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PTSD, Insomnia, and Nightmares : = A Study of Treatment Preferences and the Role of Patient-Provider Trust.

Record Type:	Electronic resources : Monograph/item
Title/Author:	PTSD, Insomnia, and Nightmares :/
Reminder of title:	A Study of Treatment Preferences and the Role of Patient-Provider Trust.
Author:	Lee, Jenny Y.
Description:	1 online resource (228 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 84-08, Section: B.
Contained By:	Dissertations Abstracts International84-08B.
Subject:	Psychology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29321422click for full text (PQDT)
ISBN:	9798371997135

PTSD, Insomnia, and Nightmares : = A Study of Treatment Preferences and the Role of Patient-Provider Trust.
Lee, Jenny Y.

PTSD, Insomnia, and Nightmares :A Study of Treatment Preferences and the Role of Patient-Provider Trust. - 1 online resource (228 pages)

Source: Dissertations Abstracts International, Volume: 84-08, Section: B.

Thesis (Ph.D.)--The University of Tulsa, 2022.

Includes bibliographical references

Studies suggest there is some incongruence between the reported rates of mental health problems among the general adult population and the utilization of treatment. Client treatment preferences may assist to bridge the gap between the need for and use of mental health services. Moreover, research suggests a strong patient-provider alliance built on trust may act as a protective factor by increasing client buy-in to treatment, satisfaction with care, and improving symptoms. The present study examined client treatment preferences and the role of client trust in providers in determining preference among a sample of 222 trauma-exposed adults within the U.S. Specifically, the study examined client preference for the prioritization of PTSD versus sleep disorders (i.e., insomnia, nightmares) treatment and identifying the preferred modality of treatment (psychological versus pharmacological) for each of these disorders. In addition, client trust in their provider was explored as a predictor of treatment modality preference. Results from paired-samples t-tests showed patients indicated a preference for treating their sleep problems over PTSD symptoms; however, they did not have a preference for prioritization of treating insomnia or nightmares. In terms of treatment modality, a chi-square goodness of fit test indicated there was no statistically significant difference in the proportion of patients who preferred CPT compared to those who preferred Zoloft. Chi-square goodness of fit tests showed patients did endorse a preference for CBT-I over Lunesta and for ERRT over Minipress. Moreover, binomial logistic regressions indicated patient perception of a treatment was a significant predictor of the form of treatment they preferred. Logistic regressions revealed patient trust only emerged as a significant predictor of medication preference for nightmares. The present study also explored the potential impact of patient mental health treatment history, time spent consulting with healthcare providers, and patient demographics on treatment preference and/or trust in providers. Taken together, findings may inform clinical treatment guidelines for PTSD, insomnia, and nightmares by underscoring the need to consider patient preferences in the decision-making process.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798371997135Subjects--Topical Terms:

519075
Psychology.
Subjects--Index Terms:

InsomniaIndex Terms--Genre/Form:

542853
Electronic books.

PTSD, Insomnia, and Nightmares : = A Study of Treatment Preferences and the Role of Patient-Provider Trust.
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