Becker Carolyn Black, Darius Ellen, Schaumberg Katherine
Department of Psychology, Trinity University, One Trinity Place, San Antonio, TX 78212-7200, USA.
Behav Res Ther. 2007 Dec;45(12):2861-73. doi: 10.1016/j.brat.2007.05.006. Epub 2007 May 31.
Although several efficacious treatments for posttraumatic stress disorder (PTSD) exist, these treatments are currently underutilized in clinical practice. To address this issue, research must better identify barriers to dissemination of these treatments. This study investigated patient preferences for PTSD treatment given a wide range of treatment options in an analog sample. One hundred and sixty individuals, with varying degrees of trauma history, were asked to imagine themselves undergoing a trauma, developing PTSD, and seeking treatment. Participants evaluated seven different treatment descriptions, which depicted treatment options that they might encounter in a clinical setting. Participants rated their most and least preferred treatments along with their personal reactions to and the perceived credibility of each treatment. Participants also completed a critical thinking skills questionnaire. Participants predominantly chose exposure or another variant of cognitive-behavioral therapy as their most preferred therapy, and those who chose exclusively empirically supported treatments evidenced higher critical thinking skills. The present study contributes to a growing literature indicating that patients may be more interested in these therapies than indicated by utilization rates. The problem of underutilization of empirically supported treatments for PTSD in clinical practice may be due to therapist factors.
尽管存在几种针对创伤后应激障碍（PTSD）的有效治疗方法，但这些治疗方法目前在临床实践中的应用并不充分。为了解决这一问题，研究必须更好地识别这些治疗方法传播的障碍。本研究在一个模拟样本中，针对广泛的治疗选择，调查了患者对PTSD治疗的偏好。160名有不同程度创伤史的个体被要求想象自己经历了一次创伤，患上了PTSD，并寻求治疗。参与者评估了七种不同的治疗描述，这些描述描绘了他们在临床环境中可能遇到的治疗选择。参与者对他们最喜欢和最不喜欢的治疗方法进行了评分，并对每种治疗方法给出了个人反应和感知可信度。参与者还完成了一份批判性思维技能问卷。参与者主要选择暴露疗法或认知行为疗法的其他变体作为他们最喜欢的疗法，而那些只选择经实证支持的治疗方法的人表现出更高的批判性思维技能。本研究为越来越多的文献做出了贡献，表明患者可能比利用率所显示的对这些疗法更感兴趣。临床实践中对PTSD经实证支持的治疗方法利用不足的问题可能是由于治疗师因素。
