Emotion Dysregulation Predicts Dropout from Prolonged Exposure Treatment among Women Veterans with Military Sexual Trauma-Related Posttraumatic Stress Disorder.
Emotion Dysregulation Predicts Dropout from Prolonged Exposure Treatment among Women Veterans with Military Sexual Trauma-Related Posttraumatic Stress Disorder.
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DOI：
10.1016/j.whi.2020.07.004
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发表时间：
2020-11
期刊：
影响因子：
--
通讯作者：
Acierno R
中科院分区：
文献类型：
--
作者：
Gilmore AK;Lopez C;Muzzy W;Brown WJ;Grubaugh A;Oesterle DW;Acierno R
军事性创伤（MST）在军事人员中非常普遍，可能导致心理和身体健康问题，包括创伤后应激障碍（PTSD）。虽然有几种基于证据的治疗MST相关的PTSD，包括延长暴露疗法（PE），但目前还不清楚哪些因素与过早终止（即，从这个治疗中退出。鉴于流行的PE作为一种循证治疗创伤后应激障碍，检查变量的影响辍学PE与MST的女性退伍军人是必要的。识别这些特定因素可能有助于临床医生解决MST幸存者的独特症状特征和治疗途径的潜在障碍。目前的研究提供了一项正在进行的随机临床试验的次要数据分析，该试验比较了患有MST相关PTSD的女性退伍军人（n = 136）的PE亲自交付与通过远程医疗交付的有效性。共有50%的参与者退出了研究（n = 68）。基线时情绪调节困难与治疗退出相关（比值比= 1.03，p <0.01），而基线PTSD和人口统计学因素则无关。目前的研究结果表明，情绪调节技能的缺陷有助于PE辍学，并可能是一个适当的目标，以解决在未来的临床试验创伤后应激障碍。
Military sexual trauma (MST) is notably prevalent among military personnel and can result in mental and physical health problems, including posttraumatic stress disorder (PTSD). Although there are several evidence-based treatments for MST-related PTSD, including Prolonged Exposure therapy (PE), it is unclear what factors are associated with premature termination (i.e., dropout) from this treatment. Given the popularity of PE as an evidence-based treatment for PTSD, the examination of variables that influence dropout from PE among women veterans with MST is warranted. Identification of these specific factors may assist clinicians in addressing the unique symptom profiles and potential barriers to treatment access for individual MST survivors. The current study presents secondary data analyses from an ongoing randomized clinical trial that compared the effectiveness of PE delivered in person to delivery via telemedicine for women veterans with MST-related PTSD (n = 136). A total of 50% of participants dropped out from the study (n = 68). Difficulties with emotion regulation at baseline were associated with treatment dropout (odds ratio = 1.03, p < .01), while baseline PTSD and demographic factors were not. Findings from the current study indicate that emotion regulation skills deficits contribute to PE dropout and may be an appropriate target to address in future clinical trials for PTSD.
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影响因子：
2.3
作者：
Garcia, Hector A.;Kelley, Lance P.;Lee, Shuko
通讯作者：
Lee, Shuko
影响因子：
2
作者：
Hernandez-Tejada, Melba A.;Zoller, James S.;Acierno, Ron
通讯作者：
Acierno, Ron
影响因子：
4.1
作者：
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通讯作者：
Suris, Alina
DOI：
10.1037/tra0000484
发表时间：
2020-05-01
影响因子：
6.3
作者：
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通讯作者：
Rosen, Craig S.
影响因子：
7.4
作者：
Acierno, Ron;Gros, Daniel F.;Tuerk, Peter W.
通讯作者：
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