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Pilot Cases of Combined Cognitive Processing Therapy and Smoking Cessation for Smokers With Posttraumatic Stress Disorder.

Publication ,  Journal Article
Dedert, EA; Resick, PA; McFall, ME; Dennis, PA; Olsen, M; Beckham, JC
Published in: Behav Ther
January 2016

Posttraumatic stress disorder (PTSD) and smoking are often comorbid, and both problems are in need of improved access to evidence-based treatment. The combined approach could address two high-priority problems and increase patient access to both treatments, but research is needed to determine whether this is feasible and has promise for addressing both PTSD and smoking. We collected data from 15 test cases that received a treatment combining two evidence-based treatments: cognitive processing therapy-cognitive version (CPT-C) for PTSD and integrated care for smoking cessation (ICSC). We explored two combined treatment protocols including a brief (six-session) CPT-C with five follow-up in-person sessions focused on smoking cessation (n=9) and a full 12-session CPT-C protocol with ICSC (n=6). The combined interventions were feasible and acceptable to patients with PTSD making a quit attempt. Initial positive benefits of the combined treatments were observed. The six-session dose of CPT-C and smoking cessation resulted in 6-month bioverified smoking abstinence in two of nine participants, with clinically meaningful PTSD symptom reduction in three of nine participants. In the second cohort (full CPT-C and smoking treatment), both smoking and PTSD symptoms were improved, with three of six participants abstinent from smoking and four of six participants reporting clinically meaningful reduction in PTSD symptoms. Results suggested that individuals with PTSD who smoke are willing to engage in concurrent treatment of these problems and that combined treatment is feasible.

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Published In

Behav Ther

DOI

EISSN

1878-1888

Publication Date

January 2016

Volume

47

Issue

1

Start / End Page

54 / 65

Location

England

Related Subject Headings

  • Stress Disorders, Post-Traumatic
  • Smoking Cessation
  • Smoking
  • Pilot Projects
  • Middle Aged
  • Male
  • Humans
  • Follow-Up Studies
  • Female
  • Comorbidity
 

Citation

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Dedert, E. A., Resick, P. A., McFall, M. E., Dennis, P. A., Olsen, M., & Beckham, J. C. (2016). Pilot Cases of Combined Cognitive Processing Therapy and Smoking Cessation for Smokers With Posttraumatic Stress Disorder. Behav Ther, 47(1), 54–65. https://doi.org/10.1016/j.beth.2015.09.002
Dedert, Eric A., Patricia A. Resick, Miles E. McFall, Paul A. Dennis, Maren Olsen, and Jean C. Beckham. “Pilot Cases of Combined Cognitive Processing Therapy and Smoking Cessation for Smokers With Posttraumatic Stress Disorder.Behav Ther 47, no. 1 (January 2016): 54–65. https://doi.org/10.1016/j.beth.2015.09.002.
Dedert EA, Resick PA, McFall ME, Dennis PA, Olsen M, Beckham JC. Pilot Cases of Combined Cognitive Processing Therapy and Smoking Cessation for Smokers With Posttraumatic Stress Disorder. Behav Ther. 2016 Jan;47(1):54–65.
Dedert, Eric A., et al. “Pilot Cases of Combined Cognitive Processing Therapy and Smoking Cessation for Smokers With Posttraumatic Stress Disorder.Behav Ther, vol. 47, no. 1, Jan. 2016, pp. 54–65. Pubmed, doi:10.1016/j.beth.2015.09.002.
Dedert EA, Resick PA, McFall ME, Dennis PA, Olsen M, Beckham JC. Pilot Cases of Combined Cognitive Processing Therapy and Smoking Cessation for Smokers With Posttraumatic Stress Disorder. Behav Ther. 2016 Jan;47(1):54–65.
Journal cover image

Published In

Behav Ther

DOI

EISSN

1878-1888

Publication Date

January 2016

Volume

47

Issue

1

Start / End Page

54 / 65

Location

England

Related Subject Headings

  • Stress Disorders, Post-Traumatic
  • Smoking Cessation
  • Smoking
  • Pilot Projects
  • Middle Aged
  • Male
  • Humans
  • Follow-Up Studies
  • Female
  • Comorbidity