以创伤为中心的创伤后应激障碍治疗在自然环境中的退出。

Q2 Psychology
Clinical Psychology in Europe Pub Date : 2025-02-28 eCollection Date: 2025-02-01 DOI:10.32872/cpe.14491
Verena Semmlinger, Keisuke Takano, Larissa Wolkenstein, Antje Krüger-Gottschalk, Sascha Kuck, Anne Dyer, Andre Pittig, Georg W Alpers, Thomas Ehring
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引用次数: 0

摘要

背景:尽管创伤后应激障碍(PTSD)的循证干预措施非常有效,但平均约有20%的患者退出治疗。尽管在随机对照试验(rct)中对PTSD治疗退出进行了大量研究,但在自然环境下的研究结果仍然很少。目的:本研究旨在探讨创伤性应激障碍常规临床护理中创伤性干预的退出频率及其预测因素。方法:样本包括n = 195名诊断为创伤后应激障碍的成人,在三个门诊中心接受以创伤为中心的常规临床护理认知行为治疗。我们对以下候选预测因素进行了多元逻辑回归分析:患者变量(如基本社会人口学状况和特定临床变量)、治疗师的经验水平和治疗师与患者之间的性别匹配。结果:辍学率为15.38%。年龄(年轻患者退学概率高)和生活状况(与父母同住比单独生活退学概率低)是辍学的显著预测因素。退出与治疗师的经验水平和性别匹配无显著相关。结论:总之,常规评估的基线患者变量与辍学相关。最终,这可能有助于识别需要额外关注以保持治疗的患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dropout From Trauma-Focused Treatment for PTSD in a Naturalistic Setting.

Background: Although evidence-based interventions for posttraumatic stress disorder (PTSD) are highly effective, on average about 20% of patients drop out of treatment. Despite considerable research investigating PTSD treatment dropout in randomized controlled trials (RCTs), findings in naturalistic settings remain sparse.

Objective: Therefore, the present study investigated the frequency and predictors of dropout in trauma-focused interventions for PTSD in routine clinical care.

Method: The sample included n = 195 adults with diagnosed PTSD, receiving trauma-focused, cognitive behavioral therapy in routine clinical care in three outpatient centers. We conducted a multiple logistic regression analysis with the following candidate predictors of dropout: patient variables (e.g., basic sociodemographic status and specific clinical variables) as well as therapist's experience level and gender match between therapist and patient.

Results: Results showed a dropout rate of 15.38%. Age (higher dropout probability in younger patients) and living situation (living with parents predicted lower dropout probability compared to living alone) were significant predictors of dropout. Dropout was not significantly associated with the therapist's experience level and gender match.

Conclusions: In conclusion, routinely assessed baseline patient variables are associated with dropout. Ultimately, this may help to identify patients who need additional attention to keep them in therapy.

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来源期刊
Clinical Psychology in Europe
Clinical Psychology in Europe Psychology-Clinical Psychology
CiteScore
3.00
自引率
0.00%
发文量
26
审稿时长
16 weeks
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