Journal
CLINICAL PSYCHOLOGY-SCIENCE AND PRACTICE
Volume 19, Issue 3, Pages 283-304Publisher
EDUCATIONAL PUBLISHING FOUNDATION-AMERICAN PSYCHOLOGICAL ASSOC
DOI: 10.1111/cpsp.12006
Keywords
addiction; integrated treatment; posttraumatic stress disorder; substance use disorders; trauma
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Posttraumatic stress disorder (PTSD) and substance use disorders (SUDs) are prevalent and frequently co-occur. Comorbid PTSD/SUD is associated with a more complex and costly clinical course when compared with either disorder alone, including increased chronic physical health problems, poorer social functioning, higher rates of suicide attempts, more legal problems, increased risk of violence, worse treatment adherence, and less improvement during treatment. In response, psychosocial treatment options have increased substantially over the past decade and integrated approachestreatments that address symptoms of both PTSD and SUD concurrentlyare fast becoming the preferred model for treatment. This article reviews the prevalence, etiology, and assessment practices as well as advances in the behavioral and pharmacologic treatment of comorbid PTSD and SUDs.
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