Psychological Services最新文献_第2页

Feasibility, acceptability, and outcomes: A pilot trial of the enhancing social function in older veterans with PTSD (ESVP) group intervention. 可行性、可接受性和结果：老年退伍军人创伤后应激障碍（ESVP）群体干预增强社会功能的试点试验。

IF 1.8 3区心理学

Psychological Services Pub Date : 2026-05-01 Epub Date: 2025-06-26 DOI: 10.1037/ser0000962

Anica Pless Kaiser, Molly Ream, Avron Spiro, Denise M Sloan, Joan M Cook, Dawne Vogt, Jennifer A Moye

{"title":"Feasibility, acceptability, and outcomes: A pilot trial of the enhancing social function in older veterans with PTSD (ESVP) group intervention.","authors":"Anica Pless Kaiser, Molly Ream, Avron Spiro, Denise M Sloan, Joan M Cook, Dawne Vogt, Jennifer A Moye","doi":"10.1037/ser0000962","DOIUrl":"10.1037/ser0000962","url":null,"abstract":"Poor social function is associated with negative health outcomes and premature mortality in older veterans with posttraumatic stress disorder (PTSD). This pilot randomized trial evaluated a nine-session group-based intervention (Enhancing Social Function for Older Veterans with PTSD [ESVP]) to enhance social function in older veterans with PTSD compared with a support group condition. Participants were 36 U.S. military veterans aged 60 years or older who had experienced military-related trauma and endorsed symptoms of PTSD. Feasibility, acceptability, and changes in social function were assessed across baseline, postintervention, and 6-month follow-up. Enrollment and engagement metrics supported feasibility. Participant ratings of session relevance and satisfaction were high and did not significantly differ between conditions. Veterans under the ESVP condition were significantly more likely to rate themselves as feeling \"better\" (t = 3.81, p < .001), less angry (t = 3.59, p < .001) and less distressed (t = 3.44, p < .001), and were more likely to report having used coping (C = .21, p < .05) and anger management skills (C = .33, p < .001) than veterans under the support condition. ESVP demonstrated a stronger effect on intimate relationship (η² = 0.07) and family function (η² = 0.11) subscales of the Inventory of Psychosocial Function, and both conditions reported improvement in friends and socializing (η² = 0.13) and did not significantly differ (η² = 0.009). These findings are encouraging regarding ESVP but require further replication. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"293-306"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12354222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144507956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of patient suicide loss on mental health clinicians in Veterans Affairs health care facilities. 退伍军人事务医疗机构中患者自杀损失对心理健康临床医生的影响。

IF 1.8 3区心理学

Psychological Services Pub Date : 2026-05-01 Epub Date: 2025-03-20 DOI: 10.1037/ser0000958

Meredith S Sears, Anna J Harrison

{"title":"The impact of patient suicide loss on mental health clinicians in Veterans Affairs health care facilities.","authors":"Meredith S Sears, Anna J Harrison","doi":"10.1037/ser0000958","DOIUrl":"10.1037/ser0000958","url":null,"abstract":"Department of Veterans Affairs (VA) clinicians are at elevated risk of patient suicide loss due to the high rates of suicide in the veteran population. Clinician support structures and administrative procedures following patient suicides vary widely across facilities. The present study examined how mental health clinicians' experiences vary according to institutional responses to patient suicides. The authors disseminated an online survey to clinicians at 15 VA sites. Institutional responses such as supervisory support, postvention support services, and administrative postsuicide procedures were examined in relation to the clinicians' emotional and professional practice outcomes. The multidisciplinary sample included 87 licensed mental health providers who had experienced a VA patient suicide. Most were experienced clinicians (licensed for 6 or more years) who worked daily to weekly with patients who were suicidal. After their patient's suicide, over half of the participants reported self-doubt about their competency. Nearly three quarters of respondents reported changes in professional practice such as hypervigilance to suicide cues and an increased focus on documentation. Participants consistently described formal postvention supports and collegial outreach as constructive and helpful; however, experiences with supervisor outreach varied. Clinicians who experienced formal retrospective case reviews were more likely to report feeling blamed for the suicide, lengthier periods of emotional distress, reduced willingness to work with suicidal patients, and consideration of leaving their position. Strategic postsuicide procedures that include emotional and instrumental support for clinicians as well as thoughtful, nonblaming retrospective review policies may reduce negative clinician outcomes related to patient care and staff burnout and turnover. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"239-247"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evolving standards for suicide risk documentation in the Veterans Health Administration: A brief commentary on Denneson et al. (2023). 退伍军人健康管理局不断发展的自杀风险记录标准：对Denneson等人（2023）的简短评论。

IF 1.8 3区心理学

Psychological Services Pub Date : 2026-05-01 DOI: 10.1037/ser0000926

Joseph W Boffa, Claire M Houtsma

{"title":"Evolving standards for suicide risk documentation in the Veterans Health Administration: A brief commentary on Denneson et al. (2023).","authors":"Joseph W Boffa, Claire M Houtsma","doi":"10.1037/ser0000926","DOIUrl":"10.1037/ser0000926","url":null,"abstract":"In the Veterans Health Administration (VHA), a high risk for suicide (HRS) flag is used in medical records to alert providers that veterans have recently engaged in suicidal self-directed violence or required hospitalization to keep from doing so. These flags are not intended to indicate chronic suicide risk and thus are designed to be temporary. However, as risk for suicide is volatile and can confer a chronic course, it is common for veterans to engage in suicidal self-directed violence at intervals that extend beyond the life of a HRS flag. To improve our understanding of when it may be appropriate to inactivate a HRS flag, Denneson et al. (see record 2024-23207-001) recently analyzed factors associated with suicide reattempt following HRS flag inactivation. Beyond patient, provider, and system-level factors, the lone predictor of suicide reattempt in this sample was the quality of the note that documented the decision to inactive a HRS flag. In this commentary, we offer perspective from the field to contextualize the findings and implications introduced by Denneson et al. (2023). We discuss the limitations of the available data, which warrant empirical skepticism and caution against drawing firm conclusions without further study. We also provide an update on VHA's efforts to standardize documentation of the decision to inactivate HRS flags. Finally, we discuss the ever-evolving role of providers, suicide prevention programs, and VHA more broadly in preventing veteran suicide. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":"23 2","pages":"258-262"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of patient barriers and organizational factors on treatment dropout in posttraumatic stress disorder specialty care. 创伤后应激障碍专科护理中患者障碍和组织因素对治疗退出的影响。

IF 1.8 3区心理学

Psychological Services Pub Date : 2026-05-01 Epub Date: 2025-03-03 DOI: 10.1037/ser0000940

Kelly P Maieritsch, Kristen Lamp, Sadie E Larsen, Jonathan D Hessinger

{"title":"The impact of patient barriers and organizational factors on treatment dropout in posttraumatic stress disorder specialty care.","authors":"Kelly P Maieritsch, Kristen Lamp, Sadie E Larsen, Jonathan D Hessinger","doi":"10.1037/ser0000940","DOIUrl":"10.1037/ser0000940","url":null,"abstract":"Many veterans who begin evidence-based therapies for posttraumatic stress disorder (PTSD) discontinue care prior to treatment completion. Examination of individual-level factors as predictors of dropout has been inconclusive, and it may be important to examine organizational factors as predictors. The present study investigates the role of both individual variables (i.e., gender identity, age, racial background, ethnicity, perceived barriers to treatment) and organizational variables (i.e., time from evaluation to individual treatment, number of preparatory sessions, and inclusion of family in an informational session) in predicting treatment discontinuation. Participants consisted of 557 veterans who presented to a Veterans Affairs PTSD specialty clinic and began trauma-focused treatment (86.89% male, 50.99% White, 47.94% Operation Iraqi Freedom/Operation Enduring Freedom). Most veterans reported at least one barrier to treatment (85.10%). A total of 53.32% of veterans completed a course of evidence-based trauma-focused therapy, while 46.68% discontinued. In a series of logistic regression models, older age significantly predicted treatment completion (OR = 1.017, p = .007), and longer time from evaluation to treatment initiation significantly predicted treatment discontinuation (OR = 0.992, p = .045). Findings highlight older age as a reliable predictor of treatment completion among veterans. Findings add to the existing literature by demonstrating that improving organizational-level variables (i.e., reducing wait time from evaluation to treatment initiation) may be particularly helpful in facilitating treatment completion across demographic groups, even in the presence of barriers to treatment. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"265-273"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The ask, care, escort suite of trainings: Initial evaluation of the Army's primary suicide prevention strategy. 询问、照顾、护送一整套训练：陆军主要自杀预防策略的初步评估。

IF 1.8 3区心理学

Psychological Services Pub Date : 2026-05-01 Epub Date: 2025-05-05 DOI: 10.1037/ser0000955

Benjamin Trachik, Julie C Merrill, Sarah Pardue-Bourgeois, Michelle L Ganulin, Coleen L Crouch, Bradley Fawver, Nathan T Kearns, Madhavi K Reddy, John E Novosel-Lingat, Jeffrey M Osgood, Michael N Dretsch, Susannah K Knust

{"title":"The ask, care, escort suite of trainings: Initial evaluation of the Army's primary suicide prevention strategy.","authors":"Benjamin Trachik, Julie C Merrill, Sarah Pardue-Bourgeois, Michelle L Ganulin, Coleen L Crouch, Bradley Fawver, Nathan T Kearns, Madhavi K Reddy, John E Novosel-Lingat, Jeffrey M Osgood, Michael N Dretsch, Susannah K Knust","doi":"10.1037/ser0000955","DOIUrl":"10.1037/ser0000955","url":null,"abstract":"The U.S. Army's Ask, Care, Escort (ACE) suicide gatekeeper training has been the annual requirement for all personnel since 2009; however, this training has never been formally evaluated. The present study evaluated three updated versions of ACE: a training for Army leaders (ACE-Suicide Intervention), a training for basic combat trainees (ACE for Basic Combat Training and One Station Unit Training), and a standard training for all personnel (ACE for the Force). Self-report surveys measured pre- to posttraining changes in objective and subjective knowledge and stigma, as well as preparedness, self-efficacy, and likelihood to engage in gatekeeper behaviors. Implementation outcomes, such as training acceptability, suitability, and usability were also assessed. Across these evaluations, participants reported that knowledge and gatekeeper behaviors significantly improved from pre- to posttraining. Implementation metrics revealed a high degree of acceptability and relevance for all three ACE trainings. Overall, the findings of these evaluations suggest important changes in key suicide prevention outcomes following the ACE suite of trainings. Further longitudinal assessment is needed to establish the full effectiveness of gatekeeper interventions in the Army. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"207-220"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Facilitating assessment of symptoms and behaviors using a smartphone application to identify at-risk sailors. 使用智能手机应用程序促进症状和行为评估，以识别处于危险中的水手。

IF 1.8 3区心理学

Psychological Services Pub Date : 2026-05-01 Epub Date: 2025-06-16 DOI: 10.1037/ser0000963

Lisa A Brenner, Jeri E Forster, Kelly A Stearns-Yoder, Molly E Penzenik, Lisa M Betthauser, Diana P Brostow, Aaron D Werbel

{"title":"Facilitating assessment of symptoms and behaviors using a smartphone application to identify at-risk sailors.","authors":"Lisa A Brenner, Jeri E Forster, Kelly A Stearns-Yoder, Molly E Penzenik, Lisa M Betthauser, Diana P Brostow, Aaron D Werbel","doi":"10.1037/ser0000963","DOIUrl":"10.1037/ser0000963","url":null,"abstract":"During deployments, Navy personnel have reported concerning levels of mental health symptoms, as well as suicidal ideation. Upstream efforts are needed to identify and mitigate symptoms, thereby, reducing the risk of suicide. Based on recent advances, research suggests that phone-based applications can be used to identify those at risk and facilitate treatment engagement. Toward this end, using a randomized controlled trial design, members of this study team: (a) evaluated the feasibility (application download/use and technical challenges) and acceptability (satisfaction) of the Cogito Companion phone application among a cohort of Naval personnel; (b) longitudinally characterized time to risk identification by cohort (Cogito/Active Control); and (c) identified patterns of symptoms (distress, depressive, posttraumatic, suicide-related thoughts, and mental and physical health functioning) over time and by study group. Two hundred seventy-nine Active Duty Navy personnel were enrolled and randomized, with 139 participants being randomized to Cogito and 140 to the Active Control arm. Findings suggested that those in the Cogito group were outreached more quickly than those in the Active Control group, highlighting the potential utility of employing technology to identify those at risk. However, there were significant feasibility issues in terms of implementing Cogito among Naval personnel on Active Duty. Interestingly, there were no significant differences in the proportion of serial self-report measures completed between those randomized to Cogito versus the Active Control, highlighting that, at present, implementing serial self-report measures may be a more feasible strategy to identify those at potential risk. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"221-229"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Learning from the best: A positive deviance approach to Veterans Health Administration leadership practices. 向最好的学习：退伍军人健康管理领导实践的积极偏差方法。

IF 1.8 3区心理学

Psychological Services Pub Date : 2026-05-01 Epub Date: 2025-04-10 DOI: 10.1037/ser0000951

Jennifer P Wisdom, Nancy Yanchus, Mira Brancu, Susan Drevo, Megan Mack, Katerine Osatuke

{"title":"Learning from the best: A positive deviance approach to Veterans Health Administration leadership practices.","authors":"Jennifer P Wisdom, Nancy Yanchus, Mira Brancu, Susan Drevo, Megan Mack, Katerine Osatuke","doi":"10.1037/ser0000951","DOIUrl":"10.1037/ser0000951","url":null,"abstract":"Health care organization leaders are charged with patient safety, evidence-based practice, financial sustainability, capacity, and staff supervision in systems that are challenged by bureaucracy, fragmentation, mistrust, and limited interdisciplinary engagement. It is not known how leaders effectively address specific challenges of staff supervision, policies/mandates, difficult conversations, and staff burnout. This study collected strategies from high-performing leaders in the Veterans Health Administration to understand how they approach these challenges. Applying a positive deviance approach to examine organizational survey data across the entire administration, we first statistically identified Veterans Health Administration sites that, based on employee feedback, showed the greatest organizational health improvements from 2022. These sites' chiefs of staff (N = 24) were then interviewed about how they approached four specific challenges. Findings indicate commonalities across these leaders' best practices, including creating opportunities for dialogue, building a culture of learning and psychological safety, proactively addressing process improvements, supporting work-life balance, leading with grace and courage, and maximizing and protecting resources. Public sector health care leaders may benefit from this approach to learning from these highest performers. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"357-366"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Treatment barriers and preferences among veterans with chronic musculoskeletal pain and alcohol use in primary care. 慢性肌肉骨骼疼痛和初级保健中酒精使用的退伍军人的治疗障碍和偏好

IF 1.8 3区心理学

Psychological Services Pub Date : 2026-05-01 Epub Date: 2025-04-07 DOI: 10.1037/ser0000938

Katherine A Buckheit, Jacob Scharer, Travis A Loughran, Gregory P Beehler, Dezarie Moskal, Jennifer S Funderburk

{"title":"Treatment barriers and preferences among veterans with chronic musculoskeletal pain and alcohol use in primary care.","authors":"Katherine A Buckheit, Jacob Scharer, Travis A Loughran, Gregory P Beehler, Dezarie Moskal, Jennifer S Funderburk","doi":"10.1037/ser0000938","DOIUrl":"10.1037/ser0000938","url":null,"abstract":"Chronic pain and alcohol use commonly co-occur and are associated with considerable functional impairment. Many patients with chronic pain present to primary care, and integrated primary care may be well-suited to provide brief, behaviorally focused treatment. Little is known about behavioral health treatment barriers and preferences among primary care patients with chronic pain and alcohol use. Veterans enrolled in Veterans Health Administration primary care with a chronic musculoskeletal pain diagnosis and past-year alcohol use were identified via electronic medical record review and mailed a survey with measures of alcohol use, pain severity/interference, treatment preferences, and treatment barriers. Chi-square tests were used to identify statistically significant treatment preferences. Generalized linear models tested for differences in treatment barriers based on alcohol risk, and pain severity was tested as a moderator using the PROCESS macro in SPSS. Patients expressed preferences for individual, face-to-face treatment in primary care. Participants reported they were overall receptive to behavioral health treatment, with the exception of treatment for alcohol, tobacco, or other drug use. Differences based on alcohol risk were observed for readiness to change alcohol use and beliefs about the relationship between pain and alcohol. Pain severity was a significant moderator of the relationships between alcohol risk and pain readiness, beliefs about pain and alcohol, and overall alcohol treatment barriers. Treatment preferences were largely aligned with models of integrated primary care. The impact of barriers on treatment engagement may vary by a patient's degree of alcohol-related risk, and thus a range of treatment options should be considered. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"346-356"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Staff perspectives on implementing dialectical behavior therapy skills groups in the Veterans Health Administration. 退伍军人健康管理局员工对实施辩证行为治疗技能小组的看法。

IF 1.8 3区心理学

Psychological Services Pub Date : 2026-05-01 Epub Date: 2025-06-16 DOI: 10.1037/ser0000960

Suzanne E Decker, Kristin M Mattocks, Aimee Kroll-Desrosiers, Frances M Aunon, Lorrie Walker, Elizabeth Galliford, Neal Doran, Scarlett Baird, Jennifer K Rielage, Joseph Sadek, Josephine Ridley, Jenny Bannister, Thorayya S Giovannelli, Sara J Landes, Marianne Goodman, Eric DeRycke, Chris Shriver, Ethan Spana, Mark Honsberger, Stacey A Demirelli, Elena Shest, Steve Martino

{"title":"Staff perspectives on implementing dialectical behavior therapy skills groups in the Veterans Health Administration.","authors":"Suzanne E Decker, Kristin M Mattocks, Aimee Kroll-Desrosiers, Frances M Aunon, Lorrie Walker, Elizabeth Galliford, Neal Doran, Scarlett Baird, Jennifer K Rielage, Joseph Sadek, Josephine Ridley, Jenny Bannister, Thorayya S Giovannelli, Sara J Landes, Marianne Goodman, Eric DeRycke, Chris Shriver, Ethan Spana, Mark Honsberger, Stacey A Demirelli, Elena Shest, Steve Martino","doi":"10.1037/ser0000960","DOIUrl":"10.1037/ser0000960","url":null,"abstract":"Reducing veteran suicide is a high priority for the Veterans Health Administration (VHA). While dialectical behavior therapy skills groups (DBT-SG) may be as effective as comprehensive DBT in reducing suicide attempt, barriers and facilitators to this innovation in VHA are not well known. In preparation for a hybrid Type 1 effectiveness-implementation trial, we conducted individual semistructured qualitative interviews with 35 VHA staff (therapists, suicide prevention coordinators, local and national leaders) and identified themes using rapid qualitative analysis (Hamilton, 2013). Five themes emerged: (a) While leadership noted wanting innovative suicide prevention, (b) knowledge of DBT varied widely across respondents. (c) Implementation challenges, especially after COVID-19, included staff shortage and burnout. (d) DBT-SG may require adaptation to fit the diversity of the veteran population, including Indigenous, homeless, and urban veterans, and (e) virtual DBT-SG options hold promise for expanding reach and access and must be implemented with appropriate risk management. Enthusiasm for DBT-SG was high, and implementation challenges in a stressed health care system were noted. DBT-SG, especially delivered virtually, holds promise for VHA and will need to be implemented with attention to staffing, provider needs, and veteran diversity. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"230-238"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12550782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Examining why therapists add sessions to the written exposure therapy protocol and whether it improves treatment outcome: A mixed-methods analysis. 检查为什么治疗师在书面暴露治疗方案中增加疗程，以及它是否能改善治疗结果：一项混合方法分析。

IF 1.8 3区心理学

Psychological Services Pub Date : 2026-05-01 Epub Date: 2025-03-20 DOI: 10.1037/ser0000954

Denise M Sloan, Christopher DeJesus, Brian P Marx, Ron Acierno, Michael Messina, Johanna Thompson-Hollands

{"title":"Examining why therapists add sessions to the written exposure therapy protocol and whether it improves treatment outcome: A mixed-methods analysis.","authors":"Denise M Sloan, Christopher DeJesus, Brian P Marx, Ron Acierno, Michael Messina, Johanna Thompson-Hollands","doi":"10.1037/ser0000954","DOIUrl":"10.1037/ser0000954","url":null,"abstract":"Written exposure therapy (WET) is a brief psychotherapy for posttraumatic stress disorder (PTSD). Although WET is designed to be delivered in five sessions, implementation data collected from trained mental health care providers suggest that therapists sometimes add more sessions without sufficient justification. We conducted a mixed-methods examination to understand why therapists added WET sessions and whether adding sessions improved treatment outcomes. Participants were drawn from a larger trial where therapists were permitted to deliver five to seven WET sessions. This study included 77 client participants who were randomly assigned to receive WET and nine therapist participants who delivered WET during the trial. Results showed that PTSD symptom severity trajectories at follow-up assessment were not significantly different between client participants who received five sessions and those who received more than five. Only 15.7% of participants who received supplemental WET sessions displayed a clinically meaningful reduction in PTSD symptom severity, while 11.8% displayed a clinically meaningful increase in PTSD symptom severity. Qualitative interviews with therapists indicated that their decision to add sessions was largely driven by the client avoiding writing about the traumatic event in early treatment sessions or due to a very complex or lengthy traumatic event that required additional sessions to provide repeated exposure to the trauma memory. Taken together, the findings suggest that adding WET sessions is unnecessary most of the time, but therapists have a strong preference for having flexibility in adding treatment sessions. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"274-281"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12355373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0