“Seeking safety”: outcome of a new cognitive-behavioral psychotherapy for women with posttraumatic stress disorder and substance dependence
Abstract
Women with current posttraumatic stress disorder (PTSD) comprise 30‐59% of substance abuse treatment samples and experience a more severe course than women with either disorder alone. As yet, no effective treatment for this population has been identified. This paper reports outcome results on 17 women who completed a new manual‐based 24‐session cognitive behavioral group therapy protocol treatment, based on assessments at pretreatment, during treatment, posttreatment, and at 3‐month follow‐up. Results showed significant improvements in substance use, trauma‐related symptoms, suicide risk, suicidal thoughts, social adjustment, family functioning, problem solving, depression, cognitions about substance use, and didactic knowledge related to the treatment. Patients' treatment attendance, alliance, and satisfaction were also very strong. Treatment completers were more impaired than dropouts, yet more engaged in the treatment. Overall, our data suggest that women with PTSD and substance abuse can be helped when provided with a treatment designed for them. All results are clearly tentative, however, due to the lack of a control group, multiple comparisons, and absence of assessment of dropouts.
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Among interventions for co-occurring disorders used in the U.S., Seeking Safety has perhaps the strongest evidence base.
“Among interventions for COD currently employed in the U.S., Seeking Safety (Najavits, 2002; Najavits, Weiss, Shaw, & Muenz, 1998) has perhaps the strongest evidence base.”
From Mindfulness-Oriented Recovery Enhancement versus CBT for co-occurring substance dependence, traumatic stress, and psychiatric disorders: Proximal outcomes from a pragmatic randomized trial (2016) · cites this paper as Najavits et al., 1998
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- Authors
- Najavits, L. M., Weiss, R. D., Shaw, S. R., & Muenz, L. R.
- Affiliations
- Harvard University (US)
- McLean Hospital (US)
- University of Pennsylvania (US)
- Corresponding author
- Shaw, Sarah R.
- Venue
- Journal of Traumatic Stress
- Publisher
- Wiley
- Published
- 1998-07
- Volume
- 11
- Issue
- 3
- Pages
- 437-456
- ISSN
- 0894-9867 (ISSN-L)
- 1573-6598
- OpenAlex
- W2041880469
- Cited by
- 451
- References
- 44
- Citations by year
- 2026: 7 · 2025: 8 · 2024: 3 · 2023: 4 · 2022: 10 · 2021: 14 · 2020: 12 · 2019: 12 · 2018: 15 · 2017: 13 · 2016: 14 · 2015: 23 · 2014: 22 · 2013: 20 · 2012: 33
- FWCI
- 12.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Traumatic Stress (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Dr. Ralph and Marian Falk Medical Research Trust
- National Institute on Drug Abuse (K02-DA 00326, K02DA000326, R01-DA08631, R01DA008631)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- post-traumatic stress disorder, substance dependence, women, group cognitive behavioral therapy, trauma-focused psychotherapy, treatment outcomes, suicide risk, social adaptation, family functioning, treatment engagement, treatment alliance, treatment satisfaction
- MeSH terms
- Adult, Child, Child Abuse, Child Abuse, Sexual, Crime, Female, Follow-Up Studies, Humans, Middle Aged, Patient Dropouts, Personality Assessment, Stress Disorders, Post-Traumatic, Comorbidity, Cognitive Behavioral Therapy, Treatment Outcome, Diagnosis, Dual (Psychiatry), Substance-Related Disorders
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