Couples-based Behavioral Psychotherapy for Male Patients With Posttraumatic Stress Disorder and Alcohol Dependence

Yale University

Status and phase

Withdrawn

Phase 3

Phase 2

Conditions

PTSD

Alcohol Dependence

Treatments

Behavioral: Couples-based behavioral psychotherapy

Study type

Interventional

Funder types

Other

Identifiers

NCT00622921

0711003228

Details and patient eligibility

About

Purpose: Phase I focus groups with clinicians and patients will gather qualitative data to focus and inform the content of Phase II. In Phase II, 12 weeks of psychotherapy will be offered to evaluate feasibility and potential efficacy of a couples-based, integrated treatment for men with PTSD and alcohol dependence.

Hypotheses: We predict that this experimental psychotherapy, Partners Encouraging Abstinence and Coping with Emotions (PEACE), will reduce patient drinking, reduce PTSD symptoms, and improve relationship functioning.

Sex

Male

Ages

21 to 65 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Male patients
One to six weeks of abstinence from alcohol and other drugs
Both partners agree to stated goals of abstinence from alcohol and drugs, reduction of PTSD symptoms, and relationship improvement
Current diagnoses of both alcohol dependence and PTSD
Receiving treatment for one or both disorders
Functionally able to participate in outpatient treatment as determined by P.I. "Functionally able" includes access to transportation.
Alcohol is "drug of choice" (History of other drugs acceptable)
Married or cohabiting in stable relationship for at least 6 months. Separated couples may participate if attempting to reconcile
Patient willing to sign release of information allowing researchers to communicate with patient's clinician regarding treatment goals

Exclusion criteria

Spouse or partner also has an alcohol or drug problem as determined by P.I. based on report by patient or partner or as revealed on Alcohol Use Disorders Identification Test (AUDIT) or the Drug Abuse Screening Test (DAST) given to partner at intake assessment
Mental retardation or learning disorder by clinician report or patient chart
Psychotic disorder as determined by patient's chart or SCID
Patient currently receiving methadone or another opiate agonist by patient report or chart
Current fear of partner or history of severe domestic violence in the past year. An example of severe violence would be a couple reporting an episode of violence that required medical attention. Such couples will be excluded from the study and referred to domestic violence treatment. Couples who have experienced mild to moderate domestic violence may participate in Phase II of the study.