abstract: 'Treatments of Posttraumatic Stress Disorder (PTSD) often evidence high

  rates of dropout, ranging from 25\% to 40\%, among English-speaking

  samples. Written Exposure Therapy (WET), a novel manualized treatment

  for PTSD, evidences lower dropout rates and noninferiority to CPT, one

  of the most efficacious interventions for PTSD. Spanish-speaking Latinxs

  often experience greater dropout and barriers to care. WET appears

  promising for this population, but acceptability and perceived barriers

  to WET have not been examined among Spanish-speaking Latinxs. The

  present study assessed perceptions and acceptability of a

  Spanish-language version of WET among Spanish-speaking Latinxs who

  scored greater than 45 on the Spanish-language version of the PCL-IV,

  indicating likely PTSD (n = 20) and providers (n = 12). Participants

  completed a mixed-methods interview regarding reasons they/clients would

  not want to receive the treatment, why they/clients would want to

  receive the treatment, potential solutions for any identified barriers,

  and reasons for not seeking mental health services generally. Providers,

  but not potential recipients, identified low literacy as a barrier for

  WET. Providers and potential recipients identified time as a barrier to

  WET and other mental health services, but the time reduction was

  perceived as a potential facilitator of WET. Results also suggest no

  specific cultural barriers were identified for WET (e.g., provider

  cultural competency) and that Spanish WET may reduce time-related

  barriers and is perceived as effective and acceptable among

  Spanish-speaking Latinxs. Additional work is needed to expand the reach

  of the intervention, given that mental health services were often

  perceived as untrustworthy.

  Impact Statement This study suggests that a Spanish-language adaptation

  of Written Exposure Therapy, a novel manualized treatment for PTSD

  symptoms, may be effective in reducing some structural barriers that

  Spanish-speaking Latinx populations encounter when using mental health

  services.'
affiliation: 'Acosta, LM (Corresponding Author), Univ Nebraska, Dept Psychol, 238
  Burnett Hall, Lincoln, NE 68588 USA.

  Acosta, Laura M.; Canchila, M. Natalia Acosta; Reyes, Sara L.; Holland, Kathryn
  J.; Holt, Natalie R.; Andrews, Arthur R., III, Univ Nebraska, Dept Psychol, 238
  Burnett Hall, Lincoln, NE 68588 USA.

  Holland, Kathryn J., Univ Nebraska, Womens \& Gender Studies Program, Lincoln, NE
  68588 USA.

  Andrews, Arthur R., III, Univ Nebraska, Inst Ethn Studies, Lincoln, NE 68588 USA.'
author: Acosta, Laura M. and Canchila, M. Natalia Acosta and Reyes, Sara L. and Holland,
  Kathryn J. and Holt, Natalie R. and Andrews III, Arthur R.
author-email: laura.mur.acosta@gmail.com
author_list:
- family: Acosta
  given: Laura M.
- family: Canchila
  given: M. Natalia Acosta
- family: Reyes
  given: Sara L.
- family: Holland
  given: Kathryn J.
- family: Holt
  given: Natalie R.
- family: Andrews III
  given: Arthur R.
da: '2023-09-28'
doi: 10.1037/ser0000621
earlyaccessdate: FEB 2022
eissn: 1939-148X
files: []
issn: 1541-1559
journal: PSYCHOLOGICAL SERVICES
keywords: 'posttraumatic stress disorder; written exposure therapy;

  Spanish-speaking populations; mental health treatments'
keywords-plus: 'COGNITIVE PROCESSING THERAPY; TRAUMA; LATINOS; INTERVENTION;

  DISPARITIES; IMMIGRANTS; DEPRESSION; SERVICES; INCOME; CARE'
language: English
number: 1, SI
number-of-cited-references: '56'
orcid-numbers: 'Acosta Canchila, Maria Natalia/0000-0002-0828-0540

  Acosta, Laura/0000-0001-5705-1907

  Andrews III, Arthur/0000-0001-9071-0089'
pages: 157-169
papis_id: 6367ad98334730363a66777fd88f5bf4
ref: Acosta2023examiningrecipient
times-cited: '1'
title: Examining Recipient and Provider Perceptions of Mental Health Treatments and
  Written Exposure Therapy for Posttraumatic Stress Disorder With a Spanish-Speaking
  Sample
type: article
unique-id: WOS:000759789200001
usage-count-last-180-days: '1'
usage-count-since-2013: '1'
volume: '20'
web-of-science-categories: Psychology, Clinical
year: '2023'