Department of Psychiatry, University of Illinois at Chicago.
Department of Psychiatry, Yale School of Medicine.
Psychol Trauma. 2018 Mar;10(2):131-139. doi: 10.1037/tra0000220. Epub 2016 Nov 28.
Despite a growing body of knowledge about the dissemination of evidence-based psychotherapies (EBPs), their actual use in clinical settings is not well understood. The purpose of the current study was to compare self-reported component use with global use for 2 EBPs for posttraumatic stress disorder (PTSD), prolonged exposure (PE), and cognitive processing therapy (CPT).
Around 174 providers from 38 VA PTSD residential treatment programs were asked about both global use and component use of PE and CPT.
Among frequent users of these EBPs, component use was generally high, especially for low-intensity and nonspecific components. For each form of treatment, there were a small number of providers who reported using the treatment frequently but did not use most of the key components of the treatment.
These findings highlight the importance of understanding the modifications that providers make to EBPs and suggest the importance of flexibility within fidelity to these treatments. (PsycINFO Database Record
尽管关于循证心理疗法（EBP）传播的知识不断增加，但它们在临床环境中的实际应用仍未得到很好的理解。本研究的目的是比较创伤后应激障碍（PTSD）的两种 EBP，即延长暴露（PE）和认知加工疗法（CPT）的自我报告的组件使用与整体使用。
来自 38 个 VA PTSD 住院治疗项目的约 174 名提供者被问及 PE 和 CPT 的整体使用情况和组件使用情况。
在这些 EBP 的频繁使用者中，组件的使用通常很高，尤其是低强度和非特异性组件。对于每种治疗形式，都有少数提供者报告经常使用该治疗方法，但并未使用治疗的大多数关键组件。
这些发现强调了了解提供者对 EBP 的修改的重要性，并表明了对这些治疗方法的灵活性的重要性。
