Psychological Services最新文献_第9页

Supplemental Material for An Exploratory Study of Service User and Clinical Outcomes in Telehealth-Delivered Dialectical Behavior Therapy for Adolescents Skills Groups 远程医疗提供的青少年辩证行为疗法技能小组服务用户和临床结果的探索性研究》补充材料

IF 2.3 3区心理学

Psychological Services Pub Date : 2024-05-16 DOI: 10.1037/ser0000863.supp

引用次数: 0

Firearm ownership and storage practices among United States firefighters and emergency medical services personnel. 美国消防员和紧急医疗服务人员的枪支所有权和储存做法。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-05-01 Epub Date: 2023-06-01 DOI: 10.1037/ser0000780

Ian H Stanley, Antoine Lebeaut, Marian E Betz, Angela Wright, Anka A Vujanovic

{"title":"Firearm ownership and storage practices among United States firefighters and emergency medical services personnel.","authors":"Ian H Stanley, Antoine Lebeaut, Marian E Betz, Angela Wright, Anka A Vujanovic","doi":"10.1037/ser0000780","DOIUrl":"10.1037/ser0000780","url":null,"abstract":"Compared with the general U.S. population, firefighters (FF) and emergency medical services (EMS) workers (FF + EMS personnel) are at increased risk for firearm suicide. Although secure firearm storage is associated with reduced risk of firearm suicide, no study has examined the prevalence and sociodemographic correlates of firearm ownership and storage practices among U.S. FF + EMS personnel. A total of 141 U.S. FF + EMS personnel completed a structured, web-based self-report questionnaire. Overall, 76.6% (n = 108) of FF + EMS personnel in our sample reported owning a personal firearm, among whom 85.2% (n = 92) reported owning more than one firearm. Among firearm owners, 42.6% (n = 46) reported secure firearm storage (i.e., unloaded and locked) and 57.4% (n = 62) reported nonsecure firearm storage (i.e., loaded and/or unlocked). FF + EMS personnel who cited personal safety as the only reason for firearm ownership, as opposed to reporting other or multiple reasons for ownership (e.g., hunting), were at increased odds of reporting nonsecure storage practices (69.4% vs. 47.5%; OR = 2.51, 95% CI [1.14, 5.55], p = .023). Most FF + EMS personnel in our sample reported firearm ownership, and approximately half of the firearm owners reported nonsecure firearm storage practices. Promoting secure firearm storage practices among FF + EMS personnel might decrease risk of firearm suicide and other forms of firearm-related injuries. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10689572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9552356","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

Expected symptom change trajectories for the early identification of probable treatment nonresponse in VA PTSD specialty care clinics: A proof-of-concept. 在退伍军人创伤后应激障碍专科门诊中，通过预期症状变化轨迹来早期识别可能的治疗无效情况：概念验证。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-05-01 Epub Date: 2023-04-06 DOI: 10.1037/ser0000761

Benjamin C Darnell, Natasha Benfer, Maya Bina N Vannini, Breanna Grunthal, Luke Rusowicz-Orazem, Elliot Fielstein, Brett T Litz

{"title":"Expected symptom change trajectories for the early identification of probable treatment nonresponse in VA PTSD specialty care clinics: A proof-of-concept.","authors":"Benjamin C Darnell, Natasha Benfer, Maya Bina N Vannini, Breanna Grunthal, Luke Rusowicz-Orazem, Elliot Fielstein, Brett T Litz","doi":"10.1037/ser0000761","DOIUrl":"10.1037/ser0000761","url":null,"abstract":"The purpose of measurement-based care (MBC) is to detect treatment nonresponse sufficiently early in treatment to adjust treatment plans and prevent failure or dropout. Thus, the potential of MBC is to provide the infrastructure for a flexible, patient-centered approach to evidence-based care. However, MBC is underutilized across the Department of Veterans Affairs (VA) posttraumatic stress disorder (PTSD) specialty clinics, likely because no actionable, empirically determined guidelines for using repeated measurement effectively are currently available to clinicians. With data collected as part of routine care in VA PTSD specialty clinics across the United States in the year prior to COVID-19 (n = 2,182), we conducted a proof-of-concept for a method of generating session-by-session benchmarks of probable patient nonresponse to treatment, which can be visualized alongside individual patient data using the most common measure of PTSD symptoms used in VA specialty clinics, the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (PCL-5). Using survival analysis, we first identified the probability of cases reaching clinically significant change at each session, as well as any significant moderators of treatment response. We then generated a multilevel model with initial symptom burden predicting the trajectory of PCL-5 scores across sessions. Finally, we determined the slowest changing 50% and 60% of all cases to generate benchmarks at each session for each level of the predictor(s) and then assessed the accuracy of these benchmarks at each session for classifying treatment responders and nonresponders. The final models were able to accurately identify nonresponders as early as the sixth session of treatment. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9263702","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

Lethal means safety counseling among firearm-owning U.S. National Guard personnel: Hyperarousal symptoms as a moderator of treatment outcomes. 对拥有枪支的美国国民警卫队人员进行致命手段安全咨询：过度焦虑症状是治疗结果的调节因素。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-05-01 Epub Date: 2023-04-06 DOI: 10.1037/ser0000763

Ian H Stanley, Craig J Bryan, AnnaBelle O Bryan, Daniel W Capron, Michael D Anestis

{"title":"Lethal means safety counseling among firearm-owning U.S. National Guard personnel: Hyperarousal symptoms as a moderator of treatment outcomes.","authors":"Ian H Stanley, Craig J Bryan, AnnaBelle O Bryan, Daniel W Capron, Michael D Anestis","doi":"10.1037/ser0000763","DOIUrl":"10.1037/ser0000763","url":null,"abstract":"The U.S. Department of Defense and other stakeholders recommend lethal means safety counseling (LMSC) to reduce suicide risk among military service members. Despite the promise of LMSC, few studies have examined moderators of LMSC treatment outcomes, such as posttraumatic stress disorder (PTSD) symptoms. Individuals with elevated PTSD symptoms are characteristically hypervigilant to threat and are more likely to store their firearms unsafely, which might impact their treatment response to LMSC. In this secondary analysis of the Project Safe Guard LMSC intervention, 209 firearm-owning members of the Mississippi National Guard completed self-report surveys (M [SD] age = 35.2 [10.1] years; 86.6% male, 79.4% White). We used logistic regression to examine the moderating effect of PTSD symptoms (PTSD Checklist for DSM-5; e.g., hyperarousal symptoms) on the association between treatment groups (LMSC vs. control; cable lock provision vs. no cable lock provision) and the use of new locking devices at 6-month follow-up. At 6-month follow-up, 24.9% (n = 52) of participants reported new firearm locking device use. The interaction between hyperarousal symptoms and LMSC (vs. control) was significant. Specifically, LMSC increased the use of new firearm locking devices relative to control at 6-month follow-up for individuals with low/medium, but not high, levels of baseline hyperarousal symptoms. Hyperarousal symptoms did not moderate the association between cable lock provision (vs. no cable lock provision) and use of new locking devices. Findings suggest that existing LMSC interventions need to be adapted for use with service members with elevated hyperarousal symptoms. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9263704","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

Associations among meaning in life, coping, and distress in trauma-exposed U.S. military veterans. 受过创伤的美国退伍军人的生活意义、应对能力和痛苦之间的关联。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-05-01 Epub Date: 2023-02-27 DOI: 10.1037/ser0000755

Jessica L Morse, Jennalee S Wooldridge, Niloofar Afari, Abigail C Angkaw, Paula P Schnurr, Ariel J Lang, Christy Capone, Sonya B Norman

{"title":"Associations among meaning in life, coping, and distress in trauma-exposed U.S. military veterans.","authors":"Jessica L Morse, Jennalee S Wooldridge, Niloofar Afari, Abigail C Angkaw, Paula P Schnurr, Ariel J Lang, Christy Capone, Sonya B Norman","doi":"10.1037/ser0000755","DOIUrl":"10.1037/ser0000755","url":null,"abstract":"Experiencing meaning in life may be particularly relevant following traumatic experiences as individuals who report meaning post trauma report less psychological distress. Engaging in avoidant coping, however, may be a sign of underlying psychological distress in the aftermath of traumatic experiences. We sought to examine associations among meaning in life, avoidant coping, and psychological distress in a sample of trauma-exposed veterans. Secondary cross-sectional analyses were conducted on data from veterans exposed to a traumatic event(s) who experienced clinically meaningful guilt (N = 145). Questionnaires on meaning in life, avoidant coping, and psychological distress were administered, and structural equation modeling was used to test direct effects. Path analysis revealed that greater meaning was associated with lower depression, anxiety, and posttraumatic stress symptomatology, while higher avoidant coping was associated with greater depression, anxiety, posttraumatic stress, and somatization symptomatology. Participants who report more meaning in life and report lower avoidant coping post trauma may experience less psychological distress. If replicated longitudinally, results could suggest cultivating meaning in life and reducing avoidant coping may decrease psychological distress. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10460455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10088681","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

Engagement in posttraumatic stress disorder treatment for veterans who experienced military sexual trauma and are diagnosed with serious mental illness. 为经历过军事性创伤并被诊断患有严重精神疾病的退伍军人提供创伤后应激障碍治疗。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-05-01 Epub Date: 2024-02-15 DOI: 10.1037/ser0000845

Peter P Grau, Julia Browne, Sharon M Nelson, Karen Austin, Jessica A Keith, Nathan J Claes, Linda M Kawentel, Nicholas W Bowersox

{"title":"Engagement in posttraumatic stress disorder treatment for veterans who experienced military sexual trauma and are diagnosed with serious mental illness.","authors":"Peter P Grau, Julia Browne, Sharon M Nelson, Karen Austin, Jessica A Keith, Nathan J Claes, Linda M Kawentel, Nicholas W Bowersox","doi":"10.1037/ser0000845","DOIUrl":"10.1037/ser0000845","url":null,"abstract":"It is important to ensure that veterans who have experienced military sexual trauma (MST) and have posttraumatic stress disorder (PTSD) have access to trauma-focused treatment. For veterans with serious mental illness (SMI), prior work documents decreased likelihood to receive trauma-focused care. This study focused on evaluating the engagement of Veterans Health Administration (VHA) patients diagnosed with PTSD and who have experienced MST in PTSD specialty care, as well as how this differs for veterans with SMI. Using VHA administrative data, all VHA patients who screened positive for MST prior to fiscal year 2019 (FY2019) were identified (N = 84,503). Based on information from FY2019, measures of psychiatric diagnosis status and VHA treatment participation were generated for all cohort members. Logistic regressions assessed whether there were differences in the likelihood to initiate PTSD care (1+ VHA PTSD specialty clinic encounter) or receive guideline-concordant levels of PTSD specialty care (8+ VHA PTSD specialty clinic encounter) during FY2019. Several other patient characteristics associated with decreased likelihood to receive VHA PTSD specialty servies were identified, including White race and older age. Patient SMI status was not significantly associated with likelihood to initiate or receive guideline-concordant levels of PTSD specialty care. Overall, PTSD treatment initiation was low (11% of veterans with SMI initiated PTSD specialty treatment, as opposed to 10% of veterans without SMI). Additional work is merited to identify ways that VHA is able to overcome barriers to trauma care participation experienced by persons who have experienced MST and been diagnosed with PTSD. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139735953","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

Examining the outcomes and acceptability of a peer-led spiritual intervention for moral injury in a veteran service organization. 在退伍军人服务组织中，研究由同伴主导的精神干预对道德伤害的结果和可接受性。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-05-01 Epub Date: 2023-04-03 DOI: 10.1037/ser0000762

Joseph M Currier, Ryon C McDermott, Paola Fernandez, Sarah Salcone, Hannah M Hinkel, Kaitlyn Schuler, Nicholas Fadoir, Phillip N Smith

{"title":"Examining the outcomes and acceptability of a peer-led spiritual intervention for moral injury in a veteran service organization.","authors":"Joseph M Currier, Ryon C McDermott, Paola Fernandez, Sarah Salcone, Hannah M Hinkel, Kaitlyn Schuler, Nicholas Fadoir, Phillip N Smith","doi":"10.1037/ser0000762","DOIUrl":"10.1037/ser0000762","url":null,"abstract":"The purpose of this proof-of-concept study was to examine the outcomes and acceptability of a spiritual intervention for moral injury led by veteran peers in a Veteran Service Organization (VSO), called \"Heroes to Heroes.\" From baseline to 1-year follow-up, 101 veterans who participated in the intervention completed the evaluation surveys at four time points assessing psychological outcomes (moral injury, posttraumatic stress disorder [PTSD] symptoms, and life satisfaction), spiritual outcomes (spiritual struggles and spiritual transcendence), and their perceived helpfulness of the program. In addition, we conducted four focus groups with six to eight alumni to more fully understand veterans' views and experiences of the program. Focusing on the longitudinal surveys, latent growth modeling analyses revealed veterans generally improved across the psychological and spiritual outcomes in the study. Specifically, veterans reported steady decreases in moral injury outcomes, PTSD symptoms, and spiritual struggles along with increased life satisfaction and spiritual transcendence over the 1-year period. An inductive content analysis of veterans' responses to open-ended items in the surveys and focus group interviews revealed four possible mechanisms or facilitators of these outcomes: (a) social connectivity and belonging (e.g., shared vulnerability and camaraderie); (b) behavioral engagement in core aspects of their spirituality (e.g., sacred practices and visiting sacred places); (c) spiritual transformation and growth (e.g., closeness with God and divine forgiveness); and (d) appreciation for diversity (e.g., religious and military). Overall, these findings affirm the potential effectiveness and acceptability of the VSO's peer-led spiritual intervention for promoting the holistic healing among veterans who are contending with emotional and spiritual wounds of war. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9597019","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

Wellness checks: Piloting a universal intervention for soldiers. 健康检查：试行士兵普遍干预措施。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-05-01 Epub Date: 2023-08-17 DOI: 10.1037/ser0000794

Amy B Adler, Paul D Bliese, Yvonne S Allard, Douglas Sharp

{"title":"Wellness checks: Piloting a universal intervention for soldiers.","authors":"Amy B Adler, Paul D Bliese, Yvonne S Allard, Douglas Sharp","doi":"10.1037/ser0000794","DOIUrl":"10.1037/ser0000794","url":null,"abstract":"As part of an Army pilot program, mandatory annual wellness checks were initiated to introduce individuals to counseling and to support psychological resilience and thriving. The program was evaluated using a cross-sectional survey completed by 7,831 soldiers. Findings revealed that about half of soldiers who reported a wellness check rated the check at least moderately helpful in their professional and personal lives. Participants receiving a wellness check reported being more likely to report willingness to seek help if they were to have mental health problems and to report higher levels of resilience and thriving even after controlling for rank, age, education, months in the unit, and trait negative affect. Participants were also less likely to report stigma-related concerns compared to those who had not received a wellness check. Consistent with theory on the common factors in counseling and the contextual model of psychotherapy (Laska et al., 2014), feeling listened to and learning new skills partially mediated the association between perceived wellness check usefulness and study outcomes, although acquiring a new perspective about problems did not. While not a randomized trial, this evaluation suggests that wellness checks are associated with programmatic goals: improved attitudes toward care seeking, resilience, and thriving. Future work should consider ways to ensure counselors address therapeutic common factors and should use a randomized, longitudinal design. Study findings have implications for implementing programs like wellness checks for military personnel and others working in high-stress occupations like first responders. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10017209","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

Correction to Wilbur et al. (2023). 修正Wilbur等人（2023）。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-05-01 Epub Date: 2023-10-05 DOI: 10.1037/ser0000808

{"title":"Correction to Wilbur et al. (2023).","authors":"","doi":"10.1037/ser0000808","DOIUrl":"10.1037/ser0000808","url":null,"abstract":"Reports an error in \"Supervising and supporting trainees with disabilities in the Veterans Health Administration: An overlooked but critical need and opportunity\" by Rebecca C. Wilbur, Emily M. Lund, Angela M. Kuemmel, Sheena Balolong Publico and Lauren R. Khazem (Psychological Services, 2023[May], Vol 20[2], 306-317). In the original article, in the article title and throughout the article, \"Veterans Administration Healthcare System (VAHCS)\" should have been \"Veterans Health Administration (VHA).\" These changes do not alter the conclusions of this article. The online version of this article has been corrected. (The following abstract of the original article appeared in record 2022-55811-001). Trainees with disabilities are chronically underrepresented in psychology and face many barriers throughout their training. Directors of Clinical Training and supervisors within the Veterans Health Administration (VHA), one of the largest employers of trainees with disabilities, have a unique opportunity to address this area of critical need. However, they must first understand the barriers facing psychology trainees with disabilities in VHA settings, including discrimination in trainee selection, barriers to obtaining reasonable accommodations, and attitudinal and cultural barriers. In this article, we illustrate how those barriers may present in VHA settings specifically and provide suggestions and frameworks for how the VHA can create accessible, disability-affirmative training environments in which trainees can truly thrive. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41128527","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

A multistep mediation model examining how consultation in prolonged exposure therapy affects PTSD treatment outcomes. 一个多步骤的中介模型研究了长时间暴露治疗中咨询如何影响创伤后应激障碍治疗结果。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-05-01 Epub Date: 2023-05-08 DOI: 10.1037/ser0000769

Carmen P McLean, Edna B Foa, Nadia Malek, Stacey Young-McCaughan, Alan L Peterson, Brenda S Hanson, Ivett J Lillard, Thomas J Patterson, Julio Rosado, Valerie Scott, David Rosenfield

{"title":"A multistep mediation model examining how consultation in prolonged exposure therapy affects PTSD treatment outcomes.","authors":"Carmen P McLean, Edna B Foa, Nadia Malek, Stacey Young-McCaughan, Alan L Peterson, Brenda S Hanson, Ivett J Lillard, Thomas J Patterson, Julio Rosado, Valerie Scott, David Rosenfield","doi":"10.1037/ser0000769","DOIUrl":"10.1037/ser0000769","url":null,"abstract":"Prolonged exposure therapy (PE) is an evidence-based psychotherapy (EBP) for posttraumatic stress disorder (PTSD) that is underutilized in the military health system. Previous research suggests that postworkshop consultation is important for successful implementation. However, little is known about how consultation may relate to EBP adoption or patient outcomes. The present study addressed these gaps by examining associations between consultation, provider self-efficacy, use of PE, and patient outcomes using a multistep mediation model. This study used data from Foa et al. (2020), a two-armed randomized implementation trial comparing two PE training models: standard training (workshop only) and extended training (workshop + 6-8 months of postworkshop expert consultation) at three U.S. Army sites. Participants were patients with PTSD (N = 242) receiving care from the participating providers (N = 103). Providers who received extended training reported greater PE self-efficacy compared to standard training providers, but self-efficacy was unrelated to their use of PE components or to patient outcomes. Extended training providers used more PE components and had superior patient outcomes than standard training providers, and patient outcomes were mediated by the use of PE components. To our knowledge, this is the first study to demonstrate that EBP consultation leads to improved clinical outcomes for patients through increased use of the EBP. PE adoption (i.e., use of PE components in therapy) was not explained by increases in self-efficacy among providers who received extended training. Therefore, future research should assess how other factors may influence provider behavior in implementing EBPs. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10630526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9486743","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