Text4PTSI: A Promising Supportive Text Messaging Program to Mitigate Psychological Symptoms in Public Safety Personnel

International Journal of Environmental Research and Public Health, Год журнала: 2023, Номер 20(5), С. 4215 - 4215

Опубликована: Фев. 27, 2023

Background: Public safety personnel experience various mental health conditions due to their work’s complex and demanding nature. There are barriers seeking support treatment; hence, providing innovative cost-effective interventions can help improve symptoms in public personnel. Objective: The study aimed evaluate the impact of Text4PTSI on depression, anxiety, trauma, stress-related symptoms, resilience after six months supportive text message intervention. Methods: subscribed received daily psychoeducational SMS messages for months. Participants were invited complete standardized self-rated web-based questionnaires assess posttraumatic stress disorder (PTSD), measured Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 scale (GAD-7), Posttraumatic Stress Disorder Checklist-Civilian Version (PCL-C), Brief Resilience Scale (BRS), respectively. assessment was conducted at baseline (enrolment) weeks, three months, enrollment. Results: One hundred thirty-one subscribers participated program, eighteen completed both any follow-up survey. A total 31 participants survey 107 surveys recorded all time points. prevalence psychological problems among as follows: likely major depressive (MDD) 47.1%, generalized anxiety (GAD) 37.5%, low 22.2%, PTSD 13.3%. At post-intervention, MDD, GAD, respondents reduced; however, a statistically significant reduction reported only MDD (−35.3%, X2 (1) = 2.55, p 0.03). no change between post-intervention. decrease mean scores PHQ-9, GAD-7, PCL-C, BRS from post-intervention by 25.8%, 24.7%, 9.5%, 0.3%, However, GAD-7 with effect size (t (15) 2.73, 0.02). Conclusions: results this suggest well severity program. is cost-effective, convenient, easily scalable program that augment other services managing burdens

Язык: Английский

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Companions in the Abyss: A Feasibility and Acceptability Study of an Online Therapy Group for Healthcare Providers Working During the COVID-19 Pandemic

Frontiers in Psychiatry, Год журнала: 2022, Номер 12

Опубликована: Янв. 14, 2022

In the context of global pandemic SARS-CoV-2 coronavirus (COVID-19), healthcare providers (HCPs) have experienced difficult moral and ethical dilemmas. Research is highlighting importance injury (MI)-a trauma syndrome related to transgressing personal morals values-in understanding psychological harm occupational impairment by HCPs. To date, MI treatments largely been developed for military personnel veterans rely on in-person one-on-one psychotherapy.

Язык: Английский

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The development of a self‐report scale to assess therapists' acceptance of telepsychotherapy

Journal of Clinical Psychology, Год журнала: 2021, Номер 78(6), С. 1240 - 1260

Опубликована: Дек. 13, 2021

Abstract Objective We aimed to develop a self‐report measure of therapist acceptance telepsychotherapy based on the Unified Theory Acceptance and Use Technology (UTAUT) framework. Methods Using cross‐sectional survey design, 1265 therapists completed UTAUT‐T, as well additional questions. Results Confirmatory analysis indicated that original UTAUT model did not fit context well. Exploratory factor specified better‐fitting five‐factor model, which showed good internal validity ( χ 2 = 17,753.36, RMSEA 0.063, TLI 0.886, SRMSR 0.04). The five UTAUT‐T subscales high consistency (Cronbach's α 0.86) together predicted intention use online therapy in future R 0.42, F (5, 1259) 181.9, p < 0.001). Conclusion 21‐item offers promising towards using it future. Future studies convergent predictive are warranted.

Язык: Английский

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Treatments and regulatory mechanisms of acoustic stimuli on mood disorders and neurological diseases

Frontiers in Neuroscience, Год журнала: 2024, Номер 17

Опубликована: Янв. 5, 2024

Acoustic stimuli such as music or ambient noise can significantly affect physiological and psychological health in humans. We here summarize positive effects of therapy premature infant distress regulation, performance enhancement, sleep quality control, treatment mental disorders. Specifically, exhibits promising on neurological disorders Alzheimer's disease (AD) Parkinson's (PD). also highlight regulatory mechanisms by which auditory intervention affects an organism, encompassing modulation immune responses, gene expression, neurotransmitter regulation neural circuitry. As a safe, cost-effective non-invasive intervention, offers substantial potential treating variety conditions.

Язык: Английский

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Benefits of Digital Mental Health Care Interventions for Correctional Workers and Other Public Safety Personnel: A Narrative Review

Frontiers in Psychiatry, Год журнала: 2022, Номер 13

Опубликована: Июль 8, 2022

Chronic exposure to stressors and potentially psychologically traumatic events contributes the high prevalence of mental health disorders in correctional workers (CWs) other public safety personnel (PSP). Digital interventions are an accessible scalable method improving maintaining this population. The current review explores benefits digital for PSP–with a focus on CWs–and how these innovations can address limitations in-person care. A systematic literature search five databases (Medline, PsycInfo, Embase, CINAHL, Google Scholar) was conducted until March 2022. yielded 16 publications that focused or care available CWs PSP. were summarized into categories which discussed (1) their ability enhance accessibility reduce stigma; (2) provision evidence-based structured psychotherapy programs; (3) variability degree therapist engagement; (4) integration proactive interventions; (5) enhancing engagement by acknowledging unique experiences interpersonal relationships. Although technologies still infancy, there is strong evidence support effectiveness ameliorating symptoms distress. Future research should consider ethnicity, gender, culture, sexual orientation, socioeconomic status be integrated therapies interplay between different stakeholders organizations impact online programs.

Язык: Английский

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Suicidal Ideation, Planning, and Attempts Among new Royal Canadian Mounted Police Cadets

The Canadian Journal of Psychiatry, Год журнала: 2023, Номер 68(9), С. 691 - 698

Опубликована: Фев. 3, 2023

Royal Canadian Mounted Police (RCMP) report diverse occupational stressors and repeated exposures to potentially psychologically traumatic events, which may increase the odds of screening positive for a mental disorder, risk death by suicide. The current study was designed provide prevalence information regarding suicidal behaviours (i.e., ideation, planning, attempts) assess sociodemographic differences among cadets at start RCMP Cadet Training Program (CTP).Cadets (n = 736, 74.0% male) were administered structured Mini International Neuropsychiatric Interview health clinician or supervised clinical psychologist trainee. interview includes an assessment past month attempts lifetime suicide attempts.Within 1 starting CTP, small percentage reported ideation (1.6%) no any planning (0%) (0%). Lifetime (1.5%) cadets.The results first describing CTP. estimates appear lower than general population reports from serving RCMP. Higher RCMP, relative CTP in study, be related age, cumulative experiences protracted operational organizational stressors, rather insufficient recruits.

Язык: Английский

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Use of Virtual Reality Techniques to Rehabilitate Military Veterans with Post-Traumatic Stress Disorder (Review)

Sovremennye tehnologii v medicine, Год журнала: 2023, Номер 15(1), С. 74 - 74

Опубликована: Фев. 28, 2023

Post-traumatic stress disorder (PTSD) is a mental and behavioral developing after traumatic event like participation in combat activities. Objective diagnosis of PTSD effective rehabilitation war veterans current multifaceted problem with particularly high social costs. This review aims to evaluate the potential virtual reality technique used as exposure therapy tool (VRET) rehabilitate service members PTSD. The was written following guidelines Preferred Reporting Items for Systematic Reviews Meta-Analyses (PRISMA). final analysis includes 75 articles published 2017-2022. VRET therapeutic effect mechanisms were examined along protocols scenarios combined other interventions influencing treatment pharmacotherapy, motion-assisted multi-modular memory desensitization reconsolidation (3MDR), transcranial magnetic stimulation. necessity substantiated psychophysiological measurements objectification clinical criteria its dynamics during treatment. It shown that inclusion package positively affects results due enhanced presence greater experience personalization. Thus, may be an effective, controlled, cost-effective alternative combatants, including those not responding conventional therapy.

Язык: Английский

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Exploring the Perspectives of Clients and Clinicians Regarding Digitally Delivered Psychotherapies Utilized for Trauma-Affected Populations.

medRxiv (Cold Spring Harbor Laboratory), Год журнала: 2024, Номер unknown

Опубликована: Апрель 13, 2024

Abstract During the COVID-19 pandemic, many clinical sites shifted towards digital delivery of mental health services. However, there is still much to learn regarding using digitally delivered psychotherapies in trauma-affected populations, including military members, Veterans, and public safety personnel. This study examined perceptions utilized for trauma-maffected as reported by Canadian personnel who completed such interventions clinicians provided them. Specifically, we explored imposed shift use, what changed with this rapid shift, needs, problems, solutions arose, important future considerations associated delivering trauma-focused adjunct treatments digitally. Quantitative survey data were collected from 11 patients (military post-traumatic stress injury) 12 clinicians. Survey questions adapted Alberta Quality Matrix Health (AQMH) Unified Theory Acceptance Use Technology (UTAUT) model. As a follow-up, participants invited participate either semi-structured qualitative interview or focus group further explore their perspectives on therapies. Four clients 19 clinician participated an group. In interview/focus results, patient that trauma therapies offered similar treatment effectiveness in-person while also improving access. Participants indicated unique advantages delivery, increased accessibility treatment, cost effectiveness, more efficient use resources. some struggled platforms felt less comfortable working environment. Further research larger, diverse population required corroborate our results identify other avenues which populations can be engaged improved upon. Author Summary Many service faced unexpected shifts services comply mandated physical distancing restrictions put place during pandemic. There completed, provided, populations. exploration aims increase understanding strengths limitations mode delivery. Patient Some struggling of, on, platforms. confirm using,

Язык: Английский

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Posttraumatic Stress Disorder Symptom Clusters in Surrogate Decision Makers of Patients Experiencing Chronic Critical Illness

Critical Care Explorations, Год журнала: 2022, Номер 4(3), С. e0647 - e0647

Опубликована: Март 1, 2022

Symptoms of posttraumatic stress disorder (PTSD) are common among surrogate decision makers patients with chronic critical illness (CCI). PTSD symptoms can be categorized into clusters including intrusion, avoidance, and hyperarousal, each which has been associated distinct outcomes treatment responses. Our objective was to determine symptom cluster predominant surrogates CCI.Secondary analysis data from a clinical trial communication intervention.The original conducted in medical intensive care units at three tertiary-care centers one community hospital.Patients CCI (≥7 d mechanical ventilation not expected die or weaned the ventilator subsequent 72 hr) their surrogates.None.Surrogate were measured 90 days after onset patient using Impact Events Scale-Revised (IES-R). The IES-R includes total score (range, 0-88, higher scores indicate severe symptoms) as well subscales that assess hyperarousal (range intrusion avoidance 0-32 range 0-24). Intrusion most (mean score, 10.3; 95% CI, 9.3-11.2), followed by 8.0; 7.2-8.8). Hyperarousal lowest 5.1; 4.5-5.7). In multivariable linear regression model, we found who died had odds (β, 5.52; p < 0.0001) 3.29; = 0.001) than lived, even adjusting for baseline anxiety depression. Patient death symptoms.Intrusive thoughts experiencing CCI, intensified died. These results have potential inform tailored strategies reduce this population.

Язык: Английский

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Technology Acceptance and Usability of a Virtual Reality Intervention for Military Members and Veterans With Posttraumatic Stress Disorder: Mixed Methods Unified Theory of Acceptance and Use of Technology Study

JMIR Formative Research, Год журнала: 2022, Номер 6(4), С. e33681 - e33681

Опубликована: Фев. 25, 2022

Military members and veterans exhibit higher rates of injuries illnesses such as posttraumatic stress disorder (PTSD) because their increased exposure to combat other traumatic scenarios. Novel treatments for PTSD are beginning emerge increasingly leverage advances in gaming technologies, virtual reality. Without assessing the degree technology acceptance perception usability end users, including military members, veterans, attending therapists staff, it is difficult determine whether a technology-based treatment will be used successfully wider clinical practice. The Unified Theory Acceptance Use Technology model commonly address applications 5 domains.Using model, purpose this study was multimodal motion-assisted memory desensitization reconsolidation (3MDR) on reality system primary user group (military with treatment-resistant PTSD, 3MDR therapists, environment operators).This mixed methods embedded pilot included (n=3) (n=8) diagnosis combat-related well (n=13) operators (n=5) who completed pre-post questionnaires before completion 6 weekly sessions 3MDR. A partial least squares structural equation analyze questionnaire results. Qualitative data from interviews were assessed using thematic analysis.Effort expectancy, which most notable predictor behavioral intention, after course system, whereas all constructs demonstrated no significant change. Participants' expectations met, by nonsignificant differences scores. key qualitative themes feasibility function, technical support, tailored immersion.3MDR via appears feasible, usable, accepted delivering experience facilitate treatment.

Язык: Английский

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