Synergy between Seeking Safety and Twelve-Step Affiliation on substance use outcomes for women

Antonio A. Morgan-Lopez, Lissette M. Saavedra, Denise A. Hien, Aimee N. Campbell, Elwin Wu, Lesia Ruglass

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Objective: The Recovery Management paradigm provides a conceptual framework for the examination of joint impact of a focal treatment and post-treatment service utilization on substance abuse treatment outcomes. We test this framework by examining the interactive effects of a treatment for comorbid PTSD and substance use, Seeking Safety, and post-treatment Twelve-Step Affiliation (TSA) on alcohol and cocaine use. Method: Data from 353 women in a six-site, randomized controlled effectiveness trial within the NIDA Clinical Trials Network were analyzed under latent class pattern mixture modeling. LCPMM was used to model variation in Seeking Safety by TSA interaction effects on alcohol and cocaine use. Results: Significant reductions in alcohol use among women in Seeking Safety (compared to health education) were observed; women in the Seeking Safety condition who followed up with TSA had the greatest reductions over time in alcohol use. Reductions in cocaine use over time were also observed but did not differ between treatment conditions nor were there interactions with post-treatment TSA. Conclusions: Findings advance understanding of the complexities for treatment and continuing recovery processes for women with PTSD and SUDs, and further support the chronic disease model of addiction.

Original languageEnglish (US)
Pages (from-to)179-189
Number of pages11
JournalJournal of Substance Abuse Treatment
Volume45
Issue number2
DOIs
StatePublished - Aug 2013
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Phychiatric Mental Health
  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health

Keywords

  • AA
  • Group therapy
  • NA
  • Trauma

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