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“Will it work for me?” Developing patient-friendly graphical displays of posttraumatic stress disorder treatment effectiveness
Journal of Traumatic Stress ( IF 3.952 ) Pub Date : 2022-03-08 , DOI: 10.1002/jts.22808
Jessica L Hamblen 1, 2 , Kathleen M Grubbs 3, 4, 5 , Bernard Cole 6 , Paula P Schnurr 1, 2 , Juliette M Harik 1, 2
Affiliation  

The goal of this study was to create simple visual displays to help patients understand the benefits of evidence-based treatment for posttraumatic stress disorder (PTSD). We reviewed randomized trials of the most effective individual, trauma-focused psychotherapies and first-line antidepressants for adults with PTSD. The analytic sample included 65 treatment arms from 41 trials. We used binomial logistic regression to estimate the proportion of participants who lost their PTSD diagnosis at posttreatment and created a sample icon array to display these estimates. We provide a range of estimates (0–100) based on varying the percentage of the sample with a military affiliation. The percentage of participants who no longer met the diagnostic criteria for PTSD among civilian populations was 64.3% for trauma-focused treatment, 56.9% for SSRI/SNRI, and 16.7% for waitlist/minimal attention. For military populations, the proportions of participants who no longer met the diagnostic criteria were 44.2%, 36.7%, and 8.1%, respectively. We present icon arrays for 0%, 7%, 50%, and 100% military affiliation displaying 100 icons, a portion of which were shaded to indicate the number of participants that no longer met the PTSD criteria following treatment. After evidence-based treatment, between one third and two thirds of participants no longer met the PTSD criteria. Providers can use the icon array developed in this study with patients to facilitate communication regarding PTSD treatment effectiveness.

中文翻译:

“它对我有用吗?” 开发对患者友好的创伤后应激障碍治疗效果的图形显示

本研究的目的是创建简单的视觉显示,以帮助患者了解循证治疗对创伤后应激障碍 (PTSD) 的益处。我们回顾了针对成人 PTSD 最有效的个人、以创伤为中心的心理治疗和一线抗抑郁药的随机试验。分析样本包括来自 41 项试验的 65 个治疗组。我们使用二项式逻辑回归来估计在治疗后失去 PTSD 诊断的参与者的比例,并创建了一个样本图标数组来显示这些估计值。我们根据具有军事背景的样本百分比的变化提供了一系列估计值(0-100)。平民中不再符合 PTSD 诊断标准的参与者百分比为 64.3%,以创伤为重点的治疗为 56.9%,为 SSRI/SNRI,16.7% 的候补名单/最少关注。对于军人人群,不再符合诊断标准的参与者比例分别为44.2%、36.7%和8.1%。我们展示了 0%、7%、50% 和 100% 军事隶属关系的图标阵列,显示 100 个图标,其中一部分用阴影表示治疗后不再符合 PTSD 标准的参与者数量。经过循证治疗后,三分之一到三分之二的参与者不再符合 PTSD 标准。提供者可以使用本研究中开发的图标阵列与患者一起促进有关 PTSD 治疗效果的交流。我们展示了 0%、7%、50% 和 100% 军事隶属关系的图标阵列,显示 100 个图标,其中一部分用阴影表示治疗后不再符合 PTSD 标准的参与者数量。经过循证治疗后,三分之一到三分之二的参与者不再符合 PTSD 标准。提供者可以使用本研究中开发的图标阵列与患者一起促进有关 PTSD 治疗效果的交流。我们展示了 0%、7%、50% 和 100% 军事隶属关系的图标阵列,显示 100 个图标,其中一部分用阴影表示治疗后不再符合 PTSD 标准的参与者数量。经过循证治疗后,三分之一到三分之二的参与者不再符合 PTSD 标准。提供者可以使用本研究中开发的图标阵列与患者一起促进有关 PTSD 治疗效果的交流。
更新日期:2022-03-08
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