PREDICTORS OF COMPLETION OF EXPOSURE THERAPY IN OEF/OIF VETERANS WITH POSTTRAUMATIC STRESS DISORDER
PREDICTORS OF COMPLETION OF EXPOSURE THERAPY IN OEF/OIF VETERANS WITH POSTTRAUMATIC STRESS DISORDER
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DOI：
10.1002/da.22207
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发表时间：
2013-11-01
影响因子：
7.4
通讯作者：
Acierno, Ron
中科院分区：
文献类型：
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作者：
Gros, Daniel F.;Price, Matthew;Acierno, Ron
背景尽管大规模的传播和实施工作的循证心理治疗的退伍军人从持久/伊拉克自由行动（OEF/OIF），鲜为人知的因素，有助于成功完成这些治疗在这个高危人群。本研究探讨了治疗完成的预测因素，在一个标准化的基于创伤后应激障碍的心理治疗PTSD.MethodsNinety-two OEF/OIF战斗退伍军人参加了一个随机对照试验的8个会话的基于创伤后应激障碍的心理治疗。所有参与者都完成了结构化的临床访谈和一些背景和症状问卷。最初的92名参与者中，28%的样本（n = 26）停止治疗前完成的trial.ResultsPredictors治疗中止进行了评估与分层logistic回归。残疾状况与治疗中止呈正相关，部署后社会支持与中止呈负相关。与以前的研究结果相反，其他因素，如年龄和PTSD的发病率，没有被确定为显着predictor.ConclusionsThe本研究表明，残疾状态在治疗开始时增加治疗中止的风险，而增加社会支持对中断缓冲。总之，这些发现强调了增加评估和早期干预的重要性，当这些因素存在时，可能会减少治疗中断并改善OEF/OIF退伍军人PTSD的治疗结果。
BackgroundDespite large-scale dissemination and implementation efforts of evidence-based psychotherapy to veterans from Operation Enduring/Iraqi Freedom (OEF/OIF), little is known regarding the factors that contribute to the successful completion of these treatments in this high-risk population. The present study investigated predictors of treatment completion during a standardized exposure-based psychotherapy for PTSD.MethodsNinety-two OEF/OIF combat veterans enrolled in a randomized controlled trial for an eight session exposure-based psychotherapy for PTSD. All participants completed structured clinical interviews and several background and symptom questionnaires. Of the initial 92 participants, 28% of the sample (n = 26) discontinued treatment prior to completion of the trial.ResultsPredictors of discontinuation of treatment were assessed with a hierarchical logistic regression. Disability status was positively associated with treatment discontinuation, and postdeployment social support was negatively associated with discontinuation. In contrast to previous findings, other factors, such as age and PTSD symptomatology, were not identified as significant predictors.ConclusionsThe present study suggested that disability status at the start of treatment increases the risk for treatment discontinuation whereas increased social support buffers against discontinuation. Together, these findings highlight the importance of increased assessment and early intervention when these factors are present to potentially reduce treatment discontinuation and improve treatment outcomes in OEF/OIF veterans with PTSD.