Multicomponent Cognitive Behavioral Therapy(CBT) for Posttraumatic Stress Disorder (PTSD) and Substance Abuse (PTSD/SUD)

University of North Carolina (UNC)

Status and phase: Completed; Phase 1

Conditions: Posttraumatic Stress Disorder; Substance Abuse

Treatments: Behavioral: CBT and exposure therapy for PTSD; Other: Treatment as Usual

Study type: Interventional

Funder types: Other

Identifiers

NCT01029197

5K01MH079343

Details and patient eligibility

About

Purpose: To conduct a pilot study of a cognitive-behavioral treatment (CBT) for PTSD and substance abuse among persons with serious mental illness (SMI) treated in a community setting.

Participants: Participants will be 50 volunteer adult individuals with PTSD and substance use disorders (SUD), and SMI who are receiving services at the Freedom House Recovery Center, served through the Orange Person Chatham (OPC) Area Program.

Procedures (methods): Participants will be randomly assigned to one of two conditions: 1) the CBT intervention plus treatment as usual; or, 2) treatment as usual.

Enrollment: 45 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Must be at least 18 years of age
• Currently receiving services at Freedom House
• Meet DSM-IV criteria for PTSD
• Meet criteria for Substance Use Disorder
• Able to understand and provide informed consent

Exclusion criteria

• Psychiatric hospitalization or suicide attempt in the past two months

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

45 participants in 2 patient groups

CBT Intervention

Experimental group

Description:

The CBT intervention includes psychoeducation and coping and social skills delivered in a group format, and exposure therapy delivered in individual sessions

Treatment:

Behavioral: CBT and exposure therapy for PTSD

Treatment as Usual

Active Comparator group

Description:

The TAU Condition will receive usual services at the community clinic, which may include medications, individual or group therapy

Treatment:

Other: Treatment as Usual