在患有PTSD的退伍军人中对强迫症的评估和治疗:一种定性描述性研究
Gabriella T Ponzini1, Yujung Choi2, Susan Alton Dailey2
1Durham Veterans Affairs Health Care System.
Psychological services
|October 16, 2025
概括
患有PTSD的退伍军人往往没有被诊断为强迫症 (OCD). 提供者面临的障碍包括误解和缺乏培训,阻碍了对退伍军人的强迫症评估和治疗. 解决这些需求至关重要.
科学领域:
- 心理健康 心理健康
- 临床心理学 临床心理学
- 实施科学 实施科学
背景情况:
- 在退伍军人中,强迫症 (OCD) 和创伤后应激障碍 (PTSD) 的并发症很普遍.
- 这种双重诊断往往导致较差的临床和心理社会结果.
- 在患有PTSD的退伍军人中,强迫症经常被诊断不足和治疗不足.
研究的目的:
- 探索退伍军人事务提供者的当前实践,以评估和治疗患有PTSD的退伍军人的强迫症.
- 在这个人群中确定与强迫症评估和治疗相关的障碍和需求.
- 为改进患有PTSD的退伍军人强迫症护理的策略提供信息.
主要方法:
- 使用半结构面试对12名临床心理学家进行定性描述性研究.
- 采访指南和分析由实施研究综合框架 (CFIR) 提供信息.
- 采用快速,矩阵和以团队为基础的定性分析技术.
主要成果:
- 大多数一般心理健康诊所的医疗服务提供者在患有PTSD的退伍军人中评估和治疗了强迫症.
- 在临床上报告了关于强迫症诊断和治疗的普遍误解.
- 障碍包括缺乏知识,培训,资源,时间和国家任务.
结论:
- 提供者确定了对教育,培训,咨询和资源的需求,以改善强迫症治疗.
- 解决已识别的障碍和需求可以提高退伍军人的强迫症服务的可访问性.
- 在患有PTSD的退伍军人中改善强迫症的评估和治疗可以显著改善患者的结果.
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