Sansen Lisa M, Saupe Laura B, Steidl Annika, Fegert Jörg M, Hoffmann Ulrike, Neuner Frank
Faculty of Psychology, Clinical Psychology and Psychotherapy, Bielefeld University, Bielefeld, Germany.
Department of Child and Adolescent Psychiatry/Psychotherapy, University Hospital Ulm, Ulm, Germany.
Eur J Psychotraumatol. 2019 Dec 9;10(1):1696590. doi: 10.1080/20008198.2019.1696590. eCollection 2019.
Although trauma-focused interventions are the first-line therapies for patients with posttraumatic stress disorder (PTSD), they are not frequently used in clinical practice. Factors preventing therapists from applying trauma-focused methods include a lack of training and negative attitudes towards trauma-focused therapy. The aim of the present study was to investigate which factors predict willingness to carry out trauma-focused therapy and to examine whether a web-based training is able to reduce negative attitudes and reservations about these interventions. In a wait-list controlled evaluation study, therapists ( = 499) were randomized into an intervention or a wait-list control group. Results show that trauma-treatment specific competencies and overcoming pre-existing concerns towards trauma-focused therapy significantly predict therapists' willingness to utilize trauma-focused interventions. Thus, the content alignment of the web-based course is appropriate for improving therapists' willingness to conduct trauma-focused therapy. A retrospective examination of therapists after the training and a comparison of fears and reservations before and after the training demonstrate a significant reduction of fears and reservations. In terms of perceived contraindications, no effects of the web-based training were found. The present study provides compelling evidence that web-based training in evidence-based PTSD therapy is able to reduce reservations that may prevent therapists from applying evidence-based trauma-focused interventions.
尽管创伤聚焦干预是创伤后应激障碍（PTSD）患者的一线治疗方法，但在临床实践中却不常使用。阻碍治疗师应用创伤聚焦方法的因素包括缺乏培训以及对创伤聚焦疗法的负面态度。本研究的目的是调查哪些因素可预测实施创伤聚焦疗法的意愿，并检验基于网络的培训是否能够减少对这些干预措施的负面态度和顾虑。在一项等待列表对照评估研究中，治疗师（n = 499）被随机分为干预组或等待列表对照组。结果表明，创伤治疗特定能力以及克服对创伤聚焦疗法先前存在的顾虑显著预测了治疗师使用创伤聚焦干预措施的意愿。因此，基于网络课程的内容匹配度适合提高治疗师实施创伤聚焦疗法的意愿。对培训后的治疗师进行回顾性检查，并比较培训前后的恐惧和顾虑，结果显示恐惧和顾虑显著减少。在感知到的禁忌方面，未发现基于网络培训的效果。本研究提供了令人信服的证据，即基于网络的循证PTSD治疗培训能够减少可能阻碍治疗师应用循证创伤聚焦干预措施的顾虑。
