Graduate training and provider concerns about distress and comprehension in PTSD treatment choice: A mediation analysis.

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2020
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Abstract
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 ( = 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. Findings suggest an important role for graduate training in the uptake of guideline recommended treatment for PTSD at VHA. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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song2020graduatepsychological Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Song, Jiyoung;Garcia, Hector A;Finley, Erin P;Wiltsey Stirman, Shannon;
Journal psychological services
Year 2020
DOI
10.1037/ser0000429
URL
Keywords
trauma ptsd integration intervention music therapy cultural competency war transition post-traumatic stress disorder military storytelling arts creative arts ethical responsibility exposure to war military culture songwriting trauma-informed practice

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