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J. Clin. Med. 2017, 6(7), 72; doi:10.3390/jcm6070072

Effects of Assault Type on Cognitive Behaviour Therapy for Coexisting Depression and Alcohol Misuse

1
School of Medicine and Public Health, University of Newcastle, University Drive, Callaghan NSW 2308, Australia
2
Hunter Medical Research Institute, 1/1 Kookaburra circuit, New Lambton Heights NSW 2305, Australia
3
Centre for Children’s Health Research, Institute of Health & Biomedical Innovation and School of Psychology & Counselling, Queensland University of Technology, GPO Box 2434, Brisbane QLD 4000, Australia
*
Author to whom correspondence should be addressed.
Academic Editor: Nuri B. Farber
Received: 7 June 2017 / Revised: 11 July 2017 / Accepted: 17 July 2017 / Published: 21 July 2017
View Full-Text   |   Download PDF [244 KB, uploaded 21 July 2017]

Abstract

Although assault exposure is common in mental health and substance misusing populations, screening for assaults in treatment settings is frequently overlooked. This secondary analysis explored the effects of past sexual (SA) and physical (PA) assault on depression, alcohol misuse, global functioning and attrition in the Depression and Alcohol Integrated and Single focussed Intervention (DAISI) project, whose participants (N = 278) received cognitive behaviour therapy (CBT) for their depression and/or alcohol misuse. Of the 278 DAISI participants, 220 consented to screening for past assault (either by a stranger or non-stranger) at baseline. Depression, alcohol, and global functioning assessments were administered at baseline and 3, 12, 24, and 36 months post baseline. A between-group analysis was used to assess differences between SA and No SA, and PA and No PA groupings, on adjusted mean treatment outcomes across all assessment periods. SA and PA participants had similar mean symptom reductions compared to No SA and No PA participants except for lower depression and global functioning change scores at the 12-month follow-up. People with coexisting depression and alcohol misuse reporting SA or PA can respond well to CBT for depression and alcohol misuse. However, follow-up is recommended in order to monitor fluctuations in outcomes. View Full-Text
Keywords: violence; depression; alcohol drinking; cognitive behaviour therapy; treatment violence; depression; alcohol drinking; cognitive behaviour therapy; treatment
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Bailey, K.A.; Baker, A.L.; McElduff, P.; Jones, M.A.; Oldmeadow, C.; Kavanagh, D.J. Effects of Assault Type on Cognitive Behaviour Therapy for Coexisting Depression and Alcohol Misuse. J. Clin. Med. 2017, 6, 72.

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