Gender Differences in Rates and Predictors of Individual Psychotherapy Initiation and Completion Among Veterans Health Administration Users Recently Diagnosed With PTSD
Gender Differences in Rates and Predictors of Individual Psychotherapy Initiation and Completion Among Veterans Health Administration Users Recently Diagnosed With PTSD
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DOI：
10.1037/tra0000428
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发表时间：
2019-11-01
影响因子：
6.3
通讯作者：
Spoont, Michele
中科院分区：
文献类型：
--
作者：
Valenstein-Mah, Helen;Kehle-Forbe, Shannon;Spoont, Michele
目的：大多数患有创伤后应激障碍（PTSD）的退伍军人接受退伍军人健康管理局（VHA）的护理，但不接受个人心理治疗。本研究的目的是探讨性别差异的启动和完成一个足够的课程（定义为参加8个或更多的会议）的个人心理治疗的男性和女性VHA用户最近诊断为PTSD。方法：参与者（N = 7，218）是退伍军人在一个前瞻性的全国队列调查VHA用户诊断为创伤后应激障碍;过采样被用来增加妇女和少数民族退伍军人的代表性。结果如下：42%的样本（40.1%的男性，52.3%的女性）在他们的指数PTSD诊断的6个月内开始了个人心理治疗。在开始治疗的人中，12.1%（10.8%的男子，17.7%的妇女）完成了充分的个人心理治疗。妇女一般比男子更有可能开始个人心理治疗。然而，我们发现了性别和年龄之间的相互作用，年轻男性比老年男性更有可能开始心理治疗;年龄与女性的开始没有显着相关性。关于完成个人心理治疗，性别和信念之间的相互作用，心理治疗，这样的男人不太可能完成个人心理治疗时，他们持有更多的消极信念心理治疗，这些信念并没有显着影响女性退伍军人完成心理治疗的可能性。结论：总的来说，女性退伍军人比男性退伍军人更有可能与创伤后应激障碍开始个人心理治疗。开始和完成个人心理治疗的男女比例仍然相对较低。需要采取干预措施，以增加对个人心理治疗的参与，特别是对患有创伤后应激障碍的男性退伍军人。
Objective: Most veterans with posttraumatic stress disorder (PTSD) who receive care from the Veterans Health Administration (VHA) do not receive individual psychotherapy. The purpose of this study was to explore gender differences in initiation and completion of a sufficient course (defined as attending 8 or more sessions) of individual psychotherapy among male and female VHA users recently diagnosed with PTSD. Method: Participants (N = 7,218) were veterans in a prospective national cohort survey of VHA users diagnosed with PTSD; oversampling was used to increase representation of women and minority veterans. Results: Forty-two percent of the sample (40.1% of men, 52.3% of women) initiated individual psychotherapy within 6 months of their index PTSD diagnosis. Of those who initiated, 12.1% (10.8% of men, 17.7% of women) completed a sufficient course of individual psychotherapy. Women were generally more likely than men to initiate individual psychotherapy. However, we found an interaction between gender and age, such that younger men were more likely to initiate psychotherapy than older men; age was not significantly associated with initiation among women. Regarding completion of individual psychotherapy, an interaction between gender and beliefs about psychotherapy was found, such that men were less likely to complete individual psychotherapy when they held more negative beliefs about psychotherapy; these beliefs did not significantly impact female veterans' likelihood of completing psychotherapy. Conclusions: Overall, while female veterans are more likely than male veterans with PTSD to initiate individual psychotherapy. rates of initiation and completion of individual psychotherapy for both genders remain relatively low. Interventions are needed to increase engagement in individual psychotherapy, particularly for male veterans with PTSD.