除了减轻症状之外:退伍军人对创伤后应激障碍治疗的目标
Stephanie Y Wells1,2,3, Emily R Wilhite4, Marcela C Weber5,6
1Durham Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Health Care System, Durham, North Carolina, USA.
Journal of traumatic stress
|January 6, 2025
概括
患有创伤后应激障碍 (PTSD) 的退伍军人寻求治疗以减少症状和个人成长. 将护理与这些目标相结合,可以改善对创伤为中心的基于证据的心理治疗 (TF-EBP) 的参与.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 退伍军人事务 医疗保健 医疗保健
背景情况:
- 很少有退伍军人为创伤后应激障碍 (PTSD) 完成以创伤为中心的基于证据的心理治疗 (TF-EBP).
- 了解退伍军人的治疗目标对于改善参与和坚持至关重要.
- 美国退伍军人事务部 (VA) 强调以退伍军人为中心的护理.
研究的目的:
- 质量分析退伍军人寻求PTSD治疗的具体目标.
- 确定退伍军人自我报告的治疗目标中的主题.
主要方法:
- 来自一项随机对照试验 (RCT) 的二次数据分析,涉及175名接受TF-EBP治疗PTSD的退伍军人.
- 从基线问卷中对退伍军人自认的治疗目标进行定性编码.
- 由两个独立的编码人员进行的主题分析.
主要成果:
- 出现了三个主要主题:PTSD症状的改善,个人福祉和成长,以及社会/人际功能.
- 退伍军人确定了治疗的症状重点和功能目标.
- 目标涵盖了广泛的个人和社会目标.
结论:
- 患有PTSD的退伍军人有多方面的治疗目标,包括减轻症状和改善功能.
- 治疗结果监测应扩大,包括以患者为中心的功能目标.
- 将TF-EBP与退伍军人的不同目标相协调,可能会提高治疗坚持和治疗结果.
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