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
“…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
Background: Research on effective recruitment and retention strategies for adolescents and young adults suffering from posttraumatic stress disorder is scarce. The aim of the current study was to provide data on recruitment sources, barriers, and facilitators for participation in a randomized controlled trial for young individuals with histories of sexual and/or physical abuse. Methods: Study participants aged 14 to 21 were asked to complete a checklist on individual sources of recruitment, barriers, and facilitators for participation in the trial. Fifty-three out of the 80 study participants who were contacted completed the checklist (66.3%). Results: Most respondents reported multiple recruitment sources, with online and media advertising search strategies indicated most frequently (45.4% of all mentions), followed by practitioner-referred sources (38.7%). Respondents' reported barriers included additional demands of the trial (60.3%), followed by distress caused by having to talk about painful topics (15.5%). The most frequently indicated facilitators were the organizational setting (55.1%) and monetary incentives (22.2%), followed by social support (12.0%) and non-monetary incentives (10.2%). No significant differences were observed between adolescent and young adult respondents with the exception that adolescents reported significantly more frequently that they had learned about the trial from their caregiver. Conclusions: Our findings permit the formulation of recommendations for planning and conducting trials with this clientele. Future research is needed on how specific barriers can be effectively overcome.
“…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
Background: Research on effective recruitment and retention strategies for adolescents and young adults suffering from posttraumatic stress disorder is scarce. The aim of the current study was to provide data on recruitment sources, barriers, and facilitators for participation in a randomized controlled trial for young individuals with histories of sexual and/or physical abuse. Methods: Study participants aged 14 to 21 were asked to complete a checklist on individual sources of recruitment, barriers, and facilitators for participation in the trial. Fifty-three out of the 80 study participants who were contacted completed the checklist (66.3%). Results: Most respondents reported multiple recruitment sources, with online and media advertising search strategies indicated most frequently (45.4% of all mentions), followed by practitioner-referred sources (38.7%). Respondents' reported barriers included additional demands of the trial (60.3%), followed by distress caused by having to talk about painful topics (15.5%). The most frequently indicated facilitators were the organizational setting (55.1%) and monetary incentives (22.2%), followed by social support (12.0%) and non-monetary incentives (10.2%). No significant differences were observed between adolescent and young adult respondents with the exception that adolescents reported significantly more frequently that they had learned about the trial from their caregiver. Conclusions: Our findings permit the formulation of recommendations for planning and conducting trials with this clientele. Future research is needed on how specific barriers can be effectively overcome.
“…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.…”
At least 1 in 4 men are sexually abused or assaulted across their lifetime. Although many have significant negative mental health (MH) difficulties, relatively few seek formal MH treatment. This study sought to understand current engagement in and perceived helpfulness of MH treatment in male survivors. Eighty-eight men completed an online survey via a nonprofit organization's website dedicated to providing support to male survivors. Men who reported that they received MH treatment in the past 90 days endorsed significantly higher adverse childhood experiences, as well as depressive and posttraumatic stress disorder symptoms, compared with those who had not. Male survivors identified peer support, individual therapy and validation, and specific interventions as most helpful aspects of treatment. The least helpful aspects were therapists' lack of knowledgeable about male sexual abuse, unhelpful or shaming responses, and avoidance of traumatic material, as well as financial and insurance constraints. Implications for fostering a more supportive, destigmatizing therapeutic environment for male survivors are discussed.
Public Significance StatementHigher depression, posttraumatic stress disorder, and adverse childhood experiences were associated with recent mental health (MH) treatment for male survivors of sexual assault. Survivors noted that the most helpful aspect of MH treatment was peer-based support. Screening men for traumatic exposure, including sexual violence, and depression may help to identify men in need of support. The availability of peer-based groups may help male survivors engage in formal MH treatment.
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