- Title
- Do outcomes of cognitive-behaviour therapy for co-occurring alcohol misuse and depression differ for participants with symptoms of posttraumatic stress?
- Creator
- Bailey, Kylie A.; Baker, Amanda L.; McElduff, Patrick; Kay-Lambkin, Frances; Kavanagh, David J.
- Relation
- Journal of Mental Health Vol. 30, Issue 1, p. 12-19
- Publisher Link
- http://dx.doi.org/10.1080/09638237.2019.1581354
- Publisher
- Routledge
- Resource Type
- journal article
- Date
- 2021
- Description
- Background: Although post-traumatic stress disorder (PTSD) often co-occurs with depression and alcohol use disorder (AUD), treatment settings may not screen for PTSD symptoms. Aims: To explore the effects of PTSD symptoms in participants seeking treatment for depression and alcohol misuse by capitalising on the DAISI (Depression and Alcohol Integrated and Single focussed Interventions) project. Methods: Participants (N = 220) with current depressive symptoms and alcohol misuse were recruited from the DAISI project, a randomised controlled trial with four treatment arms. PTSD symptoms were assessed at baseline by the Posttraumatic Stress Diagnostic Scale and again at the 3-month assessment. Results: McNemars t-test assessed for changes in PTSD symptom severity and PTSD symptom clusters at the 3-month assessment. Repeated measures multivariate analysis of variance assessed for changes in PTSD symptoms, by DAISI treatment allocation. At the 3-month assessment, participants with PTSD reported significant reductions in PTSD symptoms (except intrusion) and a lower rate of PTSD, and responded better to integrated depression-alcohol misuse CBT than to the alcohol/depression single-focussed or brief interventions. Conclusion: Integrated depression and alcohol misuse CBT may be effective for PTSD symptoms, but intrusions may need to be addressed specifically.
- Subject
- alcohol; depression; PTSD; cognitive behaviour therapy; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1462452
- Identifier
- uon:46474
- Identifier
- ISSN:0963-8237
- Language
- eng
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