Experiences of providers delivering evidence-based psychotherapy for PTSD to Black veterans: A qualitative study.

IF 1.8 3区 心理学 Q3 PSYCHOLOGY, CLINICAL
Rachel M Ranney, Haein Jun, Danielle Cottonham, Asale Hubbard, Joy Huggins, Natalie Purcell, Kristine Burkman, Shira Maguen
{"title":"Experiences of providers delivering evidence-based psychotherapy for PTSD to Black veterans: A qualitative study.","authors":"Rachel M Ranney, Haein Jun, Danielle Cottonham, Asale Hubbard, Joy Huggins, Natalie Purcell, Kristine Burkman, Shira Maguen","doi":"10.1037/ser0000982","DOIUrl":null,"url":null,"abstract":"<p><p>Previous research has found that Black veterans (vs. White veterans) evidence less symptom improvement following trauma-focused evidence-based psychotherapy (EBP) for posttraumatic stress disorder (PTSD). Black veterans' experiences of racism and discrimination, as well as how providers respond to these experiences during PTSD EBPs, may help to explain these racial disparities in outcomes. However, there is a lack of qualitative research exploring providers' experiences delivering PTSD EBPs to Black veterans. This study aimed to fill this gap in the literature by interviewing 15 mental health providers with experience delivering PTSD EBPs working at a West Coast Veterans Affairs Medical Center about (a) their comfort in discussing racism and discrimination with veterans, (b) the role of their identity in these discussions, (c) the extent to which racism and discrimination are presenting problems in PTSD EBPs, (d) Black veterans' response to PTSD EBPs, and (e) ways PTSD EBPs may be improved for Black veterans. Rapid analysis procedures were used to identify prominent and relevant themes, which are summarized and discussed with a focus on informing clinical recommendations and the development of provider training that may improve experiences and outcomes for Black veterans engaging in PTSD EBPs. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychological Services","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1037/ser0000982","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
引用次数: 0

Abstract

Previous research has found that Black veterans (vs. White veterans) evidence less symptom improvement following trauma-focused evidence-based psychotherapy (EBP) for posttraumatic stress disorder (PTSD). Black veterans' experiences of racism and discrimination, as well as how providers respond to these experiences during PTSD EBPs, may help to explain these racial disparities in outcomes. However, there is a lack of qualitative research exploring providers' experiences delivering PTSD EBPs to Black veterans. This study aimed to fill this gap in the literature by interviewing 15 mental health providers with experience delivering PTSD EBPs working at a West Coast Veterans Affairs Medical Center about (a) their comfort in discussing racism and discrimination with veterans, (b) the role of their identity in these discussions, (c) the extent to which racism and discrimination are presenting problems in PTSD EBPs, (d) Black veterans' response to PTSD EBPs, and (e) ways PTSD EBPs may be improved for Black veterans. Rapid analysis procedures were used to identify prominent and relevant themes, which are summarized and discussed with a focus on informing clinical recommendations and the development of provider training that may improve experiences and outcomes for Black veterans engaging in PTSD EBPs. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

为黑人退伍军人提供PTSD循证心理治疗的经验:一项定性研究。
先前的研究发现,黑人退伍军人(与白人退伍军人相比)在创伤后应激障碍(PTSD)的创伤为重点的循证心理治疗(EBP)后,症状改善较少。黑人退伍军人的种族主义和歧视的经历,以及在创伤后应激障碍ebp期间提供者如何应对这些经历,可能有助于解释这些结果的种族差异。然而,缺乏定性研究来探索提供者为黑人退伍军人提供创伤后应激障碍ebp的经验。本研究旨在通过访谈15位在西海岸退伍军人事务医疗中心提供创伤后应激障碍ebp的心理健康提供者来填补这一文献空白,内容涉及(a)他们在与退伍军人讨论种族主义和歧视时的舒适度,(b)他们在这些讨论中的身份角色,(c)种族主义和歧视在创伤后应激障碍ebp中呈现问题的程度,(d)黑人退伍军人对创伤后应激障碍ebp的反应。(e)改善黑人退伍军人PTSD ebp的方法。采用快速分析程序来识别突出和相关的主题,总结和讨论这些主题,重点介绍临床建议和提供者培训的发展,这些培训可能会改善黑人退伍军人从事创伤后应激障碍ebp的经验和结果。(PsycInfo Database Record (c) 2025 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Psychological Services
Psychological Services PSYCHOLOGY, CLINICAL-
CiteScore
4.20
自引率
13.00%
发文量
216
期刊介绍: Psychological Services publishes high-quality data-based articles on the broad range of psychological services. While the Division"s focus is on psychologists in "public service," usually defined as being employed by a governmental agency, Psychological Services covers the full range of psychological services provided in any service delivery setting. Psychological Services encourages submission of papers that focus on broad issues related to psychotherapy outcomes, evaluations of psychological service programs and systems, and public policy analyses.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信