创伤后应激障碍治疗的"位":对提供者如何与患者讨论基于证据的心理治疗的定性研究
Katinka Hooyer1, Jessica Hamblen2,3, Shannon M Kehle-Forbes4,5,6
1Department of Family and Community Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Journal of traumatic stress
|May 30, 2024
概括
临床医生可以通过使用特定的沟通策略来改善患者对创伤后应激障碍 (PTSD) 基于证据的心理治疗 (EBP) 的参与. 定制这些疗法的呈现,如认知处理疗法和长期暴露,提高了患者的动机和治疗决策.
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:
- 创伤后应激障碍 (PTSD) 是一种普遍的疾病,特别是在退伍军人中.
- 基于证据的心理治疗 (EBP),包括认知处理疗法和长期暴露,是PTSD的第一线治疗方法.
- 尽管美国退伍军人事务部 (VA) 进行了大量投资,但大多数退伍军人没有获得这些推的EBP.
研究的目的:
- 调查临床医生如何向患者提供PTSD的EBP.
- 确定临床医生在讨论PTSD治疗选择时使用的有效沟通策略.
- 了解EBP的"音调"如何影响患者的决策和动机.
主要方法:
- 这项研究包括记录和主题分析25个治疗规划会议.
- 会议在美国的10个VA地点进行.
- 定性分析侧重于提供者关于PTSDEBP的沟通模式.
主要成果:
- 在提供者如何讨论EBP时,出现了五个关键主题:丰富的描述,多样化的询问技术,分享患者的成功故事,使用邀请和直接的语言,并根据患者需求量身定制沟通.
- 这些沟通策略似乎影响了患者对追求EBP的兴趣和动机.
- 确定的主题可以作为供应商的"菜单",有效地呈现治疗选择.
结论:
- 临床医师的沟通策略显著影响患者对PTSD的EBP的理解和接受.
- 定制认知处理疗法和长期暴露的呈现可以提高患者的参与度.
- 实施这些沟通技术可能会改善经过创伤后应激障碍的退伍军人采用基于证据的治疗方法.
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