Clinical effectiveness study of a treatment to prepare for trauma-focused evidence-based psychotherapies at a veterans affairs specialty posttraumatic stress disorder clinic.
Clinical effectiveness study of a treatment to prepare for trauma-focused evidence-based psychotherapies at a veterans affairs specialty posttraumatic stress disorder clinic.
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临床有效性研究，以准备以创伤为基础的循证心理治疗的治疗，在退伍军人事务专业后，创伤后应激障碍诊所。
DOI：
10.1037/ser0000425
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发表时间：
2021-11
影响因子：
2.3
通讯作者：
Clancy CP
中科院分区：
文献类型：
--
作者：
Dedert EA;LoSavio ST;Wells SY;Steel AL;Reinhardt K;Deming CA;Ruffin RA;Berlin KL;Kimbrel NA;Wilson SM;Boeding SE;Clancy CP
退伍军人事务部（VA）的创伤后应激障碍（PTSD）诊所经常提供心理教育或技能建设小组，为退伍军人准备创伤集中的PTSD治疗。然而，对这种基于阶段的治疗参与和症状减轻方法的有效性评价有限。参与者包括575名寻求PTSD治疗的退伍军人，他们的治疗结果在由心理健康专业人员和受训人员组成的VA PTSD门诊诊所进行评估。参与者完成自我报告的基线特征和精神症状的措施，作为常规PTSD诊所治疗的一部分。我们测试了预备组治疗与后续创伤集中心理治疗、认知加工治疗（CPT）和延长暴露治疗（PE）的参与和治疗反应的相关性，这些治疗被VA指定为循证心理治疗（EBP）。在参与预备治疗后，94/391（24%）的退伍军人参与了随后的创伤集中EBP（CPT或PE）。相对于先前完成预备组的患者，在没有首先参加预备PTSD治疗的情况下开始创伤集中EBP的患者具有类似的创伤集中EBP完成率和更好的治疗反应，如DSM-5（PCL-5）PTSD检查表的下降所测量的，F（1，3009）= 10.89，p = 0.001，和患者健康问卷-抑郁症状的9项测量F（1，3688）= 6.74，p = 0.010。总的来说，退伍军人报告说，在没有参加过预备小组的情况下，直接参与创伤集中的EBP时，症状减轻得更快。这些数据支持退伍军人参与以创伤为中心的创伤后应激障碍EBP，而不是首先被鼓励完成心理教育或技能建设小组。
Posttraumatic stress disorder (PTSD) clinics in the Department of Veterans Affairs (VA) often provide psychoeducational or skill-building groups to prepare veterans for trauma-focused PTSD treatments. However, there has been limited evaluation of the effectiveness of this phase-based approach for treatment engagement and symptom reduction. Participants included 575 veterans seeking treatment for PTSD whose treatment outcomes were assessed in a VA outpatient PTSD clinic staffed by mental health professionals and trainees. Participants completed self-report measures of baseline characteristics and psychiatric symptoms as part of routine PTSD clinic treatment. We tested the association of preparatory group treatment with engagement in and treatment response to subsequent trauma-focused psychotherapies, cognitive processing therapy (CPT) and prolonged exposure therapy (PE), which are designated by VA as Evidence-Based Psychotherapies (EBP). Following participation in preparatory treatments, 94/391 (24%) of veterans engaged in a subsequent trauma-focused EBP (CPT or PE). Relative to patients who had previously completed a preparatory group, patients initiating a trauma-focused EBP without having first attended preparatory PTSD treatment had similar rates of trauma-focused EBP completion and better treatment response, as measured by decreases on the PTSD Checklist for DSM-5 (PCL-5), F(1,3009) = 10.89, p = .001, and Patient Health Questionnaire-9 measure of depressive symptoms F(1,3688) = 6.74, p = .010. Overall, veterans reported greater symptom reduction when engaging in trauma-focused EBP directly, without having previously attended a preparatory group. These data support veteran engagement in trauma-focused EBPs for PTSD without first being encouraged to complete psychoeducational or skill-building groups.
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DOI：
10.1037/a0036183
发表时间：
2014-04-01
期刊：
Professional psychology, research and practice
影响因子：
--
作者：
Cook JM;Dinnen S;Simiola V;Thompson R;Schnurr PP
通讯作者：
Schnurr PP
影响因子：
2.3
作者：
Finley, Erin P.;Garcia, Hector A.;Peterson, Alan L.
通讯作者：
Peterson, Alan L.
影响因子：
3.3
作者：
Karlin, Bradley E.;Ruzek, Josef I.;Foa, Edna B.
通讯作者：
Foa, Edna B.
影响因子：
3
作者：
Landes, Sara J.;Garovoy, Natara D.;Burkman, Kristine M.
通讯作者：
Burkman, Kristine M.
影响因子：
2.3
作者：
Garcia, Hector A.;Kelley, Lance P.;Lee, Shuko
通讯作者：
Lee, Shuko