Family Involvement in PTSD Treatment: Perspectives from a Nationwide Sample of Veterans Health Administration Clinicians.
Family Involvement in PTSD Treatment: Perspectives from a Nationwide Sample of Veterans Health Administration Clinicians.
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DOI：
10.1007/s10488-022-01214-1
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发表时间：
2022-11
影响因子：
2.6
通讯作者：
Iverson, Katherine M.
中科院分区：
文献类型：
--
作者：
Thompson-Hollands, Johanna;Rando, Alora A.;Stoycos, Sarah A.;Meis, Laura A.;Iverson, Katherine M.
社会支持与创伤后应激障碍（PTSD）的症状双向相关。有证据表明，退伍军人及其家庭成员都希望家庭参与退伍军人的心理健康治疗，而且这种参与有可能改善治疗结果。然而，退伍军人健康管理局 (VHA) 的家庭参与率较低。我们通过对美国 10 个 VHA 机构的 31 名提供者进行定性访谈，试图了解 VHA 临床医生对家庭参与 PTSD 治疗的看法。i-PARIHS 框架用于指导访谈和分析，并确定了几个主要主题。所有临床医生都报告说，他们至少偶尔会提供家庭包容的课程，他们经常提到家庭行为或态度对退伍军人功能的影响，以及退伍军人的症状如何对家庭造成巨大的破坏。临床医生过去在家庭或夫妻监督下工作的经验极大地影响了他们目前对家庭包容性治疗的舒适度。存在多种潜在途径来支持家庭更多地参与 VHA 的 PTSD 治疗。
Social support is bidirectionally linked to symptoms of posttraumatic stress disorder (PTSD). Evidence suggests that family involvement in veterans’ mental health treatment is desired by both veterans and family members, and that such involvement has the potential to improve treatment outcomes. However, rates of family involvement are low in the Veterans Health Administration (VHA). We sought to understand VHA clinicians’ perspectives on family involvement in PTSD treatment by conducting qualitative interviews with 31 providers at 10 VHA facilities across the U.S. The i-PARIHS framework was used to guide the interviews and analysis, and several major themes were identified. All clinicians reported that they at least occasionally offered family-inclusive sessions, and they frequently referenced both the influence of family behaviors or attitudes on veterans’ functioning, and also how veterans’ symptoms could cause tremendous disruption in the family. Clinicians’ past experience with supervised family- or couple-based work strongly influenced their current comfort with family-inclusive sessions. Multiple potential avenues exist to support increased family involvement in PTSD treatment in VHA.
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