Department of Psychology, Bowling Green State University, Bowling Green, Ohio.
J Community Psychol. 2021 Apr;49(3):791-805. doi: 10.1002/jcop.22359. Epub 2020 Apr 8.
Premature dropout from psychological treatment for posttraumatic stress disorder (PTSD) is common. Little research has sought to understand perceptions of treatment and barriers to treatment in this population. This study analyzed anonymous posts among an online community of individuals with PTSD (93 forum users comprising 158 posts regarding treatment providers and 40 forum users comprising 50 posts regarding institutional barriers). Results indicated that individuals with PTSD desire greater clarity about expectations for treatment, collaboration toward treatment goals, open discussion of client-therapist boundaries, and increased validation among therapists in response to trauma disclosure. Individuals with PTSD also reported multiple systemic issues that were barriers to treatment including a lack of available services in their area, being placed on a waitlist for long periods of time, the cost of treatment as a financial burden, and poor crisis response in emergency rooms. Findings indicated areas of growth for treatment providers which will help inform future treatment studies in improving care and treatment adherence among individuals with PTSD.
创伤后应激障碍（PTSD）的心理治疗提前退出很常见。很少有研究试图了解这一人群对治疗的看法和治疗障碍。本研究分析了 PTSD 在线社区中匿名帖子（93 名论坛用户包括 158 条关于治疗提供者的帖子和 40 名论坛用户包括 50 条关于机构障碍的帖子）。结果表明，PTSD 患者希望对治疗期望、治疗目标的协作、客户-治疗师边界的公开讨论以及治疗师对创伤披露的更多肯定有更清晰的认识。PTSD 患者还报告了多个治疗障碍的系统性问题，包括其所在地区缺乏可用服务、长时间等待名单、治疗费用成为经济负担，以及急诊室危机应对不力。研究结果表明，治疗提供者有几个需要改进的领域，这将有助于为未来的治疗研究提供信息，以改善 PTSD 患者的护理和治疗依从性。
