退伍军人PTSD消退治疗的服务评价。

IF 2.4 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
C E Hall, N Greenberg
{"title":"退伍军人PTSD消退治疗的服务评价。","authors":"C E Hall, N Greenberg","doi":"10.1093/occmed/kqaf012","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Post-traumatic stress disorder (PTSD) Resolution is a UK-based charity that provides treatment for military veterans, reservists and their families. However, there is little contemporary evaluation of their clinical outcomes to inform commissioners or potential service users.</p><p><strong>Aims: </strong>To establish whether treatment by PTSD Resolution therapists resulted in positive outcomes at the end of therapy and follow-up; to establish risk and resilience factors associated with positive treatment outcomes; and to the extent possible, compare PTSD Resolution with National Health Service (NHS)-Improving Access to Psychological Therapies (IAPT) services.</p><p><strong>Methods: </strong>A sample of 211 closed cases from the service provider between April 2022 and May 2023 were utilized. Clients provided demographic data and completed a series of mental health screening tools. Follow-up data were also collected where possible. Paired t-tests, univariable binary logistic regressions and chi-squared tests were used in the analysis.</p><p><strong>Results: </strong>Around 6% of clients attended only one session, with 82% having a planned ending. This service evaluation suggests that veterans who enter therapy with PTSD Resolution appear to experience similar rates of recovery to IAPT users. Analysis of follow-up data revealed that clients scores slightly increased following the completion of therapy but remained below caseness thresholds and significantly lower than entry-level scores.</p><p><strong>Conclusions: </strong>These data suggest that veterans who choose to engage with PTSD Resolution for their mental health difficulties should expect to experience a similar benefit to that they would have experienced if they had sought outpatient care from the NHS.</p>","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A service evaluation of PTSD Resolution therapy for military veterans.\",\"authors\":\"C E Hall, N Greenberg\",\"doi\":\"10.1093/occmed/kqaf012\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Post-traumatic stress disorder (PTSD) Resolution is a UK-based charity that provides treatment for military veterans, reservists and their families. However, there is little contemporary evaluation of their clinical outcomes to inform commissioners or potential service users.</p><p><strong>Aims: </strong>To establish whether treatment by PTSD Resolution therapists resulted in positive outcomes at the end of therapy and follow-up; to establish risk and resilience factors associated with positive treatment outcomes; and to the extent possible, compare PTSD Resolution with National Health Service (NHS)-Improving Access to Psychological Therapies (IAPT) services.</p><p><strong>Methods: </strong>A sample of 211 closed cases from the service provider between April 2022 and May 2023 were utilized. Clients provided demographic data and completed a series of mental health screening tools. Follow-up data were also collected where possible. Paired t-tests, univariable binary logistic regressions and chi-squared tests were used in the analysis.</p><p><strong>Results: </strong>Around 6% of clients attended only one session, with 82% having a planned ending. This service evaluation suggests that veterans who enter therapy with PTSD Resolution appear to experience similar rates of recovery to IAPT users. Analysis of follow-up data revealed that clients scores slightly increased following the completion of therapy but remained below caseness thresholds and significantly lower than entry-level scores.</p><p><strong>Conclusions: </strong>These data suggest that veterans who choose to engage with PTSD Resolution for their mental health difficulties should expect to experience a similar benefit to that they would have experienced if they had sought outpatient care from the NHS.</p>\",\"PeriodicalId\":54696,\"journal\":{\"name\":\"Occupational Medicine-Oxford\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-03-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Occupational Medicine-Oxford\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1093/occmed/kqaf012\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Occupational Medicine-Oxford","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/occmed/kqaf012","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

摘要

背景:创伤后应激障碍(PTSD)解决是一个英国的慈善机构,为退伍军人、预备役人员及其家人提供治疗。然而,很少有当代的临床结果评估,以告知委员或潜在的服务用户。目的:确定创伤后应激障碍解决治疗师在治疗结束和随访时是否能产生积极的结果;建立与积极治疗结果相关的风险和恢复力因素;在可能的范围内,将PTSD解决方案与国民健康服务体系(NHS)——改善获得心理治疗(IAPT)服务的机会进行比较。方法:选取2022年4月至2023年5月服务提供者提供的211例结案病例作为样本。客户提供了人口统计数据,并完成了一系列心理健康筛查工具。还尽可能收集了后续数据。分析采用配对t检验、单变量二元logistic回归和卡方检验。结果:大约6%的客户只参加了一次治疗,82%的人计划结束治疗。这项服务评估表明,接受创伤后应激障碍治疗的退伍军人似乎与IAPT使用者的康复率相似。对随访数据的分析显示,患者的得分在治疗完成后略有增加,但仍低于病例阈值,显著低于入门级得分。结论:这些数据表明,选择PTSD解决心理健康问题的退伍军人应该期望体验到与他们从NHS寻求门诊治疗相似的益处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A service evaluation of PTSD Resolution therapy for military veterans.

Background: Post-traumatic stress disorder (PTSD) Resolution is a UK-based charity that provides treatment for military veterans, reservists and their families. However, there is little contemporary evaluation of their clinical outcomes to inform commissioners or potential service users.

Aims: To establish whether treatment by PTSD Resolution therapists resulted in positive outcomes at the end of therapy and follow-up; to establish risk and resilience factors associated with positive treatment outcomes; and to the extent possible, compare PTSD Resolution with National Health Service (NHS)-Improving Access to Psychological Therapies (IAPT) services.

Methods: A sample of 211 closed cases from the service provider between April 2022 and May 2023 were utilized. Clients provided demographic data and completed a series of mental health screening tools. Follow-up data were also collected where possible. Paired t-tests, univariable binary logistic regressions and chi-squared tests were used in the analysis.

Results: Around 6% of clients attended only one session, with 82% having a planned ending. This service evaluation suggests that veterans who enter therapy with PTSD Resolution appear to experience similar rates of recovery to IAPT users. Analysis of follow-up data revealed that clients scores slightly increased following the completion of therapy but remained below caseness thresholds and significantly lower than entry-level scores.

Conclusions: These data suggest that veterans who choose to engage with PTSD Resolution for their mental health difficulties should expect to experience a similar benefit to that they would have experienced if they had sought outpatient care from the NHS.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Occupational Medicine-Oxford
Occupational Medicine-Oxford 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.80
自引率
3.90%
发文量
120
审稿时长
4-8 weeks
期刊介绍: Occupational Medicine is an international peer-reviewed journal which provides vital information for the promotion of workplace health and safety. The key strategic aims of the journal are to improve the practice of occupational health professionals through continuing education and to raise the profile of occupational health with key stakeholders including policy makers and representatives of employers and employees. Topics covered include work-related injury and illness, accident and illness prevention, health promotion, occupational disease, health education, the establishment and implementation of health and safety standards, monitoring of the work environment, and the management of recognized hazards. Contributions are welcomed from practising occupational health professionals and research workers in related fields.
×
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:481959085
Book学术官方微信