Bridging the gap between posttraumatic stress disorder research and clinical practice: The example of exposure therapy
Bridging the gap between posttraumatic stress disorder research and clinical practice: The example of exposure therapy
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DOI：
10.1037/0033-3204.41.4.374
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发表时间：
2004-12-01
期刊：
影响因子：
2.5
通讯作者：
Foa, EB
中科院分区：
文献类型：
--
作者：
Cook, JM;Schnurr, PP;Foa, EB
在将经验支持的心理社会治疗（EST）转化为一般常规临床实践方面存在显着的挑战。然而，对于创伤相关疾病的无害环境技术，可能还有其他独特的传播和实施障碍。例如，尽管大量随机临床试验的证据证明了暴露疗法对创伤后应激障碍的疗效，但在现实世界中，一线临床医生很少使用这种治疗方法。干扰采用的感知和实际障碍包括临床医生对暴露的误解以及EST可能不容易适用的复杂病例。提出了弥合创伤EST（一般）和暴露疗法（特别是）的科学服务差距的具体建议。
There are notable challenges in translating empirically supported psychosocial treatments (ESTs) into general routine clinical practice. However, there may be additional unique dissemination and implementation obstacles for ESTs for trauma-related disorders. For example, despite considerable evidence from randomized clinical trials that attests to the efficacy of exposure therapy for posttraumatic stress disorder, front-line clinicians in real-world settings rare use this treatment. Perceived and actual barriers that interfere with adoption include clinician misconceptions about what exposure entails and complex cases to which ESTs may not be readily applicable. Specific suggestions for bridging the science-into-service gap in trauma ESTs (in general) and in exposure therapy (in particular) are proposed.