RecruitingNCT06588309

The Course and Outcome of Integreated Trauma and Addiction Treatment Between PTSD and CPTSD

What's in a Name? Do PTSD and Complex PTSD Diagnoses Predict Differences in Course and Outcome of Integrated Addiction and Trauma Focused Treatment?


Sponsor

IrisZorg

Enrollment

50 participants

Start Date

Sep 1, 2023

Study Type

OBSERVATIONAL

Conditions

Summary

In the ICD-11 post-traumatic stress disorder (PTSD) and complex PTSD (CPTSD) are distinguished. CPTSD is associated with early childhood traumatization and more severe symptom patterns. Research thus far confirms that PTSD and CPTSD are two related but different concepts, but it's still unclear what the clinical relevance of this differentiation is. In addiction care approximately one out of three patients suffer from (C)PTSD. It's unclear if in patients with a substance use disorder (SUD) comorbid CPTSD results in poorer treatment outcomes compared to comorbid PTSD.


Eligibility

Min Age: 18 Years

Inclusion Criteria5

  • Age ≥18 years. •- Primary diagnosis SUD involving one of the following substances: alcohol, cannabis, cocaine, amphetamine, benzodiazepine, opioid according to the DSM-5 (American Psychiatric Association, 2013), who are receiving or starting outpatient CRA.
  • A DSM-5 diagnosis of PTSD (n=25). A DSM-5 diagnosis of PTSD and an additional ICD-11 diagnosis of CPTSD (n=25).
  • Planned start of EMDR-therapy within 8 weeks.
  • Good Dutch language proficiency (based on clinical judgement).
  • Written informed consent

Exclusion Criteria1

  • \-

Interventions

BEHAVIORALEye movement desensitization and reprocessing (EMDR)

Integrated addiction and traumafocused treatment.

BEHAVIORALCRA

CRA is a comprehensive cognitive behavioural treatment that focuses on helping people discover and adopt a pleasurable, social and healthy lifestyle that is more rewarding than a lifestyle including substance use.


Locations(1)

IrisZorg

Arnhem, Netherlands

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NCT06588309


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