Abstract
Posttraumatic stress disorder (PTSD) and substance use disorders (SUD) commonly co-occur, and this comorbidity (PTSD-SUD) is associated with more severe symptoms and functional impairment than either disorder alone. Growing evidence indicates that trauma-related guilt, typically concerning negative appraisals of one's actions or inaction during a traumatic event, is associated with PTSD, depression, suicidality, and, possibly, substance use. The present study examined whether integrated treatment for PTSD-SUD was effective in reducing trauma-related guilt as measured by the Trauma-Related Guilt Inventory. Data were drawn from a randomized clinical trial comparing the effectiveness of two integrated therapies on treatment outcomes in a sample of U.S. veterans (N = 119) with comorbid PTSD and SUD. Participants were randomized to receive either Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE; n = 63) or Seeking Safety (SS; n = 56). The results indicated that global guilt decreased over time for the whole sample. However, there was a significant Treatment × Time interaction, such that participants in the COPE condition reported lower rates of global guilt, d = 0.940, over time compared to tho...Continue Reading
References
Dec 22, 1999·Journal of Studies on Alcohol·J Morgenstern, M E Bates
Jul 15, 2009·Behaviour Research and Therapy·Shireen L RizviPatricia A Resick
Jul 18, 2009·American Journal of Public Health·Karen H SealCharles R Marmar
Nov 18, 2009·The American Journal of Psychiatry·Denise A HienEdward V Nunes
Sep 9, 2011·The Journal of Clinical Psychiatry·Joseph R CalabreseSandro Galea
Aug 16, 2012·JAMA : the Journal of the American Medical Association·Katherine L MillsPhilippa L Ewer
Mar 26, 2014·Journal of Abnormal Psychology·Tracy L SimpsonDebra L Kaysen
May 27, 2014·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Tuva OktedalenTomas Formo Langkaas
Nov 26, 2014·Development and Psychopathology·Paul R SmokowskiMartica Bacallao
Apr 14, 2015·Journal of Traumatic Stress·Kendall C BrowneSonya B Norman
Mar 13, 2016·Journal of Interpersonal Violence·Carolyn B AllardMurray B Stein
May 25, 2016·Journal of Behavior Therapy and Experimental Psychiatry·Erin G CliftonLori A Zoellner
Jul 28, 2016·Journal of Psychiatric Research·Sharon M SmithBridget F Grant
May 11, 2017·Psychotherapy and Psychosomatics·Lesia M RuglassDenise A Hien
May 12, 2017·Psychological Assessment·Frank W WeathersBrian P Marx
Jun 28, 2017·Journal of Affective Disorders·Katherine C CunninghamJean C Beckham
Dec 13, 2017·Behaviour Research and Therapy·Benjamin TrachikDeborah C Beidel
Feb 28, 2018·Journal of Psychiatric Research·S B NormanUNKNOWN Progress Team
Mar 20, 2018·Psychology of Addictive Behaviors : Journal of the Society of Psychologists in Addictive Behaviors·Sonya B NormanRobert H Pietrzak
Jul 3, 2018·Psychological Trauma : Theory, Research, Practice and Policy·Sadie E LarsenPatricia A Resick
Nov 7, 2018·Journal of Traumatic Stress·Kristen H WalterCynthia J Thomsen
Dec 12, 2018·Addictive Behaviors·Sudie E BackKathleen T Brady
Apr 25, 2019·JAMA Psychiatry·Sonya B NormanTina Mayes
Citations
Mar 7, 2021·Journal of Psychiatric Research·Lorig K KachadourianSonya Norman
Aug 20, 2021·Psychological Medicine·Shira MaguenRobert H Pietrzak
Jan 4, 2022·Journal of Traumatic Stress·Erin M GandelmanSudie E Back
Jan 26, 2022·Depression and Anxiety·Sonya B NormanAbigail Angkaw