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美国退伍军人事务部创伤后应激障碍的住院治疗:全国视角

Residential Treatment for Posttraumatic Stress Disorder in the Department of Veterans Affairs: A National Perspective on.

作者信息

Cook Joan M, Dinnen Stephanie, Simiola Vanessa, Bernardy Nancy, Rosenheck Robert, Hoff Rani

机构信息

Yale School of Medicine and National Center for PTSD, West Haven, Connecticut.

Yale School of Medicine.

出版信息

Traumatology (Tallahass Fla). 2014;20(1):43-49. doi: 10.1037/h0099379.

DOI:10.1037/h0099379
PMID:25411565
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4233343/
Abstract

Thirty-eight U.S. Department of Veterans Affairs's (VA) residential treatment programs for posttraumatic stress disorder took part in a formative evaluation of their programmatic services, including perceptions of effective treatment. From July 2008 through March 2011, face-to-face qualitative interviews were conducted with over 250 VA residential staff. A wide variety of perceived effective treatment elements were noted. The most frequently mentioned elements were evidence-based treatments, frequency and intensity of milieu, staff cohesion, varied programming, and individualized treatment. Implications for VA managers and policy-makers as well as non-VA health care systems and health care providers are discussed.

摘要

美国退伍军人事务部(VA)的38个创伤后应激障碍住院治疗项目参与了对其项目服务的形成性评估,包括对有效治疗的看法。从2008年7月到2011年3月,对250多名VA住院工作人员进行了面对面的定性访谈。记录了各种各样被认为有效的治疗要素。最常被提及的要素是循证治疗、环境的频率和强度、员工凝聚力、多样化的项目安排以及个性化治疗。文中还讨论了对VA管理人员和政策制定者以及非VA医疗系统和医疗服务提供者的启示。

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本文引用的文献

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Staff cohesion in residential treatment.住院治疗中的员工凝聚力。
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2
A formative evaluation of two evidence-based psychotherapies for PTSD in VA residential treatment programs.对退伍军人事务部住院治疗项目中两种 PTSD 循证心理疗法的形成性评估。
J Trauma Stress. 2013 Feb;26(1):56-63. doi: 10.1002/jts.21769.
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Recent trends in the treatment of posttraumatic stress disorder and other mental disorders in the VHA.VA 中创伤后应激障碍和其他精神障碍治疗的最新趋势。
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5
The comparative effectiveness of cognitive processing therapy for male veterans treated in a VHA posttraumatic stress disorder residential rehabilitation program.认知加工疗法对在 VHA 创伤后应激障碍住院康复项目中接受治疗的男性退伍军人的疗效比较。
J Consult Clin Psychol. 2011 Oct;79(5):590-9. doi: 10.1037/a0024466.
6
Exploring the efficacy of a residential treatment program incorporating cognitive processing therapy-cognitive for veterans with PTSD and traumatic brain injury.探讨认知加工疗法-认知联合住宅治疗方案对 PTSD 和创伤性脑损伤退伍军人的疗效。
J Trauma Stress. 2011 Jun;24(3):347-51. doi: 10.1002/jts.20644. Epub 2011 May 27.
7
Dissemination of evidence-based psychological treatments for posttraumatic stress disorder in the Veterans Health Administration.在 Veterans Health Administration 中传播创伤后应激障碍的基于证据的心理治疗。
J Trauma Stress. 2010 Dec;23(6):663-73. doi: 10.1002/jts.20588. Epub 2010 Nov 15.
8
A comparison of OEF and OIF veterans and Vietnam veterans receiving cognitive processing therapy.接受认知加工疗法的 OEF 和 OIF 退伍军人与越南退伍军人的比较。
J Trauma Stress. 2010 Feb;23(1):25-32. doi: 10.1002/jts.20500.
9
Posttraumatic stress disorder and quality of life: extension of findings to veterans of the wars in Iraq and Afghanistan.创伤后应激障碍和生活质量:对伊拉克和阿富汗战争退伍军人的发现的扩展。
Clin Psychol Rev. 2009 Dec;29(8):727-35. doi: 10.1016/j.cpr.2009.08.006. Epub 2009 Aug 24.
10
Dissemination of effective mental health treatment procedures: Maximizing the return on a significant investment.有效心理健康治疗程序的传播:最大限度地提高重大投资的回报。
Behav Res Ther. 2009 Nov;47(11):990-3. doi: 10.1016/j.brat.2009.07.002. Epub 2009 Jul 25.