Trauma-focused or non-trauma-focused? Treatment preferences and expectancies among veterans with co-occurring posttraumatic stress disorder and substance use disorder.

Elizabeth Alpert; Adam Kaplan; David Nelson; Nicole M. Christ; Hildi Hagedorn; Sonya B. Norman; Paula P. Schnurr; Laura A. Meis; Tara E. Galovski; Sean Nugent; Jessica L. Hamblen; Kyle Possemato; Allison L. Baier; Shannon M Kehle-Forbes

doi:10.1037/tra0002161

April 9, 2026Psychological Trauma Theory Research Practice and PolicyOpen Access

Trauma-focused or non-trauma-focused? Treatment preferences and expectancies among veterans with co-occurring posttraumatic stress disorder and substance use disorder.

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Key Points

The study explores treatment preferences and expectancies for trauma-focused therapy among veterans with co-occurring PTSD and substance use disorder.
Surveyed veterans with PTSD and substance use disorder
Assessed treatment preferences between trauma-focused and non-trauma-focused interventions
Evaluated the relationship between symptom severity and treatment expectancies
A significant proportion preferred trauma-focused therapy
Higher symptom severity did not predict lower preferences for trauma-focused therapy

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Implication

Findings reveal treatment preferences for trauma-focused therapy in veterans with PTSD and substance use disorder, highlighting significant interest.

Abstract

Findings suggest TFT is desired among a substantial proportion of patients with PTSD-SUD, and higher symptom severity does not seem to predict lower TFT preference or expectancy. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

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Alpert et al. (2026) studied this question.

synapsesocial.com/papers/69db36a04fe01fead37c496c https://doi.org/10.1037/tra0002161

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Trauma-focused or non-trauma-focused? Treatment preferences and expectancies among veterans with co-occurring posttraumatic stress disorder and substance use disorder.

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Trauma-focused or non-trauma-focused? Treatment preferences and expectancies among veterans with co-occurring posttraumatic stress disorder and substance use disorder.

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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