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对创伤后应激障碍和创伤性脑损伤退伍军人使用服务犬情况的定性探索。

A Qualitative Exploration of the Use of Service Dogs in Veterans with Post Traumatic Stress Disorder and Traumatic Brain Injury.

作者信息

Shiroff Jennifer J, Gray Kathy, Santulli Gabrielle M, DiDonato Stephen, Kelly Patricia J, Fulford Jacqueline O'Rourke

机构信息

Jefferson College of Nursing Thomas Jefferson University Philadelphia Pennsylvania USA.

出版信息

Psychiatr Res Clin Pract. 2022 Dec 21;5(2):40-50. doi: 10.1176/appi.prcp.20220029. eCollection 2023 Summer.

DOI:10.1176/appi.prcp.20220029
PMID:37293143
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10245458/
Abstract

OBJECTIVE

This qualitative research was conducted to add to the body of knowledge that supports the benefits of service dogs (SDs), as a tertiary treatment modality, to veterans with post-traumatic stress disorder (PTSD) and/or traumatic brain injury (TBI).

METHODS

This grounded theory research design utilized open-ended, semi-structured interviews with veterans ( = 10) who were using SDs as a treatment modality for PTSD and/or TBI. Transcripts were analyzed using NVivo qualitative software until data saturation was achieved.

RESULTS

Results from the data analysis identified 4 major themes with concurrent subthemes. The most prominent themes were functional status, impact of a SD, recognition of symptoms of PTSD and/or TBI by the SD, and barriers and challenges to the acquisition of a SD. Participants reported that the SD increased socialization and was a positive adjunct to treatment modalities for PTSD and/or TBI.

CONCLUSIONS

Our study highlights the benefits of using a SD as a tertiary treatment for PTSD and/or TBI in veterans. Veterans in our study articulated the benefits of using a SD as a tertiary treatment option, and the need to make this a standard treatment option for all veterans who suffer from PTSD and/or TBI.

摘要

目的

开展这项定性研究,以丰富支持服务犬作为一种三级治疗方式对患有创伤后应激障碍(PTSD)和/或创伤性脑损伤(TBI)的退伍军人有益的相关知识体系。

方法

本扎根理论研究设计采用了对将服务犬作为PTSD和/或TBI治疗方式的退伍军人(n = 10)进行开放式、半结构化访谈。使用NVivo定性软件对访谈记录进行分析,直至达到数据饱和。

结果

数据分析结果确定了4个主要主题及相关子主题。最突出的主题是功能状态、服务犬的影响、服务犬对PTSD和/或TBI症状的识别,以及获取服务犬的障碍和挑战。参与者报告称,服务犬增加了社交活动,是PTSD和/或TBI治疗方式的积极辅助手段。

结论

我们的研究突出了将服务犬作为退伍军人PTSD和/或TBI的三级治疗手段的益处。我们研究中的退伍军人阐述了将服务犬作为三级治疗选择的益处,以及将其作为所有患有PTSD和/或TBI的退伍军人的标准治疗选择的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/065b/10245458/9493c3b2eb4c/RCP2-5-40-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/065b/10245458/9493c3b2eb4c/RCP2-5-40-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/065b/10245458/9493c3b2eb4c/RCP2-5-40-g001.jpg

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Service dog training programs for veterans with PTSD: results of a pilot controlled study.退伍军人 PTSD 服务犬训练计划:一项试点对照研究的结果。
Soc Work Health Care. 2019 Apr;58(4):412-430. doi: 10.1080/00981389.2019.1580238.
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Military Veterans and Their PTSD Service Dogs: Associations Between Training Methods, PTSD Severity, Dog Behavior, and the Human-Animal Bond.退伍军人及其创伤后应激障碍服务犬:训练方法、创伤后应激障碍严重程度、犬类行为与人与动物之间的联系
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Benefits and challenges of using service dogs for veterans with posttraumatic stress disorder.为患有创伤后应激障碍的退伍军人使用服务犬的益处与挑战。
Psychiatr Rehabil J. 2018 Jun;41(2):118-124. doi: 10.1037/prj0000294. Epub 2018 Apr 26.
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Preliminary efficacy of service dogs as a complementary treatment for posttraumatic stress disorder in military members and veterans.服务犬作为军事人员和退伍军人创伤后应激障碍的辅助治疗的初步疗效。
J Consult Clin Psychol. 2018 Feb;86(2):179-188. doi: 10.1037/ccp0000267.
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Service needs and barriers to care five or more years after moderate to severe TBI among Veterans.退伍军人中重度创伤性脑损伤五年或更长时间后的服务需求与护理障碍
Brain Inj. 2017;31(10):1287-1293. doi: 10.1080/02699052.2017.1307449. Epub 2017 Jun 6.
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