Pretreatment Predictors of Dropout From Cognitive Behavioral Therapy for PTSD in Iraq and Afghanistan War Veterans
Pretreatment Predictors of Dropout From Cognitive Behavioral Therapy for PTSD in Iraq and Afghanistan War Veterans
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DOI：
10.1037/a0022705
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发表时间：
2011-02-01
影响因子：
2.3
通讯作者：
Lee, Shuko
中科院分区：
文献类型：
--
作者：
Garcia, Hector A.;Kelley, Lance P.;Lee, Shuko
认知行为疗法（CBT）可以有效治疗创伤后应激障碍（PTSD），但其有效性受到过早退出率高的限制。很少有研究比较治疗完成者和辍学者的治疗前特征，只有一项研究在伊拉克自由和持久自由行动（OIF/OEF）退伍军人中研究了这些因素。这项研究分析了117名OEF/OIF退伍军人的档案临床数据，这些退伍军人通过退伍军人事务部PTSD诊所进行评估和治疗。大量患者退出治疗（68%）。治疗退出者（n = 79）和完成者（n = 38）在明尼苏达多相人格调查表-2（MMPI-2）量表、PTSD症状严重程度和年龄上存在显著差异。回归分析确定MMPI-2量表、TRT（阴性治疗指标）和年龄是唯一但适度的辍学预测因素。
Cognitive-behavioral therapies (CBTs) can be effective treatments for posttraumatic stress disorder (PTSD) but their effectiveness is limited by high rates of premature dropout. Few studies have compared pretreatment characteristics of treatment completers and dropouts, and only one has examined these factors in Operations Iraqi Freedom and Enduring Freedom (OIF/OEF) Veterans. This study analyzed archival clinical data from 117 OEF/OIF Veterans evaluated and treated through a Veterans Affairs PTSD clinic. High numbers dropped out of treatment (68%). Treatment dropouts (n = 79) and completers (n = 38) differed significantly on Minnesota Multiphasic Personality Inventory-2 (MMPI-2) scales, PTSD symptom severity, and age. Regression analyses identified one MMPI-2 scale, TRT (negative treatment indicators), and age as unique but modest predictors of dropout.