Predictors of treatment interest and treatment initiation in a VA outpatient trauma services program providing evidence-based care.

The present study explored interest in treatment and treatment initiation patterns among veterans presenting at a VA posttraumatic stress disorder (PTSD) clinic. U.S. veterans who were referred for treatment of posttraumatic stress symptoms (N = 476) attended a 2-session psychoeducation and orientation class where they completed measures of demographic variables, PTSD and depression symptom severity, and interest in treatment. Consistent with previous literature and our hypotheses, Vietnam (OR = 1.78) and Persian Gulf veterans (OR = 2.05) were more likely than Iraq and Afghanistan veterans to initiate treatment. Veterans reporting more severe PTSD and depression symptoms were more likely to initiate treatment than not (OR for PTSD = 1.02, OR for depression = 1.02). Interest in treatment emerged as a strong predictor of treatment initiation. Specifically, interest in trauma-focused treatment showed a significant independent predictive effect on initiation such that veterans who expressed interest in trauma-focused treatment were significantly more likely to initiate treatment than those who did not express interest (OR = 2.13). Building interest in trauma-focused treatment may be a vital component for engaging veterans in evidence-based trauma-focused therapy. Resumen El presente estudio exploro los patrones de interes en el tratamiento e iniciacion del mismo entre vetarnos que se presentaron en una clinica de Trastorno por Estres Post Traumatico (TEPT). Los veteranos norteamericanos que fueron referidos para tratamiento de sintomas de estres postraumatico (N = 476) asistieron a 2 sesiones de psicoeducacion y orientacion donde completaron medidas de variables demograficas, severidad de los sintomas de TEPT y depresion, e interes en el tratamiento. Consistente con literatura previa y nuestras hipotesis, los veteranos de Vietnam (OR = 1.78) y del Golfo Persico (OR = 2.05) iniciaron tratamiento con mayor probabilidad que los veteranos de Iraq y Afganistan. Los veteranos que reportaron sintomas mas severos de TEPT y depresion tuvieron mayor probabilidad de iniciar tratamiento que los que no (OR para TEPT = 1.02, OR para depresion = 1.02). El interes en el tratamiento surgio como un predictor importante para el inicio de tratamiento. Especificamente, el interes en el tratamiento enfocado al trauma mostro un efecto predictor independiente significativo en su inicio de tal forma que los veteranos que expresaron interes en el tratamiento lo iniciaron con una significativa mayor probabilidad que aquellos que no expresaron interes (OR = 2.13). El trabajar en el interes por el tratamiento enfocado al trauma puede ser un componente vital o enganche para incorporar veteranos a una terapia enfocada al trauma basada en la evidencia. Traditional and Simplified Chinese Abstracts by AsianSTSS ??: ?????????????????????????,?????????????? ??: ????????????????????(PTSD)??,??????????????????????????????????????????(N = 476),?????????????,?????????PTSD??????????????????????????????????,??(OR = 1.78)????????(OR = 2.05)??????????????????????PTSD??????????????,????????(??????OR = 1.02, ???OR = 1.02)????????????????????????????????????,?????????????,????????????????????????????????????????????(OR = 2.13),??????????????????????????????,??????????,?????????????????? ??: ?????????????????????????,?????????????? ??: ????????????????????(PTSD)??,?????????????????????????????????????????(N = 476),?????????????,?????????PTSD??????????????????????????????????,??(OR = 1.78)????????(OR = 2.05)??????????????????????PTSD??????????????,????????(??????OR = 1.02, ???OR = 1.02)????????????????????????????????????,?????????????,????????????????????????????????????????????(OR = 2.13),??????????????????????????????,??????????,??????????????????