Examining Ethnoracial Differences in Retention in Evidence-Based Treatments for Posttraumatic Stress Disorder Secondary to Military Sexual Trauma.

IF 1.1 4区 医学 Q3 CRIMINOLOGY & PENOLOGY Violence and Victims Pub Date : 2024-10-14 DOI:10.1891/VV-2023-0069
Peter P Grau, Katherine M Fedele, Michelle A Fernando, Brittany Hall-Clark, Sheila A M Rauch, Katherine E Porter, Minden Sexton
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Abstract

Improving and expanding mental health treatment for Veterans who have experienced military sexual trauma (MST) is currently a top priority in Veterans Healthcare Administration. Many of these Veterans develop posttraumatic stress disorder (PTSD), and there is increasing recognition that diversity is a core treatment consideration for Veterans who have experienced trauma. As such, more information is needed concerning the relationship between trauma-focused treatment attrition and ethnoracial identity in Veterans who have experienced MST. This article presents two studies exploring dropout from a Midwestern Department of Veterans Affairs (VA) PTSD clinic in samples of Veterans who experienced MST. These studies aim to reduce this knowledge gap by contrasting Black and White Veterans' retention in trauma-focused care. In Study 1 (n = 141), we examined ethnoracial differences in dropout in a cohort of treatment-seeking Veterans who experienced MST and engaged in cognitive processing therapy (CPT) in a VA specialty PTSD clinic. In Study 2 (n = 109), we explored the same questions related to treatment attrition in a separate cohort of treatment-seeking Veterans who experienced MST and engaged in prolonged exposure (PE) in a VA specialty PTSD clinic. Results from both studies did not indicate ethnoracial differences in attrition rate (for both total sessions and an 8-week minimally adequate care [MAC] window) across evidence-based PTSD treatment. However, it remains important to consider the impact of racial and cultural factors on retention. Future research should aim to recruit a larger racially and ethnically diverse sample to explore possible varying retention outcomes of CPT and PE for MST-related PTSD.

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研究基于证据的军队性创伤后应激障碍治疗中的人种保留率差异。
改善和扩大对经历过军事性创伤 (MST) 的退伍军人的心理健康治疗是退伍军人医疗保健管理局目前的首要任务。这些退伍军人中的许多人都患上了创伤后应激障碍 (PTSD),而且人们越来越认识到,对于经历过创伤的退伍军人来说,多元化是治疗的核心考虑因素。因此,我们需要更多有关经历过创伤后应激障碍的退伍军人的创伤治疗流失与种族认同之间关系的信息。本文介绍了两项研究,以经历过创伤后应激障碍的退伍军人为样本,探讨中西部退伍军人事务部创伤后应激障碍诊所的辍学情况。这些研究旨在通过对比黑人退伍军人和白人退伍军人在以创伤为重点的护理中的保留率,缩小这一知识差距。在研究 1(n = 141)中,我们调查了在退伍军人事务部创伤后应激障碍专科门诊接受认知加工疗法(CPT)并寻求治疗的退伍军人群体中的种族辍学差异。在研究 2(n = 109)中,我们在另一个寻求治疗的退伍军人群体中探讨了与治疗流失相关的相同问题,这些退伍军人经历过创伤后应激障碍,并在退伍军人事务部创伤后应激障碍专科门诊接受过长期暴露疗法(PE)。这两项研究的结果均未表明,在基于证据的创伤后应激障碍治疗中,自然减员率(总疗程和为期 8 周的最低充分护理 [MAC] 窗口期)存在种族差异。然而,考虑种族和文化因素对保留率的影响仍然很重要。未来的研究应着眼于招募更多的种族和民族多元化样本,以探索 CPT 和 PE 治疗 MST 相关创伤后应激障碍可能产生的不同保留结果。
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来源期刊
Violence and Victims
Violence and Victims CRIMINOLOGY & PENOLOGY-
CiteScore
1.70
自引率
0.00%
发文量
61
期刊介绍: We all face the difficult problem of understanding and treating the perpetrators and victims of violence behavior. Violence and Victims is the evidence-based resource that informs clinical decisions, legal actions, and public policy. Now celebrating its 25th year, Violence and Victims is a peer-reviewed journal of theory, research, policy, and clinical practice in the area of interpersonal violence and victimization. It seeks to facilitate the exchange of information on this subject across such professional disciplines as psychology, sociology, criminology, law, medicine, nursing, psychiatry, and social work.
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