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2019
DOI: 10.1176/appi.ps.201800408
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Factors Associated With Receipt of Cognitive-Behavioral Therapy or Prolonged Exposure Therapy Among Individuals With PTSD

Abstract: The aim of this study was to systematically review variables associated with initiation of trauma-centered cognitive-behavioral therapy (TC-CBT) among individuals with posttraumatic stress disorder (PTSD). Methods: PubMed, PsycINFO, Web of Science, Published International Literature on Traumatic Stress (PILOTS), and Scopus were searched in a systematic manner up to 2018, and 26 relevant studies were recovered and analyzed. Results: The average weighted initiation rate was 6% in larger hospital systems with a h… Show more

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Cited by 5 publications
(3 citation statements)
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“…Despite the severe consequences of untreated PTSD for both individual mental health and society [13,14], a significant proportion of treatment-seeking individuals suffering from PTSD do not initiate trauma-focused treatments [15] despite their efficacy in reducing PTSD symptoms [16][17][18]. Individuals with PTSD have been shown to endorse more barriers to mental health treatment than individuals with anxiety disorders [19].…”
Section: Challenges For Clinical Research With Participants Sufferingmentioning
confidence: 99%
See 1 more Smart Citation
“…Despite the severe consequences of untreated PTSD for both individual mental health and society [13,14], a significant proportion of treatment-seeking individuals suffering from PTSD do not initiate trauma-focused treatments [15] despite their efficacy in reducing PTSD symptoms [16][17][18]. Individuals with PTSD have been shown to endorse more barriers to mental health treatment than individuals with anxiety disorders [19].…”
Section: Challenges For Clinical Research With Participants Sufferingmentioning
confidence: 99%
“…According to the authors, facilitators were only investigated in a small number of studies with social support, a desire for change, and prior positive experiences with professional help being reported by several primary studies. Other facilitators in adults suffering from PTSD might be associated with logistic issues and the organizational setting [15]. Accordingly, patients might be enabled to initiate trauma-focused treatments not only because of their own ability to time treatment according to already existing priorities and responsibilities, but also because of the specific type of referral source (with mental health care referral sources being more enabling than primary care referral source), and the availability and consistency of trained providers of trauma-focused treatments.…”
Section: Challenges For Clinical Research With Participants Sufferingmentioning
confidence: 99%
“…The severity of the trauma exposure may also impact their engagement in MH treatment (van den Berk Clark et al, 2019). For example, adverse childhood experiences, such as experiencing violence, abuse, or neglect, is related to MH treatment engagement (Larkin et al, 2018) though this finding was not compared by gender.…”
mentioning
confidence: 99%