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J Clin Med. 2017 Jul 21;6(7). doi: 10.3390/jcm6070072.

Effects of Assault Type on Cognitive Behaviour Therapy for Coexisting Depression and Alcohol Misuse.

Journal of clinical medicine

Kylie A Bailey, Amanda L Baker, Patrick McElduff, Mark A Jones, Christopher Oldmeadow, David J Kavanagh

Affiliations

  1. School of Medicine and Public Health, University of Newcastle, University Drive, Callaghan NSW 2308, Australia. [email protected].
  2. School of Medicine and Public Health, University of Newcastle, University Drive, Callaghan NSW 2308, Australia. [email protected].
  3. School of Medicine and Public Health, University of Newcastle, University Drive, Callaghan NSW 2308, Australia. [email protected].
  4. Hunter Medical Research Institute, 1/1 Kookaburra circuit, New Lambton Heights NSW 2305, Australia. [email protected].
  5. School of Medicine and Public Health, University of Newcastle, University Drive, Callaghan NSW 2308, Australia. [email protected].
  6. Hunter Medical Research Institute, 1/1 Kookaburra circuit, New Lambton Heights NSW 2305, Australia. [email protected].
  7. Centre for Children's Health Research, Institute of Health & Biomedical Innovation and School of Psychology & Counselling, Queensland University of Technology, GPO Box 2434, Brisbane QLD 4000, Australia. [email protected].

PMID: 28753976 PMCID: PMC5532580 DOI: 10.3390/jcm6070072

Abstract

Although assault exposure is common in mental health and substance misusing populations, screening for assaults in treatment settings is frequently overlooked. This secondary analysis explored the effects of past sexual (SA) and physical (PA) assault on depression, alcohol misuse, global functioning and attrition in the Depression and Alcohol Integrated and Single focussed Intervention (DAISI) project, whose participants (N = 278) received cognitive behaviour therapy (CBT) for their depression and/or alcohol misuse. Of the 278 DAISI participants, 220 consented to screening for past assault (either by a stranger or non-stranger) at baseline. Depression, alcohol, and global functioning assessments were administered at baseline and 3, 12, 24, and 36 months post baseline. A between-group analysis was used to assess differences between SA and No SA, and PA and No PA groupings, on adjusted mean treatment outcomes across all assessment periods. SA and PA participants had similar mean symptom reductions compared to No SA and No PA participants except for lower depression and global functioning change scores at the 12-month follow-up. People with coexisting depression and alcohol misuse reporting SA or PA can respond well to CBT for depression and alcohol misuse. However, follow-up is recommended in order to monitor fluctuations in outcomes.

Keywords: alcohol drinking; cognitive behaviour therapy; depression; treatment; violence

Conflict of interest statement

The authors declare that there are no conflicting interests.

References

  1. J Subst Abuse Treat. 2014 Mar;46(3):281-90 - PubMed
  2. Drug Alcohol Depend. 2007 Sep 6;90(1):89-96 - PubMed
  3. Arch Gen Psychiatry. 2005 Aug;62(8):911-21 - PubMed
  4. Addiction. 2013 Aug;108(8):1397-1410 - PubMed
  5. Isr J Psychiatry Relat Sci. 2009;46(4):269-73 - PubMed
  6. J Interpers Violence. 2004 Nov;19(11):1252-76 - PubMed
  7. J Anxiety Disord. 2011 Apr;25(3):456-65 - PubMed
  8. Psychol Med. 2010 Jun;40(6):881-93 - PubMed
  9. J Consult Clin Psychol. 2011 Aug;79(4):542-51 - PubMed
  10. Drug Alcohol Rev. 2012 Jun;31(4):529-37 - PubMed
  11. J Consult Clin Psychol. 2004 Jun;72(3):531-4 - PubMed
  12. J Interpers Violence. 2010 Jan;25(1):63-74 - PubMed
  13. J Consult Clin Psychol. 2012 Apr;80(2):201-10 - PubMed
  14. Am J Prev Med. 1998 May;14(4):245-58 - PubMed
  15. Addiction. 1993 Jun;88(6):791-804 - PubMed
  16. Addict Behav. 1998 Nov-Dec;23(6):785-95 - PubMed
  17. J Consult Clin Psychol. 2008 Aug;76(4):633-47 - PubMed
  18. J Clin Psychol. 2006 Jul;62(7):815-35 - PubMed
  19. Addiction. 2010 Jan;105(1):87-99 - PubMed
  20. J Stud Alcohol Drugs. 2009 Jul;70(4):516-27 - PubMed
  21. J Subst Abuse Treat. 2008 Jan;34(1):48-60 - PubMed
  22. Addict Behav. 1998 Nov-Dec;23(6):813-25 - PubMed
  23. J Clin Med. 2016 Oct 09;5(10 ):null - PubMed
  24. JAMA. 2012 Aug 15;308(7):690-9 - PubMed
  25. Ment Health Subst Use. 2011 Nov;4(4):314-326 - PubMed
  26. J Consult Clin Psychol. 2011 Apr;79(2):193-202 - PubMed
  27. BMJ. 2011 Feb 07;342:d40 - PubMed
  28. Psychol Med. 1997 Sep;27(5):1101-19 - PubMed
  29. Arch Gen Psychiatry. 2005 Apr;62(4):417-22 - PubMed
  30. Am J Psychiatry. 2006 Apr;163(4):652-8 - PubMed

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