# Treating Posttraumatic Stress Disorder in Patients with Opioid Use Disorder

> **NIH NIH P20** · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · 2021 · $185,186

## Abstract

Among patients with opioid use disorder (OUD), 90% report lifetime trauma exposure and 33% meet 
criteria for posttraumatic stress disorder (PTSD). The co-occurrence of OUD and PTSD is associated with more 
severe mental health symptoms and worse opioid agonist treatment (OAT) outcomes relative to either diagnosis 
alone. Prolonged exposure therapy (PET) is an efficacious manualized cognitive-behavioral treatment for 
reducing PTSD severity. Although preliminary findings indicate that PET may reduce PTSD symptom severity 
among patients receiving treatment for concomitant OUD, it is unclear to what extent observed improvements 
were a function of PET versus the psychopharmacological effects of OAT itself. Therefore, the question of 
whether OAT alone may attenuate PTSD symptomatology in the absence of intensive cognitive-behavioral 
therapy remains unanswered and is important given the prevalence and deleterious effects of PTSD among OAT 
patients, as well as the ever-present constraints on mental health resources in SUD treatment settings.

## Key facts

- **NIH application ID:** 10247656
- **Project number:** 5P20GM103644-09
- **Recipient organization:** UNIVERSITY OF VERMONT & ST AGRIC COLLEGE
- **Principal Investigator:** Kelly R. Peck
- **Activity code:** P20 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $185,186
- **Award type:** 5
- **Project period:** 2013-09-15 → 2023-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10247656

## Citation

> US National Institutes of Health, RePORTER application 10247656, Treating Posttraumatic Stress Disorder in Patients with Opioid Use Disorder (5P20GM103644-09). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10247656. Licensed CC0.

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