Treatment-related beliefs and reactions among trauma-focused therapy completers and discontinuers: A qualitative examination.
Treatment-related beliefs and reactions among trauma-focused therapy completers and discontinuers: A qualitative examination.
复制标题
创伤重点治疗完成者和终止者中与治疗相关的信念和反应：定性检查。
DOI：
10.1037/ser0000831
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发表时间：
2024
影响因子：
2.3
通讯作者：
Kehle-Forbes,ShannonM
中科院分区：
文献类型：
--
作者：
Alpert,Elizabeth;Gowdy-Jaehnig,Alexandra;Galovski,TaraE;Meis,LauraA;Polusny,MelissaA;Ackland,PrincessE;Spoont,Michele;Valenstein-Mah,Helen;Orazem,RobertJ;Schnurr,PaulaP;Chard,KathleenM;Kehle-Forbes,ShannonM
长期暴露（PE）和认知加工疗法（CPT）治疗创伤后应激障碍（PTSD）是有效的，但有些患者没有充分的反应，辍学率很高。患者对治疗的信念和对治疗组成部分的看法影响治疗结果，并可能通过干预改变。本研究旨在确定对PE和CPT的信念和反应，以区分治疗后PTSD诊断为阴性（PTSD-）的完成者，治疗后PTSD诊断为阳性（PTSD+）的完成者，以及参加六次或更少会议的中止者。通过对51名完成者（19名治疗后PTSD-，32名治疗后PTSD+）和66名PE/CPT中止者进行回顾性半结构化访谈，使用主题分析来确定定性数据中的主题。参与者是各个服役时期人口统计学上不同的退伍军人。治疗相关的信念和反应区分这些群体，包括治疗的帮助，自我效能感在从事治疗，预期的焦虑和关注，持续的症状的解释，和治疗功能的感知后果。此外，与治疗的活性成分期间相比，早期治疗期间的一些模式似乎不同。研究结果指出，潜在的可塑性目标，可以干预，以改善创伤为重点的治疗结果。（PsycInfo数据库记录（c）2024阿帕，保留所有权利）
Prolonged exposure (PE) and cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD) are effective, but some patients do not respond adequately, and dropout rates are high. Patients’ beliefs about treatment and perceptions of treatment components influence treatment outcomes and may be amenable to change through intervention. The present study sought to identify beliefs and reactions to PE and CPT that differentiated completers who screened negative for a PTSD diagnosis after treatment (PTSD−), completers who screened positive for a PTSD diagnosis after treatment (PTSD+), and discontinuers who attended six or fewer sessions. Thematic analysis was used to identify themes in qualitative data collected via retrospective semistructured interviews with 51 completers (19 PTSD− after treatment, 32 PTSD+ after treatment) and 66 discontinuers of PE/CPT. Participants were demographically diverse veterans across service eras. Treatment-related beliefs and reactions differentiating these groups included perceived helpfulness of treatment, self-efficacy in engaging in treatment, anticipatory anxiety and concerns, interpretations of ongoing symptoms, and perceived consequences of treatment on functioning. Further, some patterns seemed to differ in early treatment sessions compared to during the active components of treatment. Findings point to potentially malleable targets that could be intervened upon to improve trauma-focused treatment outcomes.(PsycInfo Database Record (c) 2024 APA, all rights reserved)