| Autor: |
Alpert E; National Center for PTSD, Women's Health Sciences Division, VA Boston Healthcare System., Gowdy-Jaehnig A; Center for Care Delivery and Outcomes Research, Minneapolis VA Health Care System., Galovski TE; National Center for PTSD, Women's Health Sciences Division, VA Boston Healthcare System., Meis LA; National Center for PTSD, Women's Health Sciences Division, VA Boston Healthcare System., Polusny MA; Center for Care Delivery and Outcomes Research, Minneapolis VA Health Care System., Ackland PE; Center for Care Delivery and Outcomes Research, Minneapolis VA Health Care System., Spoont M; Center for Care Delivery and Outcomes Research, Minneapolis VA Health Care System., Valenstein-Mah H; Lyra Health., Orazem RJ; Center for Care Delivery and Outcomes Research, Minneapolis VA Health Care System., Schnurr PP; National Center for PTSD, Executive Division., Chard KM; Cincinnati VA Medical Center., Kehle-Forbes SM; National Center for PTSD, Women's Health Sciences Division, VA Boston Healthcare System. |
| Abstrakt: |
Prolonged exposure (PE) and cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD) are effective, but some patients do not respond adequately, and dropout rates are high. Patients' beliefs about treatment and perceptions of treatment components influence treatment outcomes and may be amenable to change through intervention. The present study sought to identify beliefs and reactions to PE and CPT that differentiated completers who screened negative for a PTSD diagnosis after treatment (PTSD-), completers who screened positive for a PTSD diagnosis after treatment (PTSD+), and discontinuers who attended six or fewer sessions. Thematic analysis was used to identify themes in qualitative data collected via retrospective semistructured interviews with 51 completers (19 PTSD- after treatment, 32 PTSD+ after treatment) and 66 discontinuers of PE/CPT. Participants were demographically diverse veterans across service eras. Treatment-related beliefs and reactions differentiating these groups included perceived helpfulness of treatment, self-efficacy in engaging in treatment, anticipatory anxiety and concerns, interpretations of ongoing symptoms, and perceived consequences of treatment on functioning. Further, some patterns seemed to differ in early treatment sessions compared to during the active components of treatment. Findings point to potentially malleable targets that could be intervened upon to improve trauma-focused treatment outcomes. (PsycInfo Database Record (c) 2024 APA, all rights reserved). |
