Randomiserte kontrollerte studier av psykologisk behandling for samtidig posttraumatisk stresslidelse og ruslidelse

  • Fagartikkel skrevet i lag med Rolf W. Gråwe og Ellen Margrethe Hoxmark. Artikkelen er publisert i januarutgaven av Tidsskrift for Norsk Psykologforening. Engelsk abstract følger under, mens fulltekst kan leses i Tidsskrift for Norsk Psykologforening.


Posttraumatic stress disorder (PTSD) and substance use disorders (SUDS) frequently co-occur and this comorbidity is associated with more severe symptoms and disability, worse treatment outcomes and higher relapse rates, compared to patients presenting with only one of these disorders. The present article sets out to review randomized controlled trials of three influential integrated treatment models for concurrent PTSD and SUDS: (1) Seeking Safety, (2) Integrated Cognitive Behavioral Therapy, and (3) Concurrent Treatment of PTSD and Substance Use Disorders with Prolonged Exposure. Our main finding is that there are few significant differences between interventions and control conditions on any treatment outcomes, and the majority of studies are characterised by substantial methodological limitations. Our main conclusion is that there is a pressing need for methodological stringent and rigorous clinical trials in order to inform clinical practice.