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Pilot study of Internet-based early intervention for combat-related mental distress. Benjamin W. Van Voorhees, MD, MPH; Jackie Gollan, PhD; Joshua Fogel, PhD. Aim Evaluate Internet-based early intervention intended to promote combat veterans’ mental health and well-being. - PowerPoint PPT Presentation
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This article and any supplementary material should be cited as follows: Van Voorhees BW, Gollan J, Fogel J. Pilot study of Internet-based early intervention for combat-related mental distress. J Rehabil Res Dev. 2012;49(8):1175–90. http://dx.doi.org/10.1682/JRRD.2011.05.0095
Slideshow ProjectDOI:10.1682/JRRD.2011.05.0095JSP
Pilot study of Internet-based early intervention for combat-related
mental distress
Benjamin W. Van Voorhees, MD, MPH; Jackie Gollan, PhD; Joshua Fogel, PhD
This article and any supplementary material should be cited as follows: Van Voorhees BW, Gollan J, Fogel J. Pilot study of Internet-based early intervention for combat-related mental distress. J Rehabil Res Dev. 2012;49(8):1175–90. http://dx.doi.org/10.1682/JRRD.2011.05.0095
Slideshow ProjectDOI:10.1682/JRRD.2011.05.0095JSP
• Aim – Evaluate Internet-based early intervention intended to
promote combat veterans’ mental health and well-being.• Online cognitive-behavioral therapy (CBT) and electronic
peer-to-peer support.
• Relevance– Returning servicemembers‘ mental disorder symptoms,
failure to initiate effective intervention, and preexisting education and situational disadvantages increase risk of unsuccessful transition to civilian life or impairment of military roles.
This article and any supplementary material should be cited as follows: Van Voorhees BW, Gollan J, Fogel J. Pilot study of Internet-based early intervention for combat-related mental distress. J Rehabil Res Dev. 2012;49(8):1175–90. http://dx.doi.org/10.1682/JRRD.2011.05.0095
Slideshow ProjectDOI:10.1682/JRRD.2011.05.0095JSP
Method
• Conducted phase 1 clinical trial of 50 Iraq and Afghanistan veterans:– Pre and post single-arm design.
• At baseline and weeks 4, 8, and 12, evaluated:– Feasibility.– Changes in mental health symptoms (depression
and posttraumatic stress disorder [PTSD]). – Functional status. – Attitudes toward treatment seeking.
This article and any supplementary material should be cited as follows: Van Voorhees BW, Gollan J, Fogel J. Pilot study of Internet-based early intervention for combat-related mental distress. J Rehabil Res Dev. 2012;49(8):1175–90. http://dx.doi.org/10.1682/JRRD.2011.05.0095
Slideshow ProjectDOI:10.1682/JRRD.2011.05.0095JSP
Results
• Significant declines in:– Center for Epidemiologic Studies-Depression scale
scores.– PTSD Checklist-Military version scores.
• Significant improvements in:– Willingness to accept diagnosis.– Perceived social norms and stigma regarding
friends.
This article and any supplementary material should be cited as follows: Van Voorhees BW, Gollan J, Fogel J. Pilot study of Internet-based early intervention for combat-related mental distress. J Rehabil Res Dev. 2012;49(8):1175–90. http://dx.doi.org/10.1682/JRRD.2011.05.0095
Slideshow ProjectDOI:10.1682/JRRD.2011.05.0095JSP
Conclusion
• Internet-based program combining CBT-based coping skills training and peer-to-peer support demonstrated potential feasibility and evidenced benefit in symptom remediation for depression and PTSD.
