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

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.

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

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  1. Pilot study of Internet-based early intervention for combat-related mental distress Benjamin W. Van Voorhees, MD, MPH; Jackie Gollan, PhD; Joshua Fogel, PhD

  2. 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.

  3. 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.

  4. 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.

  5. 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.

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