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Examining a Brief Emotion Regulation Skills Intervention Among Trauma-Exposed Patients with Opioid Use Disorder: A Single Case Approach

Vidana, Ariana Gabriela
http://orcid.org/0000-0001-5636-9251
http://rave.ohiolink.edu/etdc/view?acc_num=toledo1692880368503992

Abstract Details

2023, Doctor of Philosophy, University of Toledo, Psychology - Clinical.
Posttraumatic stress disorder (PTSD) and substance use disorders frequently co-occur. There is also evidence that emotion dysregulation underlies the development and maintenance of co-occurring PTSD and substance use disorders, including opioid use disorder (OUD). Thus, interventions designed to specifically target emotion dysregulation may have utility in addressing this co-occurrence. The aim of this study was to adapt an existing treatment that targets emotion dysregulation (emotion regulation group therapy) to a brief individualized protocol and assess its preliminary efficacy for reducing PTSD symptoms, emotion regulation difficulties, negative affect, and substance-use related outcomes. Using a multiple baseline experimental design, the intervention was evaluated in a patient sample of adults in medication-assisted treatment for OUD (N = 4) with probable PTSD. Participants completed daily assessments during a 2- or 4-week baseline phase, a 4-week treatment phase, and 4-week post-intervention phase. Results demonstrate that by the end of the treatment phase, two participants demonstrated reliable decreases in emotion regulation difficulties, two participants demonstrated reliable decreases in negative affect, two participants demonstrated reliable decreases in craving, and one participant demonstrated a reliable increase in medication adherence self-efficacy. By the end of the follow-up period, three participants demonstrated reliable decreases in PTSD symptoms, one participant demonstrated a further reliable decrease in emotion regulation difficulties, one participant demonstrated a reliable improvement in medication adherence, one participant demonstrated a reliable improvement in medication adherence self-efficacy, two participants demonstrated further reliable decreases in negative affect, one participant demonstrated a further reliable decrease in craving, and one participant demonstrated a reliable decrease in substance use. Results provide preliminary evidence that this emotion regulation intervention may be useful as a supplement to medication-assisted treatment for OUD among patients with PTSD symptoms.
Kamala London-Newton (Committee Chair)
Matthew Tull (Committee Member)
Kim Gratz (Committee Member)
Wesley Bullock (Committee Member)
Jason Rose (Committee Member)
Shannon Sauer-Zavala (Committee Member)
105 p.
Clinical Psychology
posttraumatic stress disorder; opioid use disorder; emotion regulation; multiple baseline design

Recommended Citations

Citations

  • Vidana, A. G. (2023). Examining a Brief Emotion Regulation Skills Intervention Among Trauma-Exposed Patients with Opioid Use Disorder: A Single Case Approach [Doctoral dissertation, University of Toledo]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1692880368503992

    APA Style (7th edition)

  • Vidana, Ariana. Examining a Brief Emotion Regulation Skills Intervention Among Trauma-Exposed Patients with Opioid Use Disorder: A Single Case Approach. 2023. University of Toledo, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=toledo1692880368503992.

    MLA Style (8th edition)

  • Vidana, Ariana. "Examining a Brief Emotion Regulation Skills Intervention Among Trauma-Exposed Patients with Opioid Use Disorder: A Single Case Approach." Doctoral dissertation, University of Toledo, 2023. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1692880368503992

    Chicago Manual of Style (17th edition)

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© 2023, all rights reserved.
This open access ETD is published by University of Toledo and OhioLINK.