Clinical and Administrative Insights From Delivering Massed Trauma-Focused Therapy to Service Members and Veterans

IF 2.9 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Edward C. Wright, Jennifer Schuster Wachen, Cynthia Yamokoski, Tara Galovski, Kris Morris, Elizabeth M. Goetter, Brian Klassen, Vanessa Jacoby, Liza Zwiebach, Jo Sornborger, Katherine A. Dondanville, Brooke A. Fina, Sheila A.M. Rauch
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引用次数: 2

Abstract

Despite strong evidence of their effectiveness in reducing symptoms of posttraumatic stress disorder (PTSD), prolonged exposure therapy (PE) and cognitive processing therapy (CPT) remain challenging for some service members and veterans to access and complete. Delivering PE and CPT in time-condensed or “massed” formats may reduce barriers to receiving care. PE and CPT have now been implemented across a range of tempos (e.g., multiple sessions per day across 1 week, one session per day for 3 weeks) and to multiple target populations, in a variety of contexts from individual therapy alone to full intensive outpatient programs. A massed format of treatment delivery has advantages for both patients and providers, including quicker time to recovery, less opportunity for avoidance, and improved treatment completion rates. The time-limited nature of massed treatment also creates accompanying challenges, such as less time to practice homework and greater impact when factors delay or disrupt progress. This paper discusses lessons learned from providers across diverse settings who are experienced in both delivering massed PE and CPT and managing such programs, primarily with military populations.

向服务人员和退伍军人提供大规模创伤治疗的临床和管理见解
尽管有强有力的证据表明它们在减轻创伤后应激障碍(PTSD)症状方面有效,但对于一些军人和退伍军人来说,长期暴露疗法(PE)和认知加工疗法(CPT)仍然具有挑战性。以时间压缩或“集中”的形式提供PE和CPT可以减少接受护理的障碍。目前,PE和CPT已经在不同的时间范围内实施(例如,在一周内每天进行多次治疗,在三周内每天进行一次治疗),并针对多个目标人群,在从单独治疗到全面强化门诊项目的各种情况下实施。大规模提供治疗对患者和提供者都有好处,包括更快的康复时间、更少的逃避机会和更高的治疗完成率。大规模治疗的时间限制也带来了随之而来的挑战,比如练习家庭作业的时间更少,当某些因素延迟或中断进展时,影响更大。本文讨论了从不同背景的提供者那里获得的经验教训,这些提供者在提供大规模PE和CPT以及管理此类项目(主要针对军事人群)方面经验丰富。
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来源期刊
Cognitive and Behavioral Practice
Cognitive and Behavioral Practice PSYCHOLOGY, CLINICAL-
CiteScore
4.80
自引率
3.40%
发文量
118
审稿时长
84 days
期刊介绍: Cognitive and Behavioral Practice is a quarterly international journal that serves an enduring resource for empirically informed methods of clinical practice. Its mission is to bridge the gap between published research and the actual clinical practice of cognitive behavior therapy. Cognitive and Behavioral Practice publishes clinically rich accounts of innovative assessment and diagnostic and therapeutic procedures that are clearly grounded in empirical research. A focus on application and implementation of procedures is maintained.
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