title: A systematic review of technology-based interventions for co-occurring substance use and trauma symptoms.
abstract: Introduction Technology-based mental health interventions are becoming increasingly common, and several have begun to target multiple outcomes in a single intervention. Recent developments in the treatment of co-occurring posttraumatic stress disorder and substance use disorder has led to the development and testing of technology-based interventions for these disorders. The current systematic review examined technology-based interventions designed to improve mental health outcomes among patients with co-occurring trauma symptoms and substance use. Methods Of 601 articles reviewed, 14 included a technology-based intervention for patients with these co-occurring problems. Results Seven of these studies provided preliminary evidence that technology-based interventions are likely to be efficacious in reducing either trauma symptoms or substance use. The seven remaining studies demonstrated that technology-based interventions for co-occurring trauma symptoms and substance use are feasible. Discussion This review suggests that technology-based interventions for co-occurring trauma symptoms and substance use are feasible, but more work is needed to assess efficacy using scientifically rigorous studies.
authors.affiliation: 1 Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, USA.
authors.forename: Amanda K
authors.initials: AK
authors.lastname: Gilmore
authors.affiliation: 2 Department of Veterans Affairs (VA), Mid-Atlantic Region Mental Illness Research, Education, and Clinical Center (MIRECC), USA.
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Wilson
authors.affiliation: 3 National Center for Telehealth and Technology (T2), Joint Base Lewis McChord, USA.
authors.forename: Nancy A
authors.initials: NA
authors.lastname: Skopp
authors.affiliation: 4 SEIU 775 Benefits Group, USA.
authors.forename: Janyce E
authors.initials: JE
authors.lastname: Osenbach
authors.affiliation: 5 VA Puget Sound Health Care System, USA.|6 Department of Psychiatry and Behavioral Sciences, University of Washington, USA.
authors.forename: Greg
authors.initials: G
authors.lastname: Reger
mesh_terms: D006801:Humans; D008603:Mental Health; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology* / Q000628:therapy*; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000628:therapy*; D017216:Telemedicine / Q000458:organization & administration*
keywords: Posttraumatic stress symptoms; interventions; posttraumatic stress disorder; substance use; technology