Seeking Safety treatment for male veterans with a substance use disorder and post-traumatic stress disorder symptomatology.

摘要: Aims  To determine whether substituting Seeking Safety (SS), a manualized therapy for comorbid substance use disorders (SUD) and post-traumatic stress disorder (PTSD) part of treatment-as-usual (TAU) improves outcomes. Design  Randomized controlled effectiveness trial. Settings  Out-patient Veterans Administration Health Care System SUD clinic. Participants  Ninety-eight male military with co-occurring PTSD symptomatology. Measurements  Drug alcohol severity, measured on the first day treatment, 3 (i.e. planned end SS sessions) 6 months following baseline assessment. Treatment attendance patient satisfaction were treatment (3-month follow-up). Active coping was at intake treatment. Findings  compared to TAU associated better drug outcomes (P < 0.05), but severity decreased equally under both treatments (P's < 0.01). versus increased attendance, client active (all P's < 0.01). However, neither these factors nor decreases in mediated effect use. Conclusions  The approach disorder, Safety, is well received than ‘treatment as usual’ veterans disorder. mechanism its unclear.