提供者为黑人退伍军人提供基于证据的PTSD心理治疗的经验:一种定性研究
Rachel M Ranney1, Haein Jun1, Danielle Cottonham1
1San Francisco Veterans Affairs Health Care System.
Psychological services
|July 10, 2025
概括
黑人退伍军人在PTSD治疗中表现出较少的症状改善. 提供者对种族主义和歧视的讨论是改善黑人退伍军人治疗结果的关键.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 医疗保健服务研究 医疗服务研究
- 健康和疾病的社会学
背景情况:
- 在创伤后应激障碍 (PTSD) 治疗结果中存在种族差异.
- 与白人退伍军人相比,黑人退伍军人在以创伤为重点的基于证据的心理治疗 (EBP) 中经历的症状改善较少.
- 种族主义和歧视的经历可能有助于这些差异,但提供者观点的研究不足.
研究的目的:
- 探索心理健康提供者在为黑人退伍军人提供PTSD EBPs时的经验.
- 了解提供者在治疗中讨论种族主义和歧视时的舒适性和挑战.
- 确定PTSD EBPs的潜在改进,以更好地服务于黑人退伍军人.
主要方法:
- 质量研究采访了西海岸退伍军人事务医疗中心的15名心理健康提供者.
- 提供者有经验提供PTSD EBPs.
- 使用快速分析程序来确定关键主题.
主要成果:
- 提供者讨论了他们的舒适度,在讨论种族主义和歧视中的身份角色,以及这些问题的治疗影响.
- 确定了与黑人退伍军人对EBP的反应相关的主题,并提出了改善治疗的建议.
- 这些发现强调了在PTSD治疗中需要文化响应的方法.
结论:
- 在PTSD EBP中解决种族主义和歧视问题对于改善黑人退伍军人的结果至关重要.
- 建议提供者培训文化谦卑和解决系统不平等问题.
- 进一步的研究应该集中在开发和评估文化适应的干预措施.
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