Intervention for Veterans With Depression, Substance Disorder, and Trauma
| Status: | Completed |
|---|---|
| Conditions: | Depression, Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/21/2016 |
| Start Date: | December 2009 |
| End Date: | May 2014 |
This study will compare two different types of psychotherapy for Veterans with depression,
addiction, and a past traumatic experience. Everyone in the study will receive 12 weeks of
group cognitive behavioral therapy focused on depression and addiction, followed by 12 weeks
of individual psychotherapy sessions. For the second 12 weeks, half of the people will
receive a review of the initial therapy, and half will receive a cognitive behavioral
therapy focused on trauma. Everyone will complete research interviews every 3 months for a
total of 18 months.
addiction, and a past traumatic experience. Everyone in the study will receive 12 weeks of
group cognitive behavioral therapy focused on depression and addiction, followed by 12 weeks
of individual psychotherapy sessions. For the second 12 weeks, half of the people will
receive a review of the initial therapy, and half will receive a cognitive behavioral
therapy focused on trauma. Everyone will complete research interviews every 3 months for a
total of 18 months.
The goal of this study is to evaluate whether a second disorder-specific intervention
improves longer term (up to 18 months) treatment outcomes for male and female Veterans with
co-occurring depression and alcohol/substance disorders and trauma history (with or without
PTSD diagnosis). This 4 years randomized two-group design uses repeated assessments at
baseline and every 3 months for a total of 12 months. The investigators are providing their
recently developed integrated intervention for comorbid depression and substance disorders
for the initial 12 weeks in group format (Integrated Cognitive Behavioral Therapy; Phase I).
After the 12 week group intervention, participants will be randomized to receive either a
review of the initial intervention in individual sessions, or a trauma-specific
intervention, Cognitive Processing Therapy, with integrated addiction treatment components.
Length, duration, and setting of both interventions will be the same, and all participants
will meet with the program psychiatrist for medication appointments. No medications are
under study and no placebo is used; medications will be prescribed using standard VA
protocol. Research assessments will document diagnosis, recent substance use, depression and
PTSD symptoms, medication adherence, and life stress.
improves longer term (up to 18 months) treatment outcomes for male and female Veterans with
co-occurring depression and alcohol/substance disorders and trauma history (with or without
PTSD diagnosis). This 4 years randomized two-group design uses repeated assessments at
baseline and every 3 months for a total of 12 months. The investigators are providing their
recently developed integrated intervention for comorbid depression and substance disorders
for the initial 12 weeks in group format (Integrated Cognitive Behavioral Therapy; Phase I).
After the 12 week group intervention, participants will be randomized to receive either a
review of the initial intervention in individual sessions, or a trauma-specific
intervention, Cognitive Processing Therapy, with integrated addiction treatment components.
Length, duration, and setting of both interventions will be the same, and all participants
will meet with the program psychiatrist for medication appointments. No medications are
under study and no placebo is used; medications will be prescribed using standard VA
protocol. Research assessments will document diagnosis, recent substance use, depression and
PTSD symptoms, medication adherence, and life stress.
Inclusion Criteria:
- Veterans 18 years of age and older living in the San Diego, California area
- Who are able to attend in-person therapy sessions
- Have depression, alcohol or substance addiction, and a past traumatic experience
Exclusion Criteria:
- Non-veterans
- Individuals with schizophrenia or severe memory impairment
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