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Physical Health Perceptions of Women with Comorbid PTSD and SUD.

Poster presented at the College on Problems of Drug Dependence (CPDD) annual meeting, Palm Springs, CA, June 9-14, 2012.

Therese K. Killeen, PhD (Medical University of South Carolina, SC Node), Jeffrey E. Korte, PhD (Medical University of South Carolina, SC Node), Aimee N. C. Campbell, PhD, MSW (Columbia University, GNY Node), Denise A. Hien, PhD (NY State Psychiatrict Institute, GNY Node), Kathleen T. Brady, MD, PhD (Medical University of South Carolina, SC Node).

Individuals with comorbid post-traumatic stress disorder (PTSD) and substance use disorders (SUD) are at greater risks for chronic health problems and report worse physical function than individuals with SUD alone. It is unknown if treatment that addresses PTSD and/or SUD can impact these health concerns. This poster reports on a secondary analysis of data from the National Drug Abuse Treatment Clinical Trials Network (CTN) study CTN-0015, exploring the impact of two treatments for women with trauma and SUD on health status perception.

Women meeting criteria for PTSD and alcohol and/or SUD (N=353) were randomized to either 12 biweekly group sessions of Seeking Safety, a trauma focused integrated SUD/PTSD treatment, or 12 biweekly group sessions of Women's Health Education, an intervention focusing on gender-specific health issues. Women were assessed at baseline, 1, 12, 24, and 52 weeks post-intervention on questions from the medical subscale of the Addiction Severity Index and five questions inquiring about health status perception. Analysis found that 46% of women reported a chronic medical problem at baseline and 39% reported taking a prescribed medication for a medical problem. There were no main effects of time, group, or time-by-group interaction on measures of perceived health or number of days experiencing medical problems. Across the follow-up visits, women who experienced re-victimization (25%) reported having significantly more days of medical problems and worse perceived health than those women who did not report trauma during the follow-up.

Conclusions: Women with PTSD and SUD have physical health concerns that were not differentially affected by study treatments. Treatment for SUD and PTSD may be improved by addressing health concerns, particularly in women who experience re-victimization post-treatment. (Poster, PDF, English, 2012)

Keywords: Addiction Severity Index (ASI) | CTN platform/ancillary study | Co-occurring disorders | Gender-specific interventions | Post-traumatic stress disorder (PTSD) | Seeking Safety program | Trauma | Women | Women's Health Education program | College on Problems of Drug Dependence (CPDD) annual meeting, 2012

Document No: 963

Submitted by Therese Killeen, PhD, SC Node, 3/5/2013.

Brady, Kathleen T. search mail
Campbell, Aimee N. C. search mail
Hien, Denise search mail
Killeen, Therese search mail
Korte, Jeffrey E. search mail
NIDA-CTN-0015 search www
Greater New York (Lead) search www
Florida Node Alliance search www
Ohio Valley search www
Pacific Northwest search www
Southern Consortium search www

Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
The materials on this site have neither been created nor reviewed by NIDA.
Updated 3/2013 --