Understanding and Testing Recovery Processes for PTSD and Alcohol Use Following Sexual Assault
Alcohol; Use, Problem, Posttraumatic Stress Disorder
About this trial
This is an interventional treatment trial for Alcohol; Use, Problem
Eligibility Criteria
Inclusion Criteria:
- Identifies as female.
- Between the age of 18 and 65.
- Reports a sexual assault in the last 4 weeks to 1 year.
- Current PTSD severity of 23+ on the PSS-I-5.
- Current heavy alcohol use (2+ heavy episodic drinking occasions [4+ drinks on one occasion] in past month).
- Access to the internet and a device with a webcam.
Exclusion Criteria:
- Current diagnosis of schizophrenia, delusional disorder, or organic mental disorder as defined by the DSM-5.
- Current diagnosis of bipolar disorder, depression with psychotic features, or depression severe enough to require immediate psychiatric treatment (i.e., serious suicide risk with intent and plan).
- Unwilling or unable to discontinue current trauma-focused psychotherapy or current substance use psychotherapy.
- Unstable dose of psychotropic medications in the prior 3 months.
- Ongoing intimate relationship with the perpetrator of most recent assault.
- Current diagnosis of a severe substance use disorder according to DSM-5, other than alcohol in the last month.
- No clear trauma memory.
- Current higher dose use of benzodiazepines (greater than the equivalent of 4 mg of lorazepam, 2 mg alprazolam, 1.5 mg clonazepam, or 20 mg of diazepam).
Sites / Locations
- University of WashingtonRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Experimental
Experimental
Active Comparator
Experimental
Experimental
Imaginal Exposure First, then Alcohol Skills
Alcohol Skills First, then Imaginal Exposure
Supportive Counseling/Telehealth
Alcohol Skills First, no additional treatment
Imaginal Exposure First, no additional treatment
Imaginal exposure to the sexual assault memory targeting PTSD symptoms after sexual assault. After imaginal exposure, alcohol skills targeting alcohol misuse after sexual assault.
Alcohol skills targeting alcohol misuse after sexual assault. After alcohol skills training, imaginal exposure to the sexual assault memory targeting PTSD symptoms after sexual assault.
Internet-based intervention focusing on providing support.
Alcohol skills targeting alcohol misuse after sexual assault only. No additional treatment.
Imaginal exposure to the sexual assault memory targeting PTSD symptoms after sexual assault. No additional treatment.