在经过创伤后应激障碍和物质使用障碍同时发生的退伍军人中,描述和比较基于证据的心理治疗利用率
Vanessa C Somohano1, David Cameron1,2, Meaghan Lewis1
1Center to Improve Veteran Involvement in Care, VA Portland Healthcare System, Portland, Oregon, USA.
Substance use & misuse
|December 19, 2023
概括
患有PTSD和物质使用障碍 (SUD) 的退伍军人以相似的速度完成了基于证据的心理治疗 (EBP),无论SUD亚型如何. 这表明EBP在不同的SUD种群中被很好地容忍.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 同时发生的创伤后应激障碍 (PTSD) 和物质使用障碍 (SUD) 在退伍军人中很普遍.
- 对PTSD的基于证据的心理治疗 (EBP) 是有效的,但它们在不同SUD亚型中的完成率需要调查.
- 了解治疗完成对于优化对这种复杂患者群体的护理至关重要.
研究的目的:
- 描述一个具有PTSD和SUD同时发生的退伍军人的全国样本,这些退伍军人启动和完成了PTSDEBPs.
- 为了确定PTSD EBP完成率是否根据SUD亚型 (酒精使用障碍与其他SUD) 不同.
主要方法:
- 使用的退伍军人卫生管理局电子健康记录数据为2,996名退伍军人被诊断患有PTSD和SUD.
- 确定了在2019年1月1日至2019年7月16日期间启动认知处理疗法 (CPT) 或长期暴露 (PE) 的患者.
- 使用后勤回归来比较患有酒精使用障碍 (AUD) 的退伍军人与其他SUD的退伍军人之间的EBP完成率.
主要成果:
- 研究样本 (N=2,996) 包含了平均年龄为45岁的退伍军人,主要是男性,白人和非西班牙裔.
- 后勤回归分析显示,AUD和其他SUD的退伍军人之间EBP完成率没有显著差异 (OR=1.02,95%CI=0.87-1.17,p=0.79).
结论:
- 在经过研究的退伍军人群中,基于证据的PTSD心理治疗的完成率在不同物质使用障碍亚型之间没有显著差异.
- 这些发现表明,PTSD的EBP通常耐受性很好,可以考虑用于患有PTSD和各种SUD同时发生的退伍军人.
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