Vets prevail online intervention reduces PTSD and depression in veterans with mild-to-moderate symptoms
Open accessAbstract
OBJECTIVE: Despite heightened rates of depression and posttraumatic stress disorder (PTSD) among in Iraq/Afghanistan veterans, the majority of distressed veterans will not receive mental health care. Overcoming barriers to mental health services requires innovative approaches to broaden the reach of evidence-based treatment. The current study examined the efficacy and acceptability of an innovative and dynamic online cognitive-behavioral therapy intervention for PTSD and depression called Vets Prevail. METHOD: A randomized clinical trial conducted between 2011 and 2013 assessed changes in PTSD and depression in veterans with mild-to-moderate distress. Veterans randomized to Vets Prevail (n = 209) were aged 34.2 ± 7.6 years, mostly male (81.3%), and nonminority (73.7%). Veterans randomized to adjustment as usual (n = 94) were aged 34.7 ± 8.9, mostly male (81.9%), and White (67.0%). Veterans completed the PTSD Checklist-Military Version and the Center for Epidemiological Studies Depression scale (10-item version) postintervention and at 12-week follow-up. RESULTS: Veterans in the Vets Prevail condition reported significantly greater reductions in PTSD, t(250) = 3.24, p = .001 (Mreduction = 5.51, SD = 9.63), and depression, t(252) = 4.37, p = .001 (Mreduction = 2.31, SD = 5.34), at 12-week follow-up compared with veterans in the adjustment as usual condition (PTSD Mreduction = 1.00, SD = 7.32; depression Mreduction = 0.48, SD = 4.95), with moderate effect sizes for PTSD (Cohen's d = 0.42) and depression (Cohen's d = 0.56). Exploratory analysis shows that Vets Prevail may be effective regardless of combat trauma exposure, gender, and ethnic minority status. CONCLUSION: Vets Prevail circumvents many barriers to care and effectively addresses the dire mental health needs of veterans.
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Internet-based cognitive behavioral therapy programs reduce symptoms across a range of mental disorders, including post-traumatic stress disorder, social anxiety disorder, and panic disorder.
“Internet-based cognitive behavioral therapy programs have been shown to reduce symptoms across a range of mental disorders, including post-traumatic stress disorder (1), social anxiety disorder (2), and panic disorder (3), among others.”
From Improving Acceptability and Uptake Behavior for Internet-Based Cognitive-Behavioral Therapy (2021) · cites this paper as [1]
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- Authors
- Hobfoll, S. E., Blais, R. K., Stevens, N. R., Walt, L., & Gengler, R.
- Affiliations
- Rush University Medical Center (US)
- Prevail Health Solutions (United States) (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2016-01
- Volume
- 84
- Issue
- 1
- Pages
- 31-42
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2347088253
- Cited by
- 50
- References
- 40
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 3 · 2023: 3 · 2022: 5 · 2021: 4 · 2020: 11 · 2019: 3 · 2018: 6 · 2017: 4 · 2016: 3
- FWCI
- 7.05
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion, other-oa)
- PubMed (publishedVersion)
- Funders
- The McCormick Foundation (The Veterans Corporation)
- National Science Foundation
- Pepsi-Cola Company
- Goldman Sachs Gives (Rush University)
- Wallach Family Donation
- Robin Hood Foundation (Give an Hour)
- Bristol-Myers Squibb Foundation (Rush University)
- Robin Hood Foundation (Rush Foundation)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- internet-based cognitive behavioral therapy, post-traumatic stress disorder, depression, veterans, Iraq and Afghanistan veterans, barriers to mental health care, treatment acceptability, gender differences
- MeSH terms
- Adult, Depressive Disorder, Female, Health Services Accessibility, Humans, Male, Middle Aged, Stress Disorders, Post-Traumatic, Therapy, Computer-Assisted, Veterans, Cognitive Behavioral Therapy, Treatment Outcome, Iraq War, 2003-2011, Afghan Campaign 2001-
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