Feasibility, Acceptability, and Preliminary Clinical Impact of a Computer-Assisted Transdiagnostic CBT Intervention for Veterans with Co-Occurring Anxiety and Substance Use Disorders.

IF 2.6 4区医学 Q3 PSYCHIATRY

Journal of Dual Diagnosis Pub Date : 2025-10-01 DOI:10.1080/15504263.2025.2559174

Alan Z Sheinfil, Michael A Cucciare, Kate Wolitzky-Taylor, Jeffrey A Cully, Jan A Lindsay, Anthony H Ecker

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引用次数: 0

Abstract

Objective: This study examined feasibility, acceptability, and preliminary clinical impact of Veterans Affairs Coordinated Anxiety Learning and Management- Substance (VA CALM-S), a computer-assisted, transdiagnostic cognitive behavioral intervention for co-occurring anxiety and substance use disorders (SUDs) among veterans.

Methods: Veterans with co-occurring anxiety and SUDs were randomized to receive VA CALM-S (n = 14) or usual care (n = 12). Acceptability and feasibility were assessed via treatment completion rates and qualitative feedback. Changes in self-reported anxiety symptoms, substance use, and substance-related consequences were assessed at posttreatment.

Results: Eighty-five percent of participants completed all VA CALM-S modules. Qualitative feedback indicated the intervention was well-received and helpful. Moderate-to-large effect sizes were observed for VA CALM-S in reducing anxiety symptoms (d = 0.64), substance use (d = 0.69), and substance-related consequences (d = 0.34). Relatively smaller effect sizes were observed for the usual care condition in anxiety symptoms (d = 0.24), substance use (d = 0.12), and substance-related consequences (d = -0.46).

Conclusions: Findings support the feasibility and acceptability of VA CALM-S for veterans with co-occurring anxiety and SUDs.

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计算机辅助的跨诊断CBT干预并发焦虑和物质使用障碍的可行性、可接受性和初步临床影响。

目的：探讨退伍军人事务协调焦虑学习和管理-物质（VA CALM-S）的可行性、可接受性和初步临床效果，这是一种计算机辅助、跨诊断的认知行为干预方法，用于治疗退伍军人共发焦虑和物质使用障碍（sud）。方法：合并焦虑和sud的退伍军人随机接受VA CALM-S （n = 14）或常规护理（n = 12）。通过治疗完成率和定性反馈评估可接受性和可行性。在治疗后评估自我报告的焦虑症状、药物使用和药物相关后果的变化。结果：85%的参与者完成了所有VA CALM-S模块。定性反馈表明，干预措施很受欢迎，也很有帮助。VA CALM-S在减轻焦虑症状（d = 0.64）、物质使用（d = 0.69）和物质相关后果（d = 0.34）方面观察到中等到较大的效应。在焦虑症状（d = 0.24）、物质使用（d = 0.12）和物质相关后果（d = -0.46）的常规护理条件中，观察到相对较小的效应值。结论：研究结果支持VA CALM-S对并发焦虑和sud的退伍军人的可行性和可接受性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Dual Diagnosis Multiple-

CiteScore

4.90

自引率

13.60%

发文量

期刊介绍： Journal of Dual Diagnosis is a quarterly, international publication that focuses on the full spectrum of complexities regarding dual diagnosis. The co-occurrence of mental health and substance use disorders, or “dual diagnosis,” is one of the quintessential issues in behavioral health. Why do such high rates of co-occurrence exist? What does it tell us about risk profiles? How do these linked disorders affect people, their families, and the communities in which they live? What are the natural paths to recovery? What specific treatments are most helpful and how can new ones be developed? How can we enhance the implementation of evidence-based practices at clinical, administrative, and policy levels? How can we help clients to learn active recovery skills and adopt needed supports, clinicians to master new interventions, programs to implement effective services, and communities to foster healthy adjustment? The Journal addresses each of these perplexing challenges.