Cited by 173Posttraumatic Stress Disorder ResearchSubstance Abuse Treatment and OutcomesAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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Trauma-focused imaginal exposure for individuals with comorbid posttraumatic stress disorder and alcohol dependence: Revealing mechanisms of alcohol craving in a cue reactivity paradigm.

Coffey, Scott F., Stasiewicz, Paul R., Hughes, Pamela M., Brimo, Marcella L.·2006·Psychology of Addictive Behaviors

DOI 10.1037/0893-164x.20.4.425

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Abstract

With a sample (N = 43) of participants meeting current diagnostic criteria for both alcohol dependence and posttraumatic stress disorder (PTSD), the authors tested the hypothesis that alcohol craving elicited by a trauma cue might be attenuated if trauma-elicited negative emotion were reduced following trauma-focused imaginal exposure. In a laboratory-based experiment, participants were randomly assigned to either trauma-focused imaginal exposure or imagery-based relaxation. A cue reactivity paradigm was used to assess alcohol craving prior to, and after completion of, the 6 clinical sessions. Attrition was high but did not differ between experimental conditions. For study completers, PTSD symptoms decreased in the exposure condition but not in the relaxation condition. Alcohol craving and distress elicited by trauma images decreased in the exposure condition but did not change in the relaxation condition. Results support the hypothesis that negative emotion is a mechanism of alcohol craving.

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BackgroundMethodResultInfluential
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Background
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Background
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Background
When abuse primes addiction — Automatic activation of alcohol concepts by child maltreatment related cues in emotionally abused alcoholics
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“integrated treatment) will allow symptoms to improve in concert, yielding optimal outcomes as compared to addressing the conditions one at a time [12,32].”
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“While most evidenced-based treatments for PTSD aim to reduce anticipatory negative emotion associated with trauma, exposure-based treatments appear particularly effective at decreasing traumatic cue reactivity, particularly in individuals with co-occurring PTSD and substance use disorders (Coffey et al., 2006; Nosen e…”
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Authors: Coffey, S. F., Stasiewicz, P. R., Hughes, P. M., & Brimo, M. L.
Affiliations: University of Mississippi Medical Center (US)
University at Buffalo, State University of New York (US)
ORCID: Stasiewicz, Paul R.
Venue: Psychology of Addictive Behaviors
Publisher: American Psychological Association (APA)
Published: 2006-12
Volume: 20
Issue: 4
Pages: 425-435
ISSN: 0893-164X (ISSN-L)
1939-1501
DOI: 10.1037/0893-164x.20.4.425
OpenAlex: W2081541741
Semantic Scholar: 9abb540d1db2654567f1f105ab47130d68ead760
Cited by: 172
References: 69
Citations by year: 2026: 3 · 2025: 5 · 2024: 5 · 2023: 4 · 2022: 6 · 2021: 12 · 2020: 12 · 2019: 6 · 2018: 13 · 2017: 14 · 2016: 13 · 2015: 12 · 2014: 7 · 2013: 15 · 2012: 14
FWCI: 3.69
Type: journal article
Language: en
Open access: closed
Locations: Psychology of Addictive Behaviors (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute on Alcohol Abuse and Alcoholism (AA13308)
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: post-traumatic stress disorder, alcoholism, alcohol craving, cue reactivity, negative emotions, comorbidities, PTSD treatment
MeSH terms: Adult, Alcoholism, Arousal, Cues, Desensitization, Psychologic, Female, Humans, Imagination, Male, Middle Aged, Motivation, Pain Measurement, Patient Dropouts, Stress Disorders, Post-Traumatic, Comorbidity

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Trauma-focused imaginal exposure for individuals with comorbid posttraumatic stress disorder and alcohol dependence: Revealing mechanisms of alcohol craving in a cue reactivity paradigm.

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