The onset of the COVID-19 pandemic disrupted many aspects of daily life and required a rapid and unprecedented shift in psychotherapy delivery from in-person to telemental health. In the present study, we explored the impact of the pandemic on individuals’ ability to participate in posttraumatic stress disorder (PTSD) psychotherapy and the association between the impact of COVID-19 impact on health and financial well-being and psychotherapy participation. Participants (N = 161, 63.2% male, M_age = 42.7 years) were United States military veterans (n = 108), active duty military personnel (n = 12), and civilians (n = 6), who were participating in one of nine PTSD treatment trials. The results indicate a predominately negative COVID-19 impact on therapy participation, although some participants (26.1%) found attending therapy sessions through telehealth to be easier than in-person therapy. Most participants (66.7%) reported that completing in vivo exposure homework became harder during the pandemic. Moreover, the impact of the pandemic on PTSD symptom severity and daily stress were each associated with increased difficulty with aspects of therapy participation. The findings highlight the unique challenges to engaging in PTSD treatment during the pandemic as well as a negative impact on daily stress and PTSD severity, both of which were related to treatment engagement difficulties.

中文翻译：

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COVID-19 对参加治疗研究的创伤后应激障碍患者参与心理治疗的影响

COVID-19 大流行的爆发扰乱了日常生活的许多方面，需要将心理治疗的提供从面对面的快速和前所未有的转变为远程心理健康。在本研究中，我们探讨了大流行对个人参与创伤后应激障碍 (PTSD) 心理治疗的能力的影响，以及 COVID-19 对健康和财务状况的影响与心理治疗参与之间的关联。参与者（N = 161，63.2% 男性，M_年龄= 42.7 岁）是美国退伍军人（n = 108）、现役军人（n = 12）和平民（n= 6)，他们参加了九个 PTSD 治疗试验之一。结果表明，COVID-19 对治疗参与的负面影响主要是负面影响，尽管一些参与者 (26.1%) 发现通过远程医疗参加治疗会议比面对面治疗更容易。大多数参与者（66.7%）报告说，在大流行期间完成体内暴露作业变得更加困难。此外，大流行对 PTSD 症状严重程度和日常压力的影响都与参与治疗的难度增加有关。研究结果强调了在大流行期间参与 PTSD 治疗的独特挑战以及对日常压力和 PTSD 严重程度的负面影响，这两者都与治疗参与困难有关。