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The Role of Relationship Adjustment in an Integrated Individual Treatment for PTSD and Substance Use Disorders Among Veterans

About the Course

Identifying factors that influence treatment outcomes of emerging integrated interventions for co-occurring Posttraumatic stress disorder (PTSD) and substance use disorder (SUD) is crucial to maximize Veterans’ health. Dyadic adjustment suffers among individuals with PTSD and SUD, and may be an important mechanism of change in treatment. This exploratory study examined the association between dyadic adjustment and treatment outcomes in individual integrated treatment for co-occurring PTSD and SUD.

This course is based on the article, The Role of Relationship Adjustment in an Integrated Individual Treatment for PTSD and Substance Use Disorders among Veterans created by Julianne C. Flanagan, Ph.D. et al. in 2017.

Publication Date:

J Dual Diagn. 2017 ; 13(3): 213–218. doi:10.1080/15504263.2017.1312039. 2017

Course Material Authors

Course Material Authors authored the material only, and were not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.

Julianne C. Flanagan, Ph.D.
Dr. Flanagan is an Assistant Professor in the Addiction Sciences Division of the Department of Psychiatry and Behavioral Sciences. She has published more than 20 articles in peer reviewed journals.
Melanie S. Fischer, Ph.D.
Dr. Fischer works at the Universität Heidelberg · Institute of Medical Psychology and has published more than 40 articles in peer reviewed journals.
Christal L. Badour, Ph.D.
Dr. Badour is the director of the Stress, Trauma and Recovery Research Collaborative (STARRC). . Dr. Badour's research focuses on understanding the development and maintenance of psychopathology following traumatic experiences. Much of this work involves examining the role of affective expression and regulation in posttraumatic stress disorder (PTSD), with a particular emphasis on moral emotions such as disgust, shame, and guilt. Dr. Badour is also interested in identifying unique and shared processes underlying symptoms of PTSD and commonly comorbid concerns including substance abuse, obsessive-compulsive disorder (OCD), sexual risk behavior, and sexual dysfunction. She has published more than 60 articles in peer reviewed journals.

Course Creator

Hana Kuc, LMHC, NCC, CASAC
Hana Kuc is a Licensed Mental Heath counselor and a Credentialed Alcoholism and Substance Abuse Counselor who has been working in the field for 13 years. In that time she has worked as a counselor, therapist, educator and director. Hana has specialized in working with clients on medication assisted treatment, who are in recovery from opiates, and are also diagnosed with a mental health disorder.

Recommended For:

Counselors, marriage and family therapists, psychologists and social workers. This course is appropriate for all levels of knowledge. This content is at an intermediate level.

Course Objectives:

After taking this course, you should be able to:

  1. Describe the rationale, hypotheses and design of the study.
  2. Review results of the study, associations between relationship adjustment, and treatment outcomes for PTSD symptoms, substance use and depression.
  3. Discuss results, limitations, and future study directions.

Disclosure to Learners

Disclosure of Relevant Financial Relationships

CE Learning Systems adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CE activity – including faculty, planners, reviewers, or others ― are required to disclose all relevant financial relationships with ineligible entities (formerly known as commercial interests).

The following relevant financial relationships have been disclosed by this activity's planners, faculty, and the reviewer:

Planners and Reviewers

The planners of this activity have reported that they have no relevant financial relationships.

Faculty: Hana Kuc, LMHC, NCC, CASAC

No relevant financial relationships.

Commercial support

There is no commercial support for this distance-learning course.

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Course Number 102767
1.75 CE credit hour
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  • Reading-Based Online
Exam Fee $10.45
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