Associations between Post-Traumatic Stress Symptoms, Stimulant Use, and Treatment Outcomes: A Secondary Analysis of NIDA's Women and Trauma Study
Article first published online: 26 JUN 2013
© American Academy of Addiction Psychiatry
The American Journal on Addictions
Volume 23, Issue 1, pages 90–95, January-February 2014
How to Cite
Ruglass, L. M., Hien, D. A., Hu, M.-C. and Campbell, A. N.C. (2014), Associations between Post-Traumatic Stress Symptoms, Stimulant Use, and Treatment Outcomes: A Secondary Analysis of NIDA's Women and Trauma Study. The American Journal on Addictions, 23: 90–95. doi: 10.1111/j.1521-0391.2013.12068.x
- Issue published online: 9 DEC 2013
- Article first published online: 26 JUN 2013
- Manuscript Accepted: 19 FEB 2013
- Manuscript Revised: 10 NOV 2012
- Manuscript Received: 10 MAR 2012
Background and Objectives
To examine the associations between post-traumatic stress disorder (PTSD) symptoms, stimulant use, and treatment outcomes among dually diagnosed women.
Participants were 141 women who participated in a multisite clinical trial of group treatments for PTSD and addictions.
Generalized linear models indicated Seeking Safety (SS; a cognitive-behavioral intervention) was significantly more effective than Women's Health Education (WHE; a control group intervention) in reducing stimulant use at follow-up among women who were heavy stimulant users at pre-treatment and who showed improvements in PTSD symptoms. There were no significant differences between the interventions among women who were light stimulant users at treatment entry.
Conclusions and Scientific Significance
These findings suggest that integrated treatment of co-occurring PTSD and addictions may be more effective than general health education approaches for heavy stimulant users. Assessment of frequency of stimulant use among individuals with PTSD symptoms may inform treatment selection for this population. (Am J Addict 2014;23:90–95)