Use of Evidence-Based Treatment for Posttraumatic Stress Disorder in Army Behavioral Healthcare.
Objective: To identify the extent to which evidence-based psychotherapy (EBP) and psychopharmacologic treatments for posttraumatic stress disorder (PTSD) are provided to U.S. service members in routine practice, and the degree to which they are consistent with evidence-based treatment guidelines. Me...
| Publicado en: | Psychiatry: Interpersonal & Biological Processes Vol. 76; no. 4; pp. 336 - 349 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
| Publicado: |
Taylor & Francis Ltd
Winter2013
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=92692412&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 92692412 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00332747 PST jtl: Psychiatry: Interpersonal & Biological Processes issn: 00332747 maglogo: N pubinfo: dt: Winter2013 vid: 76 iid: 4 pid: 377 pub: Taylor & Francis Ltd artinfo: ui: 92692412 10.1521/psyc.2013.76.4.336 ppf: 336 ppct: 13 formats: tig: atl: Use of Evidence-Based Treatment for Posttraumatic Stress Disorder in Army Behavioral Healthcare. aug: au: Wilk, Joshua E. West, Joyce C. Duffy, Farifteh F. Herrell, Richard K. Rae, Donald S. Hoge, Charles W. affil: aff1 aff2 su: Treatment of post-traumatic stress disorder Cognitive therapy Counselors Mental health services Post-traumatic stress disorder Psychiatrists Psychologists Psychotherapy Social workers Psychology of military personnel EMDR (Eye-movement desensitization & reprocessing) Health outcome assessment Surveys Evidence-based medicine Professional practice Treatment effectiveness Data analysis software Descriptive statistics sug: subj: Treatment of post-traumatic stress disorder Cognitive therapy Counselors Mental health services Post-traumatic stress disorder Psychiatrists Psychologists Psychotherapy Social workers Psychology of military personnel Offices of Mental Health Practitioners (except Physicians) Psychiatric and Substance Abuse Hospitals Residential Mental Health and Substance Abuse Facilities EMDR (Eye-movement desensitization & reprocessing) Health outcome assessment Surveys Evidence-based medicine Professional practice Treatment effectiveness Data analysis software Descriptive statistics ab: Objective: To identify the extent to which evidence-based psychotherapy (EBP) and psychopharmacologic treatments for posttraumatic stress disorder (PTSD) are provided to U.S. service members in routine practice, and the degree to which they are consistent with evidence-based treatment guidelines. Method: We surveyed the majority of Army behavioral health providers ( n = 2,310); surveys were obtained from 543 (26%). These clinicians reported clinical data on a total sample of 399 service member patients. Of these patients, 110 (28%) had a reported PTSD diagnosis. Data were weighted to account for sampling design and nonresponses. Results: Army providers reported 86% of patients with PTSD received evidence-based psychotherapy (EBP) for PTSD. As formal training hours in EBPs increased, reported use of EBPs significantly increased. Although EBPs for PTSD were reported to be widely used, clinicians who deliver EBP frequently reported not adhering to all core procedures recommended in treatment manuals; less than half reported using all the manualized core EBP techniques. Conclusions: Further research is necessary to understand why clinicians modify EBP treatments, and what impact this has on treatment outcomes. More data regarding the implications for treatment effectiveness and the role of clinical context, patient preferences, and clinical decision-making in adapting EBPs could help inform training efforts and the ways that these treatments may be better adapted for the military. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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