TY - JOUR
T1 - Examination of Treatment Effects on Hazardous Drinking Among Service Members With Posttraumatic Stress Disorder
AU - For the STRONG STAR Consortium
AU - Dondanville, Katherine A.
AU - Wachen, Jennifer Schuster
AU - Hale, Willie J.
AU - Mintz, Jim
AU - Roache, John D.
AU - Carson, Cody
AU - Litz, Brett T.
AU - Yarvis, Jeffrey S.
AU - Young-McCaughan, Stacey
AU - Peterson, Alan L.
AU - Resick, Patricia A.
N1 - Funding Information:
1Department of Psychiatry, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA 2National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts, USA 3Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts, USA 4Department of Psychology, University of Texas at San Antonio, San Antonio, Texas, USA 5Department of Epidemiology and Biostatistics, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA 6Spinal Cord Injury Program, The Institute for Rehabilitation and Research, Memorial Hermann Hospital, Houston, Texas, USA 7Massachusetts Veterans Epidemiology Research and Information Center, VA Boston Healthcare System, Boston, Massachusetts, USA 8Department of Behavioral Health, Carl R. Darnall Army Medical Center, Fort Hood, Texas, USA 9Research and Development Service, South Texas Veterans Health Care System, San Antonio, Texas, USA 10Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, USA
Funding Information:
Funding for this work was made possible by the U.S. Department of Defense through the U.S. Army Medical Research and Materiel Command, Congressionally Directed Medical Research Programs, Psychological Health and Traumatic Brain Injury Research Program (W81XWH-08-02-109 to Alan Pe-terson, W81XWH-08-02-0114 to Brett Litz, and W81XWH-08-02-0116 to Patricia Resick). The views expressed in this manuscript are solely those of the authors and do not reflect an endorsement by or the official policy of the U.S. Army, the Department of Defense, the Department of Veterans Affairs, or the U.S. Government.
PY - 2019/4
Y1 - 2019/4
N2 - Posttraumatic stress disorder (PTSD) and alcohol use disorder are frequently comorbid and present significant treatment challenges. Unfortunately, since the September 11, 2001, terrorist attacks in the United States, the rates of PTSD and hazardous drinking among active duty service members have increased significantly. Previous research on PTSD has typically excluded participants with current substance abuse. However, there is some research examining independent treatments for PTSD and substance abuse provided consecutively, concurrently, or as enhancements to other treatment. The current study examined the association between current hazardous drinking and PTSD treatment among 108 active duty service members with PTSD in a randomized controlled trial of group cognitive processing therapy and group present-centered therapy. Total scores above 8 on the Alcohol Use Disorders Identification Test defined hazardous alcohol use. At baseline, 25.0% of the sample was categorized as hazardous drinkers, and the hazardous and nonhazardous drinking groups did not differ in PTSD symptom severity, F(1, 106) = 0.08, p =.777, d = 0.06. Over the course of treatment, the two groups also did not differ significantly in PTSD symptom severity change on the PTSD Checklist, F(1, 106) = 1.20, p =.280, d = 0.33. Treatment for PTSD did not exacerbate hazardous drinking, and the hazardous drinking group showed significant reductions in drinking following PTSD treatment. Limitations and implications for treatment considerations are discussed.
AB - Posttraumatic stress disorder (PTSD) and alcohol use disorder are frequently comorbid and present significant treatment challenges. Unfortunately, since the September 11, 2001, terrorist attacks in the United States, the rates of PTSD and hazardous drinking among active duty service members have increased significantly. Previous research on PTSD has typically excluded participants with current substance abuse. However, there is some research examining independent treatments for PTSD and substance abuse provided consecutively, concurrently, or as enhancements to other treatment. The current study examined the association between current hazardous drinking and PTSD treatment among 108 active duty service members with PTSD in a randomized controlled trial of group cognitive processing therapy and group present-centered therapy. Total scores above 8 on the Alcohol Use Disorders Identification Test defined hazardous alcohol use. At baseline, 25.0% of the sample was categorized as hazardous drinkers, and the hazardous and nonhazardous drinking groups did not differ in PTSD symptom severity, F(1, 106) = 0.08, p =.777, d = 0.06. Over the course of treatment, the two groups also did not differ significantly in PTSD symptom severity change on the PTSD Checklist, F(1, 106) = 1.20, p =.280, d = 0.33. Treatment for PTSD did not exacerbate hazardous drinking, and the hazardous drinking group showed significant reductions in drinking following PTSD treatment. Limitations and implications for treatment considerations are discussed.
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U2 - 10.1002/jts.22393
DO - 10.1002/jts.22393
M3 - Article
C2 - 30920684
AN - SCOPUS:85063594768
VL - 32
SP - 310
EP - 316
JO - Journal of Traumatic Stress
JF - Journal of Traumatic Stress
SN - 0894-9867
IS - 2
ER -