Department of Psychology, Trinity University, One Trinity Place, San Antonio, TX 78212-7200, USA.
Behav Res Ther. 2009 Mar;47(3):245-53. doi: 10.1016/j.brat.2009.01.001. Epub 2009 Jan 17.
Evidence-based treatments (EBT) for posttraumatic stress disorder (PTSD) remain underutilized. Analog research, however, indicates that patients may be more amenable to receiving EBT for PTSD than utilization rates suggest. This study sought to extend previous studies by investigating PTSD treatment preferences among law enforcement individuals (i.e., active duty officers, cadets, criminal justice students). We asked 379 participants, with varying trauma histories, to read a police traumatic event and imagine they had developed PTSD. Participants rated the credibility of six treatment options which they might encounter in a treatment setting, and chose their most and least preferred treatments. Next, they evaluated a widely used debriefing intervention aimed at preventing PTSD. Almost 90% of participants chose exposure or Cognitive Processing Therapy as their first or second most preferred treatment, and they rated these interventions as significantly more credible than the other four treatment options. The sample showed ambivalence regarding the perceived efficacy of debriefing but found the rationale credible. This study supports previous analog research indicating that patients may be more interested in EBT than indicated by utilization rates, and suggests that law enforcement departments should consider offering EBT to officers who develop PTSD.
创伤后应激障碍(PTSD)的循证治疗(EBT)仍未得到充分利用。然而,类似的研究表明,患者可能比利用率所表明的更愿意接受 PTSD 的 EBT。本研究通过调查执法人员(即现役警官、学员、刑事司法学生)的 PTSD 治疗偏好,旨在扩展以前的研究。我们要求 379 名有不同创伤史的参与者阅读一个警察创伤事件,并想象他们已经患上了 PTSD。参与者对他们在治疗环境中可能遇到的六种治疗方案的可信度进行了评分,并选择了他们最和最不喜欢的治疗方案。接下来,他们评估了一种广泛使用的旨在预防 PTSD 的疏导干预措施。近 90%的参与者选择暴露或认知加工疗法作为他们的第一或第二最受欢迎的治疗方法,他们认为这些干预措施比其他四种治疗方法更可信。该样本对疏导的疗效存在矛盾心理,但认为其基本原理是可信的。这项研究支持了之前的类似研究,表明患者可能比利用率所表明的更感兴趣循证治疗,并且表明执法部门应该考虑为患有 PTSD 的警察提供 EBT。