用他们自己的话说:退伍军人健康管理局对PTSD的循证治疗经验。

The Psychiatric quarterly Pub Date : 2021-09-01 Epub Date: 2021-01-06 DOI:10.1007/s11126-020-09861-z
Jennifer M Doran, McKenna O'Shea, Ilan Harpaz-Rotem
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引用次数: 4

摘要

本研究的目的是通过在退伍军人事务医疗保健系统(VA)接受循证心理治疗(ebp)治疗PTSD(认知加工治疗和长时间暴露治疗)来增加对退伍军人经历的理解。参加这项研究的18名退伍军人在新英格兰退伍军人管理局的创伤后应激障碍门诊就诊,他们选择参加EBP。该研究通过使用定量和定性评估工具评估了退伍军人的治疗经历和治疗结果。一个严格的数据分析方法,共识定性研究,应用于叙事数据。结果分为七个领域:既往EBP和结果、治疗障碍、治疗过程、治疗结果、治疗退出和对治疗的感受。总的来说,退伍军人报告了对创伤后应激障碍的ebp的不同反应,并确定了治疗的积极和消极方面。他们确定了完成治疗的多重障碍,并提供了他们在治疗方案中的想法和感受。选择过早退出治疗的退伍军人确定了促成这一决定的因素。通过这种方式,这项研究提供了一个初步的但重要的观察老兵对创伤后应激障碍的看法和经验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
In Their Own Words: Veteran Experiences with Evidence-Based Treatments for PTSD in the Veterans Health Administration.

The aim of the present study was to increase the understanding of veteran experiences with receiving an evidence-based psychotherapy (EBPs) for PTSD (Cognitive Processing Therapy and Prolonged Exposure therapy) in the Veterans Affairs Healthcare System (VA). Eighteen veterans who participated in the study were being seen in the outpatient PTSD clinic at a New England VA and had elected to participate in an EBP. The study assessed veteran experiences with, and outcomes from, treatment through the use of both quantitative and qualitative assessment tools. A rigorous data analytic approach, Consensual Qualitative Research, was applied to narrative data. Results fell into seven domains: Previous EBP & Outcome, Barriers to Treatment, Treatment Process, Treatment Outcome, Treatment Drop Out, and Feelings about Treatment. Overall, veterans reported diverse reactions to the EBPs for PTSD and identified both positive and negative aspects of the treatments. They identified multiple barriers to treatment completion and provided insight into their thoughts and feelings during the treatment protocol. Veterans who chose to drop out of treatment prematurely identified the factors that contributed to this decision. In this way, the study offers an initial but important look at veteran perceptions of and experiences with EBPs for PTSD.

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