患者在做创伤后应激障碍治疗决策方面的经验
Sadie E Larsen1, Katinka Hooyer2, Shannon M Kehle-Forbes3
1Executive Division, National Center for Posttraumatic Stress Disorder.
Psychological services
|October 19, 2023
概括
许多患有创伤后应激障碍 (PTSD) 的患者选择基于证据的心理治疗,但对治疗选择记忆不多. 决策往往是启发式的,一些患者努力表达他们选择PTSD治疗的推理.
科学领域:
- 心理学 心理学 心理学
- 心理健康 心理健康
- 临床研究 临床研究
背景情况:
- 对于创伤后应激障碍 (PTSD) 存在有效的治疗方法,但患者吸收率仍然很低.
- 有限的研究探讨了患者对PTSD治疗选择的决策过程.
- 了解患者的体验对于改善治疗准入和坚持治疗至关重要.
研究的目的:
- 调查患者在选择PTSD治疗时的偏好和经验.
- 评估患者对治疗规划会议期间提供的信息的回忆力.
- 了解患者选择PTSD治疗的理由.
主要方法:
- 记录的患者提供者会议的定性分析,讨论PTSD治疗选择.
- 采访患者以收集他们的印象和决策经验.
- 样本包括12名退伍军人和10名医疗保健提供者.
主要成果:
- 大多数患者选择了基于证据的心理治疗,但对讨论的治疗选择的回忆力不佳.
- 患者认为治疗选择呈现是中立的,并报告了共享决策.
- 虽然许多人可以解释他们的选择,但一些患者难以表达他们的理由,这表明启发式决策.
结论:
- 患者对PTSD治疗的决策可能会受到微妙的提供者沟通的影响.
- 共享决策发生,但患者可能不会完全考虑选择.
- 需要进一步的研究,以优化患者对PTSD治疗方法的理解和知情选择.
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