Predictors of treatment interest and treatment initiation in a VA outpatient trauma services program providing evidence-based care.

Autor: Lamp K; Trauma Recovery Program, James A. Haley Veterans Administration Hospital, Tampa, Florida, USA., Maieritch KP, Winer ES, Hessinger JD, Klenk M
Jazyk: angličtina
Zdroj: Journal of traumatic stress [J Trauma Stress] 2014 Dec; Vol. 27 (6), pp. 695-702. Date of Electronic Publication: 2014 Nov 21.
DOI: 10.1002/jts.21975
Abstrakt: The present study explored interest in treatment and treatment initiation patterns among veterans presenting at a VA posttraumatic stress disorder (PTSD) clinic. U.S. veterans who were referred for treatment of posttraumatic stress symptoms (N = 476) attended a 2-session psychoeducation and orientation class where they completed measures of demographic variables, PTSD and depression symptom severity, and interest in treatment. Consistent with previous literature and our hypotheses, Vietnam (OR = 1.78) and Persian Gulf veterans (OR = 2.05) were more likely than Iraq and Afghanistan veterans to initiate treatment. Veterans reporting more severe PTSD and depression symptoms were more likely to initiate treatment than not (OR for PTSD = 1.02, OR for depression = 1.02). Interest in treatment emerged as a strong predictor of treatment initiation. Specifically, interest in trauma-focused treatment showed a significant independent predictive effect on initiation such that veterans who expressed interest in trauma-focused treatment were significantly more likely to initiate treatment than those who did not express interest (OR = 2.13). Building interest in trauma-focused treatment may be a vital component for engaging veterans in evidence-based trauma-focused therapy.
(Copyright © 2014 International Society for Traumatic Stress Studies.)
Databáze: MEDLINE
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