Journal of Rehabilitation Research & Development (JRRD)

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Volume 49 Number 8, 2012
   Pages 1175 — 1190

Abstract — Pilot study of Internet-based early intervention for combat-related mental distress

Benjamin W. Van Voorhees, MD, MPH;1* Jackie Gollan, PhD;2 Joshua Fogel, PhD3

1RISE Consulting, Flossmoor, IL; General Pediatrics and Adolescent Medicine, Children–s Hospital University of Illinois, Chicago, IL; and University of Illinois at Chicago College of Medicine, Chicago, IL; 2Department of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, IL; 3Department of Finance and Business Management, Brooklyn College, City University of New York, Brooklyn, NY

Abstract–This article evaluates an Internet-based early intervention combining online cognitive-behavioral therapy (CBT) with electronic peer-to-peer support intended to promote mental health and well-being among combat veterans. We conducted a phase 1 clinical trial of 50 Iraq and Afghanistan veterans using a pre and post single-arm design. We evaluated feasibility and changes in mental health symptoms (depression and posttraumatic stress disorder [PTSD]), functional status, and attitudes toward treatment seeking at baseline and weeks 4, 8, and 12. A diverse group of veterans was enrolled (26% ethnic minority, 90% male, 66% with income <$30,000/year, 88% with no prior treatment for depression). Participants completed a mean of 4 of 6 lessons (standard deviation = 2.54). From baseline to week 12, there were significant declines in the Center for Epidemiologic Studies-Depression scale score (effect size [ES] = 0.41) and PTSD Checklist-Military version score (ES = 0.53). There were significant improvements in willingness to accept diagnosis (ES = 1.08) and perceived social norms and stigma regarding friends (ES = 1.51). Although lack of a control group is a limitation, the 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.

Key words: cognitive therapy, combat disorders, depressive disorder, early intervention (education), Internet, military personnel, posttraumatic, prevention and control, stress disorders, veteran health, veterans.


View HTML  ¦  View PDF  ¦  Contents Vol. 49, No. 8
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
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Last Reviewed or Updated  Tuesday, December 11, 2012 9:29 AM

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