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Related Experiment Videos

Treating complicated grief and substance use disorders: a pilot study.

Allan Zuckoff1, Katherine Shear, Ellen Frank

  • 1Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213-2393, USA. zuckoffam@upmc.edu

Journal of Substance Abuse Treatment
|April 18, 2006
PubMed
Summary

This study shows a new treatment for complicated grief and substance use disorders significantly reduces symptoms of grief and depression while increasing abstinence. Cravings also declined, suggesting a promising approach for co-occurring conditions.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Addiction Medicine

Background:

  • Co-occurring complicated grief and substance use disorders (SUDs) lack effective treatments.
  • Complicated grief is a distinct syndrome, and a targeted treatment exists but hasn't been studied in SUD populations.

Purpose of the Study:

  • To evaluate a manualized treatment for adults with co-occurring complicated grief and substance dependence or abuse.
  • To assess the efficacy of integrating motivational interviewing and emotion coping skills into existing complicated grief treatment.

Main Methods:

  • An open pilot study involving 16 adults with complicated grief and SUDs.
  • A 24-session manualized treatment incorporating motivational interviewing and emotion coping/communication skills.
  • Evaluations included the Inventory of Complicated Grief and Beck Depression Inventory, with Timeline Followback for abstinence.

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Main Results:

  • Significant reductions in complicated grief and depression scores (large effect sizes).
  • Significant increases in days abstinent (medium to large effect sizes).
  • Significant decline in substance craving intensity.

Conclusions:

  • The integrated treatment for complicated grief and substance use disorders is a promising intervention.
  • Further research is warranted to confirm these findings in larger, controlled trials.