title: Integrated Cognitive Behavioral Therapy (ICBT) For PTSD and Substance Use in Iraq and Afghanistan Veterans: A Feasibility Study.
abstract: Co-occurring posttraumatic stress disorder (PTSD) and substance use disorder (SUD) is prevalent in military Veterans and is associated with poorer outcomes than either disorder alone. The current pilot study examines the feasibility of delivering integrated cognitive behavioral therapy (ICBT) for co-occurring PTSD-SUD to Veterans who served in Iraq and Afghanistan. Our primary aims were testing the feasibility of engaging and retaining Veterans with a complex clinical presentation in a 12-week structured therapy. We focused on two feasibility outcomes: 1) acceptability; and 2) tolerability. We also examined clinically meaningful change in PTSD and depressive symptoms as a secondary aim. Over the course of the study, we recruited 12 eligible Veterans, 6 of whom completed ICBT. We encountered challenges related to engaging and retaining Veterans in treatment and discuss adaptations and refinements of ICBT or other integrated treatments for returning Veterans with co-occurring PTSD-SUD to increase feasibility with military Veterans.
authors.affiliation: Mental Health and Behavioral Sciences Service, Department of Veterans Affairs Medical Center, 830 Chalkstone Avenue Providence, RI 02908, USA ; Brown University, Center for Alcohol and Addiction Studies, Box G-S121-5 Providence, RI 02903, USA.
authors.forename: Christy
authors.initials: C
authors.lastname: Capone
authors.affiliation: Brown University, Center for Alcohol and Addiction Studies, Box G-S121-5 Providence, RI 02903, USA.
authors.forename: Erica
authors.initials: E
authors.lastname: Eaton
authors.affiliation: Mental Health and Behavioral Sciences Service, Department of Veterans Affairs Medical Center, 830 Chalkstone Avenue Providence, RI 02908, USA ; Brown University, Center for Alcohol and Addiction Studies, Box G-S121-5 Providence, RI 02903, USA.
authors.forename: Ashlee C
authors.initials: AC
authors.lastname: McGrath
authors.affiliation: Department of Psychiatry, Geisel School of Medicine at Dartmouth, 85 Mechanic Street, Suite B4-1, Lebanon, New Hampshire 03766, USA.
authors.forename: Mark P
authors.initials: MP
authors.lastname: McGovern
keywords: Comorbidity; Military Veterans; Posttraumatic stress disorder; Substance use; Treatment