2023-09-28 14:46:10 +00:00
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abstract: 'Treatments of Posttraumatic Stress Disorder (PTSD) often evidence high
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rates of dropout, ranging from 25\% to 40\%, among English-speaking
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samples. Written Exposure Therapy (WET), a novel manualized treatment
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for PTSD, evidences lower dropout rates and noninferiority to CPT, one
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of the most efficacious interventions for PTSD. Spanish-speaking Latinxs
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often experience greater dropout and barriers to care. WET appears
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promising for this population, but acceptability and perceived barriers
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to WET have not been examined among Spanish-speaking Latinxs. The
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present study assessed perceptions and acceptability of a
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Spanish-language version of WET among Spanish-speaking Latinxs who
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scored greater than 45 on the Spanish-language version of the PCL-IV,
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indicating likely PTSD (n = 20) and providers (n = 12). Participants
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completed a mixed-methods interview regarding reasons they/clients would
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not want to receive the treatment, why they/clients would want to
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receive the treatment, potential solutions for any identified barriers,
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and reasons for not seeking mental health services generally. Providers,
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but not potential recipients, identified low literacy as a barrier for
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WET. Providers and potential recipients identified time as a barrier to
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WET and other mental health services, but the time reduction was
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perceived as a potential facilitator of WET. Results also suggest no
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specific cultural barriers were identified for WET (e.g., provider
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cultural competency) and that Spanish WET may reduce time-related
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barriers and is perceived as effective and acceptable among
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Spanish-speaking Latinxs. Additional work is needed to expand the reach
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of the intervention, given that mental health services were often
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perceived as untrustworthy.
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Impact Statement This study suggests that a Spanish-language adaptation
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of Written Exposure Therapy, a novel manualized treatment for PTSD
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symptoms, may be effective in reducing some structural barriers that
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Spanish-speaking Latinx populations encounter when using mental health
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services.'
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affiliation: 'Acosta, LM (Corresponding Author), Univ Nebraska, Dept Psychol, 238
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Burnett Hall, Lincoln, NE 68588 USA.
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Acosta, Laura M.; Canchila, M. Natalia Acosta; Reyes, Sara L.; Holland, Kathryn
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J.; Holt, Natalie R.; Andrews, Arthur R., III, Univ Nebraska, Dept Psychol, 238
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Burnett Hall, Lincoln, NE 68588 USA.
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Holland, Kathryn J., Univ Nebraska, Womens \& Gender Studies Program, Lincoln, NE
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68588 USA.
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Andrews, Arthur R., III, Univ Nebraska, Inst Ethn Studies, Lincoln, NE 68588 USA.'
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author: Acosta, Laura M. and Canchila, M. Natalia Acosta and Reyes, Sara L. and Holland,
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Kathryn J. and Holt, Natalie R. and Andrews III, Arthur R.
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author-email: laura.mur.acosta@gmail.com
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author_list:
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- family: Acosta
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given: Laura M.
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- family: Canchila
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given: M. Natalia Acosta
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- family: Reyes
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given: Sara L.
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- family: Holland
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given: Kathryn J.
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- family: Holt
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given: Natalie R.
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- family: Andrews III
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given: Arthur R.
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da: '2023-09-28'
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doi: 10.1037/ser0000621
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earlyaccessdate: FEB 2022
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eissn: 1939-148X
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files: []
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issn: 1541-1559
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journal: PSYCHOLOGICAL SERVICES
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keywords: 'posttraumatic stress disorder; written exposure therapy;
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Spanish-speaking populations; mental health treatments'
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keywords-plus: 'COGNITIVE PROCESSING THERAPY; TRAUMA; LATINOS; INTERVENTION;
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DISPARITIES; IMMIGRANTS; DEPRESSION; SERVICES; INCOME; CARE'
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language: English
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number: 1, SI
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number-of-cited-references: '56'
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orcid-numbers: 'Acosta Canchila, Maria Natalia/0000-0002-0828-0540
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Acosta, Laura/0000-0001-5705-1907
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Andrews III, Arthur/0000-0001-9071-0089'
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pages: 157-169
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papis_id: 6367ad98334730363a66777fd88f5bf4
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ref: Acosta2023examiningrecipient
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times-cited: '1'
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title: Examining Recipient and Provider Perceptions of Mental Health Treatments and
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Written Exposure Therapy for Posttraumatic Stress Disorder With a Spanish-Speaking
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Sample
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000759789200001
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usage-count-last-180-days: '1'
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usage-count-since-2013: '1'
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volume: '20'
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web-of-science-categories: Psychology, Clinical
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year: '2023'
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