disorder. Psychological Services, 16(4), 564–571. https://doi.org/10.1037/ser0000238
  • Szafranski, D. D., Snead, A., Allan, N. P., Gros, D. F., Killeen, T., Flanagan, J., Pericot-Valverde, I., & Back, S. E. (2017). Integrated, exposure-based treatment for PTSD and comorbid substance use disorders: Predictors of treatment dropout. Addictive Behaviors, 73, 30–35. https://doi.org/10.1016/j.addbeh.2017.04.005
  • Tate, S. R., Norman, S. B., McQuaid, J. R., & Brown, S. A. (2007). Health problems of substance-dependent veterans with and those without trauma history. Journal of Substance Abuse Treatment, 33(1), 25–32. https://doi.org/10.1016/j.jsat.2006.11.006
  • Torchalla, I., & Nosen, E. (2019). Sex and gender differences in PTSD and substance use disorder comorbidity. In A.A. Vujanovic & S.E. Back (Eds.), Posttraumatic stress and substance use disorders: A comprehensive clinical handbook, 51–71. New York, NY: Routledge
  • Trivedi, R. B., Post, E. P., Sun, H., Pomerantz, A., Saxon, A. J., Piette, J. D., Maynard, C., Arnow, B., Curtis, I., Fihn, S. D., & Nelson, K. (2015). Prevalence, comorbidity, and prognosis of mental health among US veterans. American Journal of Public Health, 105(12), 2564–2569. https://doi.org/10.2105/AJPH.2015.302836
  • Tull, M. T., Berghoff, C. R., Wheeless, L. E., Cohen, R. T., & Gratz, K. L. (2018). PTSD symptom severity and emotion regulation strategy use during trauma cue exposure among patients with substance use disorders: Associations with negative affect, craving, and cortisol reactivity. Behavior Therapy, 49(1), 57–70. https://doi.org/10.1016/j.beth.2017.05.005
  • Vogt, D., Vaughn, R., Glickman, M. E., Schultz, M., Drainoni, M.-L., Elwy, R., & Eisen, S. (2011). Gender differences in combat-related stressors and their association with postdeployment mental health in a nationally representative sample of US OEF/OIF veterans. Journal of Abnormal Psychology, 120(4), 797–806. https://doi.org/10.1037/a0023452
  • Watkins, L. E., Sprang, K. R., & Rothbaum, B. O. (2018). Treating PTSD: A review of evidence-based psychotherapy interventions. Frontiers in Behavioral Neuroscience, 12, 258. https://doi.org/10.3389/fnbeh.2018.00258
  • Watts, B. V., Schnurr, P. P., Mayo, L., Young-Xu, Y., Weeks, W. B., & Friedman, M. J. (2013). Meta-analysis of the efficacy of treatments for posttraumatic stress disorder. The Journal of Clinical Psychiatry, 74(6), e541–e550. https://doi.org/10.4088/JCP.12r08225
  • Weiss, N. H., Bold, K. W., Contractor, A. A., Sullivan, T. P., Armeli, S., & Tennen, H. (2018). Trauma exposure and heavy drinking and drug use among college students: Identifying the roles of negative and positive affect lability in a daily diary study. Addictive Behaviors, 79, 131–137. https://doi.org/10.1016/j.addbeh.2017.12.015
  • Weiss, N. H., Tull, M. T., Anestis, M. D., & Gratz, K. L. (2013). The relative and unique contributions of emotion dysregulation and impulsivity to posttraumatic stress disorder among substance dependent inpatients. Drug and Alcohol Dependence, 128(1–2), 45–51. https://doi.org/10.1016/j.drugalcdep.2012.07.017
  • Wilson, L. C. (2018). The prevalence of military sexual trauma: A meta-analysis. Trauma, Violence & Abuse, 19(5), 584–597. https://doi.org/10.1177/1524838016683459

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