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Simultaneous Application of Transcranial Direct Current Stimulation during Virtual Reality Exposure

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Reengagement in PTSD psychotherapy: A case-control study.

Katherine R Buchholz¹, Kipling M Bohnert¹, Paul N Pfeiffer¹

¹VA Clinical Management Research, VA Ann Arbor Healthcare System, 2800 Plymouth Road, Bldg 16, Ann Arbor, MI 48109, United States; Department of Psychiatry, University of Michigan Medical School, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, United States.

General Hospital Psychiatry

|September 18, 2017

Summary

Veterans receiving diverse healthcare services are more likely to return to psychotherapy for PTSD. Broad engagement across care settings supports continued mental health treatment for veterans.

Keywords:

Posttraumatic stress disorder Psychotherapy Service utilization Veterans

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Published on: March 8, 2018

Area of Science:

Health Services Research
Mental Health Services
Psychiatry

Background:

Post-traumatic Stress Disorder (PTSD) is a prevalent condition among veterans.
Consistent engagement in psychotherapy is crucial for effective PTSD management.
Understanding factors influencing reengagement in psychotherapy is vital for improving veteran care.

Purpose of the Study:

To identify patient characteristics and care processes associated with reengagement in VA (Veterans Affairs) psychotherapy for PTSD.
To examine the relationship between various healthcare encounters and subsequent engagement in PTSD psychotherapy.

Main Methods:

A retrospective cohort study using national VA data of 24,492 veterans diagnosed with PTSD.
A nested case-control study compared veterans who reengaged in psychotherapy with those who did not.
Conditional logistic regression models were used to analyze sociodemographic, mental health, and service utilization factors.

Main Results:

39.4% of veterans in the cohort reengaged in psychotherapy.
Encounters with primary care, primary care mental health, non-PTSD psychotherapy, other non-PTSD mental health care, other non-psychotherapy PTSD care, emergency room, and psychiatric hospitalization were all associated with increased odds of reengagement.
Specifically, other non-psychotherapy PTSD care showed a significant association (OR=3.31).

Conclusions:

A broad range of healthcare services received by veterans is linked to higher rates of reengagement in PTSD psychotherapy.
Healthcare providers across all settings should be aware of their role in supporting veterans' return to psychotherapy.
Integrated care approaches may enhance sustained engagement in mental health treatment for veterans with PTSD.