Article

Intervention précoce -
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.

Langue : ANGLAIS