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Erschienen in: Community Mental Health Journal 7/2020

09.04.2020 | Brief Report

Promoting Resilience Among College Student Veterans Through an Acceptance-and-Commitment-Therapy App: An Intervention Refinement Study

verfasst von: Andrew Thomas Reyes, Venkatesan Muthukumar, Tirth R. Bhatta, Judzia N. Bombard, William J. Gangozo

Erschienen in: Community Mental Health Journal | Ausgabe 7/2020

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Abstract

Military veterans’ stigmatized views on mental disorders and traditional mental health care considerably reduce veterans’ access to mental health services. The present study aimed to refine a previously developed non-stigmatizing smartphone-app intervention based on the principles of acceptance and commitment therapy for college student veterans with posttraumatic stress disorder (PTSD). To this end, we tested the acceptability of the developed prototype using a mixed-method study design. A total of nine student veterans participated in the study by using the app intervention and completing pre-post study measures and a post-intervention qualitative interview. The results showed that the intervention was highly acceptable. The results of the qualitative data analysis highlighted relevant themes related to strategies for improving the content, delivery, and structure of the intervention. The results also showed that, despite a decrease in the participants’ adherence as the intervention progressed, there was a consistent improvement in the participants’ resilience, PTSD, and rumination. Based on the results, the intervention was revised for prospective feasibility and efficacy testing. Our results highlight the need to use a collaborative approach in the early stage of the development of self-management PTSD interventions.
Literatur
Zurück zum Zitat Fredman, S. J., Marshall, A. D., Le, Y., Aronson, K. R., Perkins, D. F., & Hayes, J. A. (2019). Interpersonal relationship quality mediates the association between military-related posttraumatic stress and academic dysfunction among student veterans. Psychological Trauma: Theory, Research, Practice, and Policy, 11(4), 415–423. https://doi.org/10.1037/tra0000363.CrossRef Fredman, S. J., Marshall, A. D., Le, Y., Aronson, K. R., Perkins, D. F., & Hayes, J. A. (2019). Interpersonal relationship quality mediates the association between military-related posttraumatic stress and academic dysfunction among student veterans. Psychological Trauma: Theory, Research, Practice, and Policy, 11(4), 415–423. https://​doi.​org/​10.​1037/​tra0000363.CrossRef
Zurück zum Zitat Harris, R. (2019). ACT made simple: An easy-to-read primer on acceptance and commitment therapy (2nd ed.). Oakland, CA: New Harbinger Publications. Harris, R. (2019). ACT made simple: An easy-to-read primer on acceptance and commitment therapy (2nd ed.). Oakland, CA: New Harbinger Publications.
Zurück zum Zitat Hayes, S. C. (2004). Acceptance and commitment therapy and the new behavior therapies: Mindfulness, acceptance, and relationship. In S. C. Hayes, V. M. Follette, & M. M. Linehan (Eds.), Mindfulness and acceptance: Expanding the cognitive-behavioral tradition. New York: Guilford Press. Hayes, S. C. (2004). Acceptance and commitment therapy and the new behavior therapies: Mindfulness, acceptance, and relationship. In S. C. Hayes, V. M. Follette, & M. M. Linehan (Eds.), Mindfulness and acceptance: Expanding the cognitive-behavioral tradition. New York: Guilford Press.
Zurück zum Zitat Hayes, S. C., & Smith, S. (2005). Get out of your mind and into your life: The new Acceptance and Commitment Therapy. Oakland, CA: New Harbinger Publications. Hayes, S. C., & Smith, S. (2005). Get out of your mind and into your life: The new Acceptance and Commitment Therapy. Oakland, CA: New Harbinger Publications.
Zurück zum Zitat Meyer, E. C., Morissette, S. B., Kimbrel, N. A., Kruse, M. I., & Gulliver, S. B. (2013). Acceptance and Action Questionnaire-II scores as a predictor of posttraumatic stress disorder symptoms among war veterans. Psychological Trauma: Theory, Research, Practice, and Policy, 5(6), 521–528. https://doi.org/10.1037/a0030178.CrossRef Meyer, E. C., Morissette, S. B., Kimbrel, N. A., Kruse, M. I., & Gulliver, S. B. (2013). Acceptance and Action Questionnaire-II scores as a predictor of posttraumatic stress disorder symptoms among war veterans. Psychological Trauma: Theory, Research, Practice, and Policy, 5(6), 521–528. https://​doi.​org/​10.​1037/​a0030178.CrossRef
Zurück zum Zitat Meyer, E. C., Walser, R., Hermann, B., La Bash, H., DeBeer, B. B., Morissette, S. B., et al. (2018). Acceptance and commitment therapy for co-occurring posttraumatic stress disorder and alcohol use disorders in veterans: Pilot treatment outcomes. Journal of Traumatic Stress, 31(5), 781–789. https://doi.org/10.1002/jts.22322.CrossRefPubMed Meyer, E. C., Walser, R., Hermann, B., La Bash, H., DeBeer, B. B., Morissette, S. B., et al. (2018). Acceptance and commitment therapy for co-occurring posttraumatic stress disorder and alcohol use disorders in veterans: Pilot treatment outcomes. Journal of Traumatic Stress, 31(5), 781–789. https://​doi.​org/​10.​1002/​jts.​22322.CrossRefPubMed
Zurück zum Zitat Pietrzak, R. H., Johnson, D. C., Goldstein, M. B., Malley, J. C., Rivers, A. J., Morgan, C. A., et al. (2010). Psychosocial buffers of traumatic stress, depressive symptoms, and psychosocial difficulties in veterans of Operations Enduring Freedom and Iraqi Freedom: The role of resilience, unit support, and postdeployment social support. Journal of Affective Disorders, 120(1–3), 188–192. https://doi.org/10.1016/j.jad.2009.04.015.CrossRefPubMed Pietrzak, R. H., Johnson, D. C., Goldstein, M. B., Malley, J. C., Rivers, A. J., Morgan, C. A., et al. (2010). Psychosocial buffers of traumatic stress, depressive symptoms, and psychosocial difficulties in veterans of Operations Enduring Freedom and Iraqi Freedom: The role of resilience, unit support, and postdeployment social support. Journal of Affective Disorders, 120(1–3), 188–192. https://​doi.​org/​10.​1016/​j.​jad.​2009.​04.​015.CrossRefPubMed
Zurück zum Zitat Stoddard, J. A., & Afari, N. (2014). The big book of ACT metaphors: A practitioner’s guide to experiential exercises and metaphors in acceptance and commitment therapy. Oakland, CA: New Harbinger Publications. Stoddard, J. A., & Afari, N. (2014). The big book of ACT metaphors: A practitioner’s guide to experiential exercises and metaphors in acceptance and commitment therapy. Oakland, CA: New Harbinger Publications.
Zurück zum Zitat Tamannaeifar, S., Gharraee, B., Birashk, B., & Habibi, M. (2014). A comparative effectiveness of acceptance and commitment therapy and group cognitive therapy for major depressive disorder. Zahedan Journal of Research in Medical Sciences Journal, 16(Suppl 1), 60–63. Tamannaeifar, S., Gharraee, B., Birashk, B., & Habibi, M. (2014). A comparative effectiveness of acceptance and commitment therapy and group cognitive therapy for major depressive disorder. Zahedan Journal of Research in Medical Sciences Journal, 16(Suppl 1), 60–63.
Zurück zum Zitat Towsyfyan, N., & Sabet, F. H. (2017). The effectiveness of Acceptance and Commitment Therapy on the improving of resilience and optimism in adolescents with major depressive disorder. International Journal of Humanities and Social Science, 7(3), 239–245. Towsyfyan, N., & Sabet, F. H. (2017). The effectiveness of Acceptance and Commitment Therapy on the improving of resilience and optimism in adolescents with major depressive disorder. International Journal of Humanities and Social Science, 7(3), 239–245.
Zurück zum Zitat Tullis, T., & Albert, W. (2008). Measuring the user experience: Collecting, analyzing, and presenting usability metrics. Burlington: Morgan Kaufmann. Tullis, T., & Albert, W. (2008). Measuring the user experience: Collecting, analyzing, and presenting usability metrics. Burlington: Morgan Kaufmann.
Metadaten
Titel
Promoting Resilience Among College Student Veterans Through an Acceptance-and-Commitment-Therapy App: An Intervention Refinement Study
verfasst von
Andrew Thomas Reyes
Venkatesan Muthukumar
Tirth R. Bhatta
Judzia N. Bombard
William J. Gangozo
Publikationsdatum
09.04.2020
Verlag
Springer US
Erschienen in
Community Mental Health Journal / Ausgabe 7/2020
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-020-00617-4

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