Pretreatment Predictors of Dropout From Cognitive Behavioral Therapy for PTSD in Iraq and Afghanistan War Veterans

被引：141

作者：

Garcia, Hector A. ^{[1
]}

Kelley, Lance P. ^{[1
]}

Rentz, Timothy O. ^{[1
]}

Lee, Shuko ^{[1
]}

机构：

[1] VAMC San Antonio, Frank Tejeda Outpatient Clin, San Antonio, TX 78240 USA

来源：

PSYCHOLOGICAL SERVICES | 2011年 / 8卷 / 01期

关键词：

posttraumatic stress disorder (PTSD); Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF); dropout; MMPI-2; predictors; POSTTRAUMATIC-STRESS-DISORDER; MENTAL-HEALTH PROBLEMS; PROLONGED EXPOSURE; PREMATURE TERMINATION; MMPI-2; SERVICE; SCALES; CARE; COMPENSATION; ADHERENCE;

D O I：

10.1037/a0022705

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Cognitive-behavioral therapies (CBTs) can be effective treatments for posttraumatic stress disorder (PTSD) but their effectiveness is limited by high rates of premature dropout. Few studies have compared pretreatment characteristics of treatment completers and dropouts, and only one has examined these factors in Operations Iraqi Freedom and Enduring Freedom (OIF/OEF) Veterans. This study analyzed archival clinical data from 117 OEF/OIF Veterans evaluated and treated through a Veterans Affairs PTSD clinic. High numbers dropped out of treatment (68%). Treatment dropouts (n = 79) and completers (n = 38) differed significantly on Minnesota Multiphasic Personality Inventory-2 (MMPI-2) scales, PTSD symptom severity, and age. Regression analyses identified one MMPI-2 scale, TRT (negative treatment indicators), and age as unique but modest predictors of dropout.

引用

页码：1 / 11

页数：11

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