J Psychiatr Res 2021 Jul 22;142:40-47. Epub 2021 Jul 22.
V.A. San Diego Healthcare System, 3350 La Jolla Village Dr, San Diego, CA, 92161, USA; Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive #9116B, La Jolla, CA, 92093, USA; Center of Excellence for Stress and Mental Health/VA San Diego Healthcare System, 3350 La Jolla Village Dr, San Diego, CA, 92161, USA; National Center for PTSD, 215 North Main St, White River Junction, VT, 05009, USA. Electronic address:
Co-occurring posttraumatic stress disorder and alcohol use disorder (PTSD/AUD) is associated with poorer psychosocial functioning than either disorder alone; however, it is unclear if psychosocial functioning improves in treatment for PTSD/AUD. This study examined if psychosocial functioning improved in integrated treatments for PTSD/AUD, and if changes in PTSD severity and percentage heavy drinking days (PHDD) during treatment were associated with functioning outcomes. 119 veterans with PTSD/AUD randomized to receive either Concurrent Treatment of PTSD and Substance Use Disorders using Prolonged Exposure or Seeking Safety completed measures of functioning (Medical Outcomes Survey SF-36), PTSD (Clinician Administered PTSD Scale for DSM-5), and alcohol use (Timeline Follow-Back) at baseline, posttreatment, 3- and 6-month follow-ups. Read More