ERIC Number: EJ778664
Record Type: Journal
Publication Date: 2003-Dec
Reference Count: 0
Treating Child Abuse-Related Posttraumatic Stress and Comorbid Substance Abuse in Adolescents
Cohen, Judith A.; Mannarino, Anthony P.; Zhitova, Aren C.; Capone, Margery E.
Child Abuse & Neglect: The International Journal, v27 n12 p1345-1365 Dec 2003
Objective: Child abuse is a risk factor for developing Posttraumatic Stress Disorder (PTSD) and subsequent Substance Use Disorder (SUD). The purpose of this review is to summarize current knowledge about effective treatments for adolescent abuse-related PTSD, SUD, and the co-occurrence of these conditions. Method: The literature on empirical treatment studies for these conditions in adolescence was reviewed, summarized, and synthesized. Results: Randomized controlled studies of abuse-related PTSD and SUD in adolescents have supported the efficacy of cognitive behaviorally-based individual and family treatment components. Components overlap considerably in empirically supported treatments for each disorder. An integrated treatment approach is described for use in adolescents with abuse-related PTSD and SUD, with recommendations for optimizing services for this population and for future research. Conclusions: The available evidence on effective treatments suggests that integrated PTSD- and SUD-focused cognitive-behavioral and family treatment for adolescents with comorbid abuse-related PTSD and SUD may optimize outcomes for this population.
Descriptors: Substance Abuse, Child Abuse, Posttraumatic Stress Disorder, At Risk Persons, Adolescents, Correlation, Counseling Techniques, Cognitive Restructuring, Behavior Modification, Family Counseling, Counseling Effectiveness
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Publication Type: Information Analyses; Journal Articles; Reports - Research
Education Level: N/A
Sponsor: Substance Abuse and Mental Health Services Administration (DHHS/PHS), Rockville, MD. Center for Mental Health Services.; National Inst. of Mental Health (DHEW), Rockville, MD.
Authoring Institution: N/A