VA Connecticut Healthcare System, 950 Campbell Avenue, West Haven, CT, USA.
Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Psychiatr Q. 2021 Sep;92(3):961-980. doi: 10.1007/s11126-020-09861-z. Epub 2021 Jan 6.
The aim of the present study was to increase the understanding of veteran experiences with receiving an evidence-based psychotherapy (EBPs) for PTSD (Cognitive Processing Therapy and Prolonged Exposure therapy) in the Veterans Affairs Healthcare System (VA). Eighteen veterans who participated in the study were being seen in the outpatient PTSD clinic at a New England VA and had elected to participate in an EBP. The study assessed veteran experiences with, and outcomes from, treatment through the use of both quantitative and qualitative assessment tools. A rigorous data analytic approach, Consensual Qualitative Research, was applied to narrative data. Results fell into seven domains: Previous EBP & Outcome, Barriers to Treatment, Treatment Process, Treatment Outcome, Treatment Drop Out, and Feelings about Treatment. Overall, veterans reported diverse reactions to the EBPs for PTSD and identified both positive and negative aspects of the treatments. They identified multiple barriers to treatment completion and provided insight into their thoughts and feelings during the treatment protocol. Veterans who chose to drop out of treatment prematurely identified the factors that contributed to this decision. In this way, the study offers an initial but important look at veteran perceptions of and experiences with EBPs for PTSD.
本研究旨在增进对退伍军人接受退伍军人事务部医疗保健系统（VA）中基于证据的 PTSD（认知加工疗法和延长暴露疗法）心理治疗的经验的理解。参与研究的 18 名退伍军人在新英格兰 VA 的门诊 PTSD 诊所就诊，并选择接受 EBP。该研究通过使用定量和定性评估工具来评估退伍军人的治疗经验和结果。Consensual Qualitative Research（共识定性研究）这一严格的数据分析方法被应用于叙事数据。结果分为七个领域：以前的 EBP 和结果、治疗障碍、治疗过程、治疗结果、治疗脱落和对治疗的感受。总体而言，退伍军人对 PTSD 的 EBP 反应各异，并确定了治疗的积极和消极方面。他们确定了多个治疗完成的障碍，并深入了解了他们在治疗方案期间的想法和感受。提前选择退出治疗的退伍军人确定了促成这一决定的因素。通过这种方式，该研究初步但重要地探讨了退伍军人对 PTSD 的 EBP 的看法和经验。
