A survey of psychologists' attitudes towards and utilization of exposure therapy for PTSD
A survey of psychologists' attitudes towards and utilization of exposure therapy for PTSD
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DOI：
10.1016/s0005-7967(03)00138-4
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发表时间：
2004-03-01
影响因子：
4.1
通讯作者：
Anderson, E
中科院分区：
文献类型：
--
作者：
Becker, CB;Zayfert, C;Anderson, E
尽管研究支持暴露疗法对创伤后应激障碍（PTSD）的疗效，但一些证据表明，暴露疗法在一般临床实践中并未得到充分利用。本研究的目的是评估有执照的心理学家使用想象暴露治疗创伤后应激障碍（PTSD）的情况，并调查其实施过程中感知到的障碍。随机抽取来自三个州的 852 名心理学家进行调查。国家行为治疗组织创伤特殊兴趣小组的另外 50 名成员也接受了调查。主要调查结果表明，绝大多数持有博士学位的心理学家没有报告使用暴露疗法来治疗 PTSD 患者。尽管大约一半的主要研究样本报告说他们至少对 PTSD 暴露有一定程度的了解，但只有一小部分人在临床实践中使用它来治疗 PTSD。即使在对 PTSD 行为治疗有浓厚兴趣并接受过培训的心理学家中，暴露疗法也没有被完全接受或广泛使用。临床医生似乎也意识到实施暴露的大量障碍。 (C) 2003 Elsevier Ltd. 保留所有权利。
Although research supports the efficacy of exposure therapy for PTSD, some evidence suggests that exposure is under-utilized in general clinical practice. The purpose of this study was to assess licensed psychologists' use of imaginal exposure for PTSD and to investigate perceived barriers to its implementation. A total of 852 psychologists from three states were randomly selected and surveyed. An additional 50 members of a trauma special interest group of a national behavior therapy organization were also surveyed. The main survey results indicate that a large majority of licensed doctoral level psychologists do not report use of exposure therapy to treat patients with PTSD. Although approximately half of the main study sample reported that they were at least somewhat familiar with exposure for PTSD, only a small minority used it to treat PTSD in their clinical practice. Even among psychologists with strong interest and training in behavioral treatment for PTSD, exposure therapy is not completely accepted or widely used. Clinicians also appear to perceive a significant number of barriers to implementing exposure. (C) 2003 Elsevier Ltd. All rights reserved.