Integrated Cognitive Behavioral Therapy Versus Cognitive Processing Therapy for Adults With XXXX , Substance use Disorder, and @entity130 .

@entity1 @entity308 @entity73 @entity1005 @entity1191 @entity734 @entity130
UNASSIGNED: The comorbidity of @entity734 ( @entity734 ), @entity308 , and @entity1005 is common among veterans. Prior research has shown that among veterans with @entity734 and @entity308 , those with @entity1005 did not maintain @entity73 as well as those without @entity1005 . Thus, the current study was designed to evaluate whether adding @entity130 -focused treatment following an initial group-based @entity73 ( @entity73 ) for @entity734 and @entity308 improved treatment outcomes. @entity1 were 123 veterans (89% male) recruited from the VA San Diego Healthcare System. All @entity1 received @entity73 in twice weekly, group-delivered sessions for 12 weeks (Phase 1). @entity1 were then randomized to receive 12 sessions of individual follow-up sessions (Phase 2) utilizing either @entity73 or cognitive processing therapy that was modified to integrate @entity734 treatment ( @entity1191 -M). Results indicated that @entity1005 and @entity308 symptoms slightly improved at the end of Phase 1 group @entity73 and further improved through Phase 2 individual treatment (except for @entity1 without @entity1005 who received @entity1191 -M), with treatment gains maintained one year later. Substance use significantly improved at the end of Phase 1 group @entity73 and these improvements were maintained through Phase 2 and the one year follow-up. @entity1 in the @entity130 -focused Phase 2 treatment ( @entity1191 -M) exhibited similar levels of symptom reduction and maintenance of treatment gains as those in the non- @entity130 -focused Phase 2 treatment ( @entity73 ). However, there was a slight advantage for Phase 2 @entity1191 -M over Phase 2 @entity73 with respect to heavy drinking outcomes for individuals with @entity1005 . Overall, the combination of group @entity73 followed by either @entity1191 -M or @entity73 individual therapy appears to be effective for veterans with @entity308 , @entity734 , and @entity130 history.
