提高使用动机增强治疗的现役服务人员自愿参与创伤后应激障碍治疗的情况
Denise D Walker1, Thomas O Walton1, Anna E Jaffe2
1School of Social Work, University of Washington.
Psychological trauma : theory, research, practice and policy
|October 12, 2023
概括
动机增强疗法 (MET) 检查显示,增加患有创伤后应激障碍 (PTSD) 的军人治疗参与度具有前途. 对于那些对解决PTSD症状信心较低的人来说,MET可能特别有益.
科学领域:
- 精神病学和行为健康
- 军人心理健康 军人心理健康
- 干预研究研究干预研究
背景情况:
- 创伤后应激障碍 (PTSD) 在军事人群中很普遍,有效治疗方法未得到充分利用.
- 动机增强疗法 (MET) 检查是简短的干预措施,旨在鼓励非治疗寻求者寻求治疗.
研究的目的:
- 评估一种新的MET干预措施在促进现役美国军人被诊断患有PTSD的治疗参与方面的有效性.
- 评估MET是否可以在军事环境中增加基于证据的PTSD治疗方法.
主要方法:
- 一项随机对照试验,涉及161名现役军人患有PTSD.
- 参与者被分配到MET (最多三次电话会议) 或通常的治疗 (TAU,邮寄资源和推).
- 后续评估是在基线后的6周,3个月和6个月进行的.
主要成果:
- 随着时间的推移,MET和TAU组的治疗次数显著增加,条件之间没有显著差异.
- 在这两组中,PTSD症状的严重程度都显著下降.
- 一个显著的三方相互作用表明,在6个月的随访中,MET对具有较低基线准备改变信心的个体比TAU更有效.
结论:
- 无论是MET还是高质量的转诊选择,都显示出增加基于证据的治疗吸收和减少服务人员中PTSD症状的潜力.
- 对于那些对自己处理PTSD的能力信心较低的人来说,MET似乎特别有益.
- 由于PTSD的个人和社会成本显著,促进治疗的干预措施至关重要.
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