TY - JOUR
T1 - Graduate Training and Provider Concerns About Distress and Comprehension in PTSD Treatment Choice
T2 - A Mediation Analysis
AU - Song, Jiyoung
AU - Garcia, Hector A.
AU - Finley, Erin P.
AU - Stirman, Shannon Wiltsey
N1 - Publisher Copyright:
© 2021,ChemChemTech.All Rights Reserved
PY - 2021
Y1 - 2021
N2 - The Veterans Health Administration (VHA) recommends that patients with posttraumatic stress disorder (PTSD) receive either of the 2 frontline evidence-based psychotherapies, cognitive processing therapy (CPT) and prolonged exposure (PE). However, VHA providers have reported low use of these treatments, and voiced their concerns over exposing patients to distress in PE and their patients not understanding CPT. In the current study, we surveyed VHA providers (N = 225) in PTSD clinical teams across the United States on their graduate school training experience in structured cognitive– behavioral therapy protocols, agreement with the 2 provider concerns, and use of the 2 treatments. Results from our mediation analyses indicated that graduate school training in structured protocols led to lower discomfort of exposing patients to distress during PE, and in turn, greater PE utilization. However, there was no significant relationship between graduate school training and CPT utilization.
AB - The Veterans Health Administration (VHA) recommends that patients with posttraumatic stress disorder (PTSD) receive either of the 2 frontline evidence-based psychotherapies, cognitive processing therapy (CPT) and prolonged exposure (PE). However, VHA providers have reported low use of these treatments, and voiced their concerns over exposing patients to distress in PE and their patients not understanding CPT. In the current study, we surveyed VHA providers (N = 225) in PTSD clinical teams across the United States on their graduate school training experience in structured cognitive– behavioral therapy protocols, agreement with the 2 provider concerns, and use of the 2 treatments. Results from our mediation analyses indicated that graduate school training in structured protocols led to lower discomfort of exposing patients to distress during PE, and in turn, greater PE utilization. However, there was no significant relationship between graduate school training and CPT utilization.
KW - PTSD
KW - evidence-based psychotherapies
KW - implementation
KW - treatment decision-making
KW - treatment utilization
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U2 - 10.1037/ser0000429
DO - 10.1037/ser0000429
M3 - Article
C2 - 32378933
AN - SCOPUS:85084830131
SN - 1541-1559
VL - 18
SP - 533
EP - 542
JO - Psychological Services
JF - Psychological Services
IS - 4
ER -