San Francisco VA Health Care System, 4150 Clement Street, San Francisco, CA, 94121, USA; University of California - San Francisco, 401 Parnassus Ave, San Francisco, CA, 94143, USA; Sierra Pacific Mental Illness Research Education and Clinical Center, San Francisco, CA, USA.
Epidemiology Program, Health Outcomes of Military Exposures, Office of Patient Care Services, Veterans Health Administration, 810 Vermont Ave NW, Washington, DC, 20420, USA.
J Psychiatr Res. 2023 Oct;166:80-85. doi: 10.1016/j.jpsychires.2023.09.008. Epub 2023 Sep 16.
Despite Veterans Health Administration (VHA) efforts, many Veterans do not receive minimally adequate psychotherapy (MAP) for posttraumatic stress disorder (PTSD). It is important to understand factors associated with receipt of PTSD MAP (at least eight sessions) so that we may tailor efforts to increase treatment utilization for those who experience the greatest barriers to care.
Participants were 2008 post-9/11 Veterans who participated in a nationwide survey and had a PTSD diagnosis documented in the VHA electronic health record (EHR) before 2018. Participants self-reported sociodemographic information and trauma history. Service utilization data (e.g., PTSD MAP) were obtained from EHR. Logistic regression was used to model factors associated with PTSD MAP.
Only 24% of Veterans (n = 479) received PTSD MAP. Veterans who reported that they were not employed and had reported history of military sexual trauma were more likely to have received PTSD MAP.
Understanding and addressing barriers to PTSD care for Veterans who are employed could help improve PTSD treatment utilization for this group.
尽管退伍军人健康管理局（VHA）做出了努力，但许多退伍军人仍未接受最低充分的创伤后应激障碍（PTSD）心理治疗（MAP）。了解与 PTSD MAP（至少八次疗程）接受相关的因素非常重要，以便我们可以针对那些在获得治疗方面遇到最大障碍的人进行有针对性的努力。
参与者为 2008 名参加过全国性调查的 9/11 后退伍军人，他们在 2018 年之前在退伍军人健康管理局电子健康记录（EHR）中记录有 PTSD 诊断。参与者自我报告了社会人口统计学信息和创伤史。服务利用数据（例如 PTSD MAP）从 EHR 中获得。使用逻辑回归来建立与 PTSD MAP 相关的因素模型。
只有 24%的退伍军人（n=479）接受了 PTSD MAP。报告未就业和有军事性创伤史的退伍军人更有可能接受 PTSD MAP。
了解和解决有就业的退伍军人 PTSD 护理障碍，有助于提高该人群 PTSD 治疗的利用率。
