This study compared a Posttraumatic Stress Disorder (PTSD) treatment (Cognitive Processing Therapy; CPT), an Alcohol Use Disorder (AUD) treatment (Relapse Prevention; RP), and assessment-only (AO) for those meeting diagnostic criteria for both PTSD and AUD. Participants with current PTSD/AUD were initially randomized to CPT, RP, or AO and assessed post-treatment or 6-weeks post-randomization (AO). AO participants were then re-randomized to CPT or RP. Follow-ups were at immediate post-treatment, 3-, and 12-months. Mixed effects intent-to-treat models compared conditions on changes in PTSD symptom severity, drinking days, and heavy drinking days. Results and conclusions are presented.
This course is based on the reading-based online article, Cognitive Processing Therapy Or Relapse Prevention for Comorbid Posttraumatic Stress Disorder and Alcohol Use Disorder created by Tracy L. Simpson, Ph.D. et al. in 2022.
Publication Date:
PLoS ONE 17(11): e0276111.
Course Material Authors
Course Material Authors authored the material only, and were not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.
Tracy L. Simpson, Ph.D.
Tracy L. Simpson, Ph.D., is a clinical psychologist at VA Puget Sound Health Care System and a professor of psychiatry and behavioral sciences at the University of Washington School of Medicine. She is a senior faculty member of the VA Puget Sound Center of Excellence in Substance Addiction Treatment and Education. Dr. Simpson has more than 20 years of clinical and research experience with trauma and posttrauma sequelae, and has collaborated on various trials evaluating mindfulness-based interventions for posttraumatic stress disorder (PTSD). She has also carried out trials evaluating pharmacologic and behavioral interventions for alcohol use disorders with and without concurrent PTSD.
Debra L. Kaysen, Ph.D.
Debra Kaysen, Ph.D. is affiliated with the University of Washington and Stanford University. Her area of specialty both in research and clinical work is in treatment for those who have experienced traumatic events including treatment of PTSD and related disorders. She has conducted critical studies on treatment of PTSD and/or substance use across a variety of populations (sexual minority women, Native Americans, sexual assault survivors, torture survivors, active duty military), settings (the Democratic Republic of Congo, Iraq, primary care, rural settings), and modalities (telephone based, web-based).
Elizabeth Mosco, Ph.D. is a licensed psychologist in Reno, NV. She opened a private practice
after 10 years of conducting home-based assessment and therapy with the VA Sierra Nevada
Health Care System. Dr. Mosco’s clinical interests include maternal mental health, older adults,
and third wave cognitive behavioral therapies.
Recommended For:
Counselors, marriage and family therapists, psychologists and social workers. This course is appropriate for all levels of knowledge.
Course Objectives:
After taking this course, you should be able to:
Discuss the research to date regarding the incidence of and current treatments for comorbid PTSD and AUD.
Summarize RP and CPT.
Evaluate the effectiveness of RP and CPT for comorbid PTSD and AUD, including how the treatments compare to an integrated treatment addressing both diagnoses.
Disclosure to Learners
Disclosure of Relevant Financial Relationships
CE Learning Systems adheres to the ACCME's Standards for Integrity and Independence in Accredited
Continuing Medical Education. Any individuals in a position to control the content of a CE activity –
including faculty, planners, reviewers, or others ― are required to disclose all relevant financial
relationships with ineligible entities (formerly known as commercial interests).
The following relevant financial relationships have been disclosed by this activity's planners, faculty, and
the reviewer:
Planners and Reviewers
The planners of this activity have reported that they have no relevant financial relationships.
Commercial support
There is no commercial support for this distance-learning course.
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