University of Twente Student Theses


Het effect van gespecialiseerde behandeling Seeking Safety op copingstrategieën van getraumatiseerde verslaafden

Kornegoor, M.J.H. (2014) Het effect van gespecialiseerde behandeling Seeking Safety op copingstrategieën van getraumatiseerde verslaafden.

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Abstract:Introduction: Addiction is a psychological disorder which is characterized by the need of a substance (such as alcohol) or habit (such as gambling). A trauma is a form of psychological injury that can occur after experiencing an unusual and very emotional event, this can result in a post-traumatic stress disorder (PTSD). PTSD is common among addicts. Because conventional treatments are not sufficient for treating this complex dual diagnosis, the specialized treatment Seeking Safety was developed. This treatment focuses on different areas of life including the coping styles of a patient, which are ways to deal with problems. Positive coping styles address the problem, negative coping styles worsen it. It was expected that Seeking Safety would provide a greater increase in positive coping styles and a greater decrease in negative coping styles than regular treatment. The research question was: What is the effect of Seeking Safety on the coping styles of patients with substance use disorder and a trauma? Method: 16 patients between 24 to 57 years old with a diagnosis substance use disorder and a trauma participated in the study. An experimental group received treatment as usual (TAU) with the addition of Seeking Safety, this group was compared through an RCT with a control group who received TAU. Treatment as usual comprised leefstijltraining 4, a therapy which among other consist of cognitive behavioral components. At baseline, post- treatment and three- month follow -up, a test battery was administrated. This included the Utrecht Coping List, an instrument that measures coping styles. Results: At baseline the groups did not differ in age, gender or education. Cannabis use was higher in the experimental group than in the control group. In both conditions there was a decrease in the use of coping styles palliatieve reactie and passief reactiepatroon, the addition of Seeking Safety to TAU didn’t made a difference in the results. For other coping styles no significant differences were found between conditions and between baseline and post treatment. Discussion: There is no evidence that Seeking Safety makes a significant difference in the change of coping styles of patients. This is possible due to the low number of patients participated in this study or to the period it takes to learn a new habit. The results of the main research project have to be awaited to conclude with more certainty on the effectiveness of Seeking Safety. More research is necessary on the effectiveness of individual Seeking Safety sessions.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
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