title: Effect of Patient-Therapist Gender Match on Psychotherapy Retention Among United States Veterans with Posttraumatic Stress Disorder.
abstract: Extant literature suggests that patient-therapist gender matching may be associated with psychotherapy retention. We examined this relationship in a national cohort of Veterans (n = 506,471) initiating psychotherapy for posttraumatic stress disorder (PTSD) using multivariate logistic regression models. Overall, women were retained in psychotherapy at higher rates than men. When patient and therapist factors as well as practice patterns are considered, gender match between female patients with PTSD and female therapists was not a positive predictor of psychotherapy retention. Contrary to our expectations, gender match between male patients with PTSD and male therapist was a negative predictor of psychotherapy retention.
authors.affiliation: White River Junction VA Medical Center, 215 North Main Street, White River Junction, VT, 05009, USA. brian.shiner@va.gov.|VA National Center for PTSD, 215 North Main Street, White River Junction, VT, 05009, USA. brian.shiner@va.gov.|VA National Center for Patient Safety, Ann Arbor, MI, USA. brian.shiner@va.gov.|Geisel School of Medicine at Dartmouth, Hanover, NH, USA. brian.shiner@va.gov.|VA National Center for Patient Safety, 215 North Main Street, White River Junction, VT, 05009, USA. brian.shiner@va.gov.
authors.forename: Brian
authors.initials: B
authors.lastname: Shiner
authors.affiliation: White River Junction VA Medical Center, 215 North Main Street, White River Junction, VT, 05009, USA.
authors.forename: Christine
authors.initials: C
authors.lastname: Leonard Westgate
authors.affiliation: White River Junction VA Medical Center, 215 North Main Street, White River Junction, VT, 05009, USA.|Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
authors.forename: Juliette M
authors.initials: JM
authors.lastname: Harik
authors.affiliation: VA National Center for Patient Safety, Ann Arbor, MI, USA.|Geisel School of Medicine at Dartmouth, Hanover, NH, USA.|VA National Center for Patient Safety, 215 North Main Street, White River Junction, VT, 05009, USA.
authors.forename: Bradley V
authors.initials: BV
authors.lastname: Watts
authors.affiliation: VA National Center for PTSD, 215 North Main Street, White River Junction, VT, 05009, USA.|Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
authors.forename: Paula P
authors.initials: PP
authors.lastname: Schnurr
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010352:Patient Dropouts / Q000706:statistics & numerical data*; D011369:Professional-Patient Relations; D011613:Psychotherapy / Q000379:methods*; D012737:Sex Factors; D012959:Socioeconomic Factors; D013313:Stress Disorders, Post-Traumatic / Q000628:therapy*; D014481:United States; D014728:Veterans
keywords: Gender; Posttraumatic stress disorder; Psychotherapy; Veterans