An appraisal of the american psychological association's clinical practice guideline for the treatment of posttraumatic stress disorder.
Title
An appraisal of the american psychological association's clinical practice guideline for the treatment of posttraumatic stress disorder.
Creator
Silver KE; Levant RF
Publisher
Psychotherapy
Date
2019
2019-09
Description
In 2017, the American Psychological Association published the Clinical Practice Guidelines for the Treatment of Posttraumatic Stress Disorder (PTSD) in Adults. Although the Guideline Development Panel aimed to produce guidelines based on the best available scientific evidence, concerns were raised that the guidelines would constrain the implementation of some effective psychotherapies and limit clinician autonomy, potentially leading to coverage for only manualized, time-limited, cognitive-behavioral treatments. The following article reviews the PTSD guidelines in light of the evidence-based practice in psychology policy adopted by the American Psychological Association in 2006. We highlight the strengths of the guidelines as currently written while recognizing areas in which the guidelines do not meet evidence-based practice in psychology recommendations. A clinical vignette of the treatment of a complex patient with PTSD and significant comorbidities is provided to illustrate the difficulty of clinical decision-making and how the guidelines may complicate the delivery of effective treatments. We conclude with recommendations on how to consider a broad range of research evidence, appropriately integrate clinician expertise, and better appreciate the role of patient values and preferences in PTSD treatment decision-making. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
Subject
Humans; Adult; Comorbidity; United States; Attitude of Health Personnel; Practice Guidelines as Topic; Professional Autonomy; Psychotherapy/methods/standards; Societies Scientific; Evidence-Based Practice/methods/standards; Stress Disorders Post-Traumatic/diagnosis/psychology/therapy
Rights
Copyright © 2019. Published by Elsevier Inc.
Format
journalArticle
URL Address
Search for Full-text
Users with a NEOMED Library login can search for full-text journal articles at the following url: https://libraryguides.neomed.edu/home
Pages
347-358
Issue
3
Volume
56
ISSN
1939-1536
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Family & Community Medicine
Update Year & Number
June2020SubmittedList
Citation
Silver KE; Levant RF, “An appraisal of the american psychological association's clinical practice guideline for the treatment of posttraumatic stress disorder.,” NEOMED Bibliography Database, accessed December 6, 2024, https://neomed.omeka.net/items/show/11177.