Levi Ofir, Lazarov Amit, Bar-Haim Yair, Lubin Gadi, Wald Ilan
School of Psychological Sciences and The Sagol School of Neuroscience, Tel-Aviv University, Tel-Aviv.
Psychological Services, The Hebrew University, Mt. Scopus, Jerusalem, Israel.
J Nerv Ment Dis. 2019 Apr;207(4):300-306. doi: 10.1097/NMD.0000000000000966.
This study examined different variables as predictors of treatment entry and treatment dropout among veterans with military-related posttraumatic stress disorder (PTSD). First, we examined predictors of treatment entry versus refusal of treatment. Among the veterans who started therapy, we examined predictors of treatment completion. Symptom severity of PTSD, depression, and anxiety at baseline were measured. Daily functioning at baseline was also measured. Results indicate that the younger the veterans were, the more likely they were to refuse treatment. Dropout from treatment was also predicted by younger age at referral, as well as by past treatment, higher number of years of education, and higher depression levels at baseline. Two conclusions can be drawn from the results. First, it may be beneficial to increase awareness of treatment options for PTSD among younger veterans as this may increase treatment consent rates. Second, to reduce treatment dropout in veteran patients with PTSD, therapists should take into consideration both past treatment and baseline depression levels as risk factors for dropout.
本研究考察了不同变量，这些变量可作为患有与军事相关创伤后应激障碍（PTSD）的退伍军人接受治疗及治疗中断的预测指标。首先，我们考察了接受治疗与拒绝治疗的预测指标。在开始治疗的退伍军人中，我们考察了治疗完成的预测指标。测量了基线时PTSD、抑郁和焦虑的症状严重程度。还测量了基线时的日常功能。结果表明，退伍军人年龄越小，拒绝治疗的可能性就越大。转诊时年龄较小、过去的治疗经历、受教育年限较多以及基线时抑郁水平较高也可预测治疗中断。从结果中可以得出两个结论。第一，提高年轻退伍军人对PTSD治疗选择的认识可能有益，因为这可能会提高治疗同意率。第二，为减少患有PTSD的退伍军人患者的治疗中断情况，治疗师应将过去的治疗经历和基线抑郁水平都作为治疗中断的风险因素加以考虑。
