Gender differences in outcomes following specialized intensive PTSD treatment in the Veterans Health Administration
| العنوان: | Gender differences in outcomes following specialized intensive PTSD treatment in the Veterans Health Administration |
|---|---|
| المؤلفون: | Robert A. Rosenheck, Elina A. Stefanovics |
| المصدر: | Psychological Trauma: Theory, Research, Practice, and Policy. 12:272-280 |
| بيانات النشر: | American Psychological Association (APA), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, Male, Program evaluation, 050103 clinical psychology, Social Psychology, Treatment outcome, Veterans Health, PsycINFO, Irritability, Arousal, Stress Disorders, Post-Traumatic, 03 medical and health sciences, Sex Factors, 0302 clinical medicine, Outcome Assessment, Health Care, medicine, Humans, 0501 psychology and cognitive sciences, Veterans, business.industry, 05 social sciences, Middle Aged, Patient Acceptance of Health Care, Veterans health, United States, 030227 psychiatry, United States Department of Veterans Affairs, Clinical Psychology, Posttraumatic stress, Ptsd treatment, Female, medicine.symptom, business, Follow-Up Studies, Program Evaluation, Clinical psychology |
| الوصف: | OBJECTIVES Posttraumatic stress disorder (PTSD) among female veterans is a problem of growing importance. Comparison of treatment outcomes and measures of program participation between female and male veterans receiving treatment in specialized intensive Veterans Health Administration (VHA) programs may identify potential gaps in service. METHOD National program evaluation data were collected at program entry and 4 months after discharge. The study sample consists of N = 3,370 veterans who were successfully followed up. With adjustment for differences in baseline characteristics outcomes of women and men were compared on changes in PTSD symptoms, substance use, and other outcomes using Cohen's d to evaluate effect sizes. Further analyses examined gender differences in program participation and their effect on differences in outcomes by gender. RESULTS Compared to males, females showed greater improvement (i.e., greater reduction) in total PTSD symptom scores (p < .001, Cohen's d = -.29) and in several subscales including Numbness (p < .001, d = -.34), Arousal (p = .01, d = -.22), Reexperiencing Past Traumas (p < .01, d = -.23), and Irritability (p = .01, d = -.18), with small to medium effect size differences. These gender-based differences were partially explained by differences in program participation such as greater length of stay among women. CONCLUSIONS In spite of the predominantly male environment of these VHA PTSD programs, women experienced greater improvement than men in PTSD symptoms and subscales. The differences were partially explained by positive indicators of program participation. Further studies are needed to better understand these differences. (PsycINFO Database Record (c) 2020 APA, all rights reserved). |
| تدمد: | 1942-969X 1942-9681 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d28d17fc1b23e34b623a318f2e494439 https://doi.org/10.1037/tra0000495 |
| رقم الأكسشن: | edsair.doi.dedup.....d28d17fc1b23e34b623a318f2e494439 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1942969X 19429681 |
|---|