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Research Article

Healing Trauma While Staying at Home: Using Telehealth to Conduct a Brief Treatment Program for Posttraumatic Stress Disorder

    Journal of Psychosocial Nursing and Mental Health Services, 2024;62(7):36–46
    Cite this articlePublished Online:December 15, 2023https://doi.org/10.3928/02793695-20231205-01Cited by:1

    Abstract

    Studies suggest that a three-session brief treatment program (Brief Relaxation, Education, and Trauma Healing [BREATHE]) can help treat posttraumatic stress disorder (PTSD) and symptoms of trauma; however, the program has not been examined via telehealth. Thus, the current study evaluated the feasibility of BREATHE delivered via telehealth. The intervention included breathing retraining and psychoeducation about PTSD and trauma. Thirty participants from the community with confirmed PTSD diagnoses participated in this telehealth program. Treatment retention was high, and participants showed decreased PTSD symptoms, posttraumatic cognitions, depression, anxiety, overall psychiatric symptoms, and internalized stigma and increased resiliency at posttreatment and 3-month follow up. Results suggest that a telehealth brief treatment program for PTSD is feasible and effective for individuals with PTSD. [Journal of Psychosocial Nursing and Mental Health Services, 62(7), 36–46.]

    • Acierno R., Gros D. F., Ruggiero K. J., Hernandez-Tejada B. M., Knapp R. G., Lejuez C. W., Muzzy W., Frueh C. B., Egede L. E., & Tuerk P. W. (2016). Behavioral activation and therapeutic exposure for post-traumatic stress disorder: A noninferiority trial of treatment delivered in person versus home-based telehealth. Depression and Anxiety, 33(5), 415–423. 10.1002/da.22476 PMID:26864655

      > Crossref MedlineGoogle Scholar
    • Alegría M., Fortuna L. R., Lin J. Y., Norris F. H., Gao S., Takeuchi D. T., Jackson J. S., Shrout P. E., & Valentine A. (2013). Prevalence, risk, and correlates of posttraumatic stress disorder across ethnic and racial minority groups in the United States. Medical Care, 51(12), 1114–1123. 10.1097/MLR.0000000000000007 PMID:24226308

      > Crossref MedlineGoogle Scholar
    • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders(5th ed.).

      > Google Scholar
    • Baumann B. C., MacArthur K. M., & Michalski J. M. (2020). The importance of temporary telehealth parity laws to improve public health during COVID-19 and future pandemics. International Journal of Radiation Oncology, Biology, Physics, 108(2), 362–363. 10.1016/j.ijrobp.2020.05.039 PMID:32890513

      > Crossref MedlineGoogle Scholar
    • Beck A. T., & Steer R. A. (1993). Beck Anxiety Inventory manual. The Psychological Corporation Harcourt Brace & Company.

      > Google Scholar
    • Beck A. T., Steer R. A., & Brown G. K. (1996). Manual for the Beck Depression Inventory-II. Psychological Corporation.

      > Google Scholar
    • Beck A. T., Steer R. A., & Garbin M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8(1), 77–100. 10.1016/0272-7358(88)90050-5

      > CrossrefGoogle Scholar
    • Blevins C. A., Weathers F. W., Davis M. T., Witte T. K., & Domino J. L. (2015). The posttraumatic stress disorder checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28(6), 489–498. 10.1002/jts.22059 PMID:26606250

      > Crossref MedlineGoogle Scholar
    • Bongaerts H., Voorendonk E. M., van Minnen A., & de Jongh A. (2021). Safety and effectiveness of intensive treatment for complex PTSD delivered via home-based telehealth. European Journal of Psychotraumatology, 12(1), 1860346. 10.1080/20008198.2020.1860346 PMID:34025912

      > Crossref MedlineGoogle Scholar
    • Boyd J. E., Adler E. P., Otilingam P. G., & Peters T. (2014). Internalized stigma of mental illness (ISMI) scale: A multinational review. Comprehensive Psychiatry, 55(1), 221–231. 10.1016/j.comppsych.2013.06.005 PMID:24060237

      > Crossref MedlineGoogle Scholar
    • Bryant R. A. (2017). Posttraumatic stress disorder. In Hofmann S. G. & Asmundson G. J. G. (Eds.), The science of cognitive behavioral therapy (pp. 319–336). Elsevier Academic Press. 10.1016/B978-0-12-803457-6.00013-1

      > CrossrefGoogle Scholar
    • Bulkes N. Z., Davis K., Kay B., & Riemann B. C. (2022). Comparing efficacy of telehealth to in-person mental health care in intensive-treatment-seeking adults. Journal of Psychiatric Research, 145, 347–352. 10.1016/j.jpsychires.2021.11.003 PMID:34799124

      > Crossref MedlineGoogle Scholar
    • Chang J. E., Lai A. Y., Gupta A., Nguyen A. M., Berry C. A., & Shelley D. R. (2021). Rapid transition to telehealth and the digital divide: Implications for primary care access and equity in a post-COVID era. The Milbank Quarterly, 99(2), 340–368. 10.1111/1468-0009.12509 PMID:34075622

      > Crossref MedlineGoogle Scholar
    • Connor K. M., & Davidson J. R. (2003). Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18(2), 76–82. 10.1002/da.10113 PMID:12964174

      > Crossref MedlineGoogle Scholar
    • Elsouri K. N., Kalhori S., Colunge D., Grabarczyk G., Hanna G., Carrasco C., Aleman Espino A., Francisco A., Borosky B., Bekheit B., Ighanifard M., Astudillo A. A., & Demory Beckler M. (2022). Psychoactive drugs in the management of post traumatic stress disorder: A promising new horizon. Cureus, 14(5), e25235. 10.7759/cureus.25235 PMID:35747039

      > Crossref MedlineGoogle Scholar
    • Fletcher T. L., Hogan J. B., Keegan F., Davis M. L., Wassef M., Day S., & Lindsay J. A. (2018). Recent advances in delivering mental health treatment via video to home. Current Psychiatry Reports, 20(8), 56. 10.1007/s11920-018-0922-y PMID:30032337

      > Crossref MedlineGoogle Scholar
    • Foa E. B., Ehlers A., Clark D. M., Tolin D. F., & Orsillo S. M. (1999). The posttraumatic cognitions inventory (PTCI): Development and validation. Psychological Assessment, 11(3), 303–314. 10.1037/1040-3590.11.3.303

      > CrossrefGoogle Scholar
    • Foa E. B., McLean C. P., Zang Y., Rosenfield D., Yadin E., Yarvis J. S., Mintz J., Young-McCaughan S., Borah E. V., Dondanville K. A., Fina B. A., Hall-Clark B. N., Lichner T., Litz B. T., Roache J., Wright E. C., Peterson A. L., & the STRONG STAR Consortium. (2018). Effect of prolonged exposure therapy delivered over 2 weeks vs 8 weeks vs present-centered therapy on PTSD symptom severity in military personnel: A randomized clinical trial. Journal of the American Medical Association, 319(4), 354–364. 10.1001/jama.2017.21242 PMID:29362795

      > Crossref MedlineGoogle Scholar
    • Foa E. B., & Rothbaum B. O. (1998). Treating the trauma of rape: Cognitive-behavioral therapy for PTSD. Guilford Press.

      > Google Scholar
    • Franklin C. L., Cuccurullo L. A., Walton J. L., Arseneau J. R., & Petersen N. J. (2017). Face to face but not in the same place: A pilot study of prolonged exposure therapy. Journal of Trauma & Dissociation, 18(1), 116–130. 10.1080/15299732.2016.1205704 PMID:27348462

      > Crossref MedlineGoogle Scholar
    • Gentry M. T., Lapid M. I., Clark M. M., & Rummans T. A. (2019). Evidence for telehealth group-based treatment: A systematic review. Journal of Telemedicine and Telecare, 25(6), 327–342. 10.1177/1357633X18775855 PMID:29788807

      > Crossref MedlineGoogle Scholar
    • Haque S. N. (2021). Telehealth beyond COVID-19. Psychiatric Services (Washington, D.C.), 72(1), 100–103. 10.1176/appi.ps.202000368 PMID:32811284

      > Crossref MedlineGoogle Scholar
    • Henner R. L., Keshavan M. S., & Hill K. P. (2022). Review of potential psychedelic treatments for PTSD. Journal of the Neurological Sciences, 439, 120302. 10.1016/j.jns.2022.120302 PMID:35700643

      > Crossref MedlineGoogle Scholar
    • Kazlauskas E. (2017). Challenges for providing health care in traumatized populations: Barriers for PTSD treatments and the need for new developments. Global Health Action, 10(1), 1322399. 10.1080/16549716.2017.1322399 PMID:28562198

      > Crossref MedlineGoogle Scholar
    • Khoshrounejad F., Hamednia M., Mehrjerd A., Pichaghsaz S., Jamalirad H., Sargolzaei M., Hoseini B., & Aalaei S. (2021). Telehealth-based services during the COVID-19 pandemic: A systematic review of features and challenges. Frontiers in Public Health, 9, 711762. 10.3389/fpubh.2021.711762 PMID:34350154

      > Crossref MedlineGoogle Scholar
    • Kimerling R., Weitlauf J. C., Iverson K. M., Karpenko J. A., & Jain S. (2014). Gender issues in PTSD.. In Friedman M. J., Keane T. M., Resick P. A. (Eds.), Handbook of PTSD: Science and practice (pp. 313–330). The Guilford Press.

      > Google Scholar
    • Koonin L. M., Hoots B., Tsang C. A., Leroy Z., Farris K., Jolly T., Antall P., McCabe B., Zelis C. B. R., Tong I., & Harris A. M. (2020). Trends in the use of telehealth during the emergence of the COVID-19 pandemic -United States, January–March 2020. MMWR. Morbidity and Mortality Weekly Report, 69(43), 1595–1599. 10.15585/mmwr.mm6943a3 PMID:33119561

      > Crossref MedlineGoogle Scholar
    • Kubany E. S., Haynes S. N., Leisen M. B., Owens J. A., Kaplan A. S., Watson S. B., & Burns K. (2000). Development and preliminary validation of a brief broad-spectrum measure of trauma exposure: The Traumatic Life Events Questionnaire. Psychological Assessment, 12(2), 210–224. 10.1037/1040-3590.12.2.210 PMID:10887767

      > Crossref MedlineGoogle Scholar
    • Lavelle T. A., Kommareddi M., Jaycox L. H., Belsher B., Freed M. C., Engel C. C., & Lavelle T. (2018). Cost-effectiveness of collaborative care for depression and PTSD in military personnel. The American Journal of Managed Care, 24(2), 91–98. PMID:29461856

      > MedlineGoogle Scholar
    • Lee D. J., Schnitzlein C. W., Wolf J. P., Vythilingam M., Rasmusson A. M., & Hoge C. W. (2016). Psychotherapy versus pharmacotherapy for posttraumatic stress disorder: Systemic review and meta-analyses to determine first-line treatments. Depression and Anxiety, 33(9), 792–806. 10.1002/da.22511 PMID:27126398

      > Crossref MedlineGoogle Scholar
    • Lehman A. F. (1996). Measures of quality of life among persons with severe and persistent mental disorders. Social Psychiatry and Psychiatric Epidemiology, 31(2), 78–88. 10.1007/BF00801903 PMID:8881088

      > Crossref MedlineGoogle Scholar
    • Lehman A. F., Rachuba L. T., & Postrado L. T. (1995). Demographic influences on quality of life among persons with chronic mental illnesses. Evaluation and Program Planning, 18(2), 155–164. 10.1016/0149-7189(95)00006-W

      > CrossrefGoogle Scholar
    • Leng Y., Wu Y., Wang Z., Zhou X., & Liao J. (2022). A qualitative study exploring barriers and facilitators to establishing nurse-led, multidisciplinary psychological care for trauma patients: Experiences from doctors and nurses. BMC Nursing, 21(1), 191. 10.1186/s12912-022-00971-6 PMID:35854301

      > Crossref MedlineGoogle Scholar
    • Lukoff D., Liberman R. P., & Nuechterlein K. H. (1986). Symptom monitoring in the rehabilitation of schizophrenic patients. Schizophrenia Bulletin, 12(4), 578–602. 10.1093/schbul/12.4.578 PMID:3810065

      > Crossref MedlineGoogle Scholar
    • Madigan S., Racine N., Cooke J. E., & Korczak D. J. (2021). COVID-19 and telemental health: Benefits, challenges, and future directions. Canadian Psychology, 62(1), 5–11. 10.1037/cap0000259

      > CrossrefGoogle Scholar
    • Mahomed F. (2020). Addressing the problem of severe underinvestment in mental health and well-being from a human rights perspective. Health and Human Rights, 22(1), 35–49. PMID:32669787

      > MedlineGoogle Scholar
    • Miao X. R., Chen Q. B., Wei K., Tao K. M., & Lu Z. J. (2018). Posttraumatic stress disorder: From diagnosis to prevention. Military Medical Research, 5(1), 32. 10.1186/s40779-018-0179-0 PMID:30261912

      > Crossref MedlineGoogle Scholar
    • Mitchell K. S., Mazzeo S. E., Schlesinger M. R., Brewerton T. D., & Smith B. N. (2012). Comorbidity of partial and subthreshold PTSD among men and women with eating disorders in the national comorbidity survey-replication study. International Journal of Eating Disorders, 45(3), 307–315. 10.1002/eat.20965 PMID:22009722

      > Crossref MedlineGoogle Scholar
    • Mueser K. T., Curran P. J., & McHugo G. J. (1997). Factor structure of the Brief Psychiatric Rating Scale in schizophrenia. Psychological Assessment, 9(3), 196–204. 10.1037/1040-3590.9.3.196

      > CrossrefGoogle Scholar
    • Mueser K. T., Fite R., Rosenberg S. D., & Gottlieb J. D. (2018). B.R.E.A.T.H.E. (brief relaxation, education and trauma healing): A brief intervention for persons with PTSD and co-occurring serious mental health conditions: Treatment program and client handouts (Version 3). Boston University.

      > Google Scholar
    • Mueser K. T., Gottlieb J. D., Xie H., Lu W., Yanos P. T., Rosenberg S. D., Silverstein S. M., Duva S. M., Minsky S., Wolfe R. S., & McHugo G. J. (2015). Evaluation of cognitive restructuring for post-traumatic stress disorder in people with severe mental illness. The British Journal of Psychiatry, 206(6), 501–508. 10.1192/bjp.bp.114.147926 PMID:25858178

      > Crossref MedlineGoogle Scholar
    • Mueser K. T., Rosenberg S. D., Xie H., Jankowski M. K., Bolton E. E., Lu W., Hamblen J. L., Rosenberg H. J., McHugo G. J., & Wolfe R. (2008). A randomized controlled trial of cognitive-behavioral treatment for posttraumatic stress disorder in severe mental illness. Journal of Consulting and Clinical Psychology, 76(2), 259–271. 10.1037/0022-006X.76.2.259 PMID:18377122

      > Crossref MedlineGoogle Scholar
    • Mundt J. C., Marks I. M., Shear M. K., & Greist J. H. (2002). The Work and Social Adjustment Scale: A simple measure of impairment in functioning. The British Journal of Psychiatry, 180, 461–464. 10.1192/bjp.180.5.461 PMID:11983645

      > Crossref MedlineGoogle Scholar
    • Nishith P., Mueser K. T., & Morse G. A. (2015). A brief intervention for posttraumatic stress disorder in persons with a serious mental illness. Psychiatric Rehabilitation Journal, 38(4), 314–319. 10.1037/prj0000158 PMID:26414747

      > Crossref MedlineGoogle Scholar
    • Olff M. (2017). Sex and gender differences in post-traumatic stress disorder: An update. European Journal of Psychotraumatology, 8(Suppl. 4), 1351204. 10.1080/20008198.2017.1351204

      > CrossrefGoogle Scholar
    • Perlini C., Donisi V., Rossetti M. G., Moltrasio C., Bellani M., & Brambilla P. (2020). The potential role of EMDR on trauma in affective disorders: A narrative review. Journal of Affective Disorders, 269, 1–11. 10.1016/j.jad.2020.03.001 PMID:32217337

      > Crossref MedlineGoogle Scholar
    • Peterson A. L., Mintz J., Moring J. C., Straud C. L., Young-McCaughan S., McGeary C. A., McGeary D. D., Litz B. T., Velligan D. I., Macdonald A., Mata-Galan E., Holliday S. L., Dillon K. H., Roache J. D., Bira L. M., Nabity P. S., Medellin E. M., Hale W. J., & Resick P. A. (2022). In-office, in-home, and telehealth cognitive processing therapy for posttraumatic stress disorder in veterans: A randomized clinical trial. BMC Psychiatry, 22(1), 41. 10.1186/s12888-022-03699-4 PMID:35038985

      > Crossref MedlineGoogle Scholar
    • Reich K., Nemeth L., & Acierno R. (2019). Evidence-based psychotherapy interventions to improve psychosocial functioning in veterans with PTSD: An integrative review. Journal of Psychosocial Nursing and Mental Health Services, 57(10), 24–33. 10.3928/02793695-20190531-04 PMID:31188457

      > LinkGoogle Scholar
    • Resick P. A., Wachen J. S., Dondanville K. A., Pruiksma K. E., Yarvis J. S., Peterson A. L., Mintz J., Borah E. V., Brundige A., Hembree E. A., Litz B. T., Roache J. D., Young-McCaughan S., & STRONG STAR Consortium. (2017). Effect of group vs. individual cognitive processing therapy in active-duty military seeking treatment for posttraumatic stress disorder: A randomized clinical trial. JAMA Psychiatry, 74(1), 28–36. 10.1001/jamapsychiatry.2016.2729 PMID:27893032

      > Crossref MedlineGoogle Scholar
    • Richter P., Werner J., Heerlein A., Kraus A., & Sauer H. (1998). On the validity of the Beck Depression Inventory: A review. Psychopathology, 31(3), 160–168. 10.1159/000066239 PMID:9636945

      > Crossref MedlineGoogle Scholar
    • Roberts A. L., Gilman S. E., Breslau J., Breslau N., & Koenen K. C. (2011). Race/ethnic differences in exposure to traumatic events, development of post-traumatic stress disorder, and treatment-seeking for post-traumatic stress disorder in the United States. Psychological Medicine, 41(1), 71–83. 10.1017/S0033291710000401 PMID:20346193

      > Crossref MedlineGoogle Scholar
    • Shore J. H., Schneck C. D., & Mishkind M. C. (2020). Telepsychiatry and the coronavirus disease 2019 pandemic: Current and future outcomes of the rapid virtualization of psychiatric care. JAMA Psychiatry, 77(12), 1211–1212. 10.1001/jamapsychiatry.2020.1643 PMID:32391861

      > Crossref MedlineGoogle Scholar
    • Substance Abuse and Mental Health Services Administration. (2021). Telehealth for the treatment of serious mental illness and substance use disorders. https://store.samhsa.gov/sites/default/files/pep21-06-02-001.pdf

      > Google Scholar
    • Swerdlow B. A., Baker S. N., Leifker F. R., Straud C. L., Rozek D. C., & Sippel L. M. (2023). The impact of trauma-focused psychotherapy for posttraumatic stress disorder on interpersonal functioning: A systematic review and meta-analysis of randomized clinical trials. Journal of Traumatic Stress, 36, 496–510. 10.1002/jts.22906 PMID:36628929

      > Crossref MedlineGoogle Scholar
    • Thomson N., Galusha C., Wheeler E., Ingram L., & Vassileva J. (2020). PTSD mediates the link between serious mental illness and addiction. Biological Psychiatry (1969), 87(9), S208. 10.1016/j.biopsych.2020.02.540

      > CrossrefGoogle Scholar
    • Trent J. D., & Weiss L. G. (2000). Development of non-clinical standardized scores for the Beck Depression Inventory B Second Edition (BDIII), Beck Anxiety Inventory (BAI), and Beck Hopelessness Scale (BHS). Psychological Corp.

      > Google Scholar
    • Valiente-Gómez A., Moreno-Alcázar A., Treen D., Cedrón C., Colom F., Pérez V., & Amann B. L. (2017). EMDR beyond PTSD: A systematic literature review. Frontiers in Psychology, 8, 1668. 10.3389/fpsyg.2017.01668 PMID:29018388

      > Crossref MedlineGoogle Scholar
    • Weathers F. W., Blake D. D., Schnurr P. P., Kaloupek D. G., Marx B. P., & Keane T. M. (2013). The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5). https://www.ptsd.va.gov

      > Google Scholar
    • Weathers F. W., Bovin M. J., Lee D. J., Sloan D. M., Schnurr P. P., Kaloupek D. G., Keane T. M., & Marx B. P. (2018). The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5): Development and initial psychometric evaluation in military veterans. Psychological Assessment, 30(3), 383–395. 10.1037/pas0000486 PMID:28493729

      > Crossref MedlineGoogle Scholar
    • Weathers F. W., Litz B. T., Keane T. M., Palmieri P. A., Marx B. P., & Schnurr P. P. (2013). The PTSD Checklist for DSM-5 (PCL-5) – Standard. https://www.ptsd.va.gov/

      > Google Scholar
    • Weiss N. H., Schick M. R., Reyes M. E., Thomas E. D., Tobar-Santamaria A., & Contractor A. A. (2021). Ethnic-racial identity and posttraumatic stress disorder: The role of emotional avoidance among trauma-exposed community individuals. Psychological Trauma: Theory, Research, Practice, and Policy, 13(1), 35–43. 10.1037/tra0000974 PMID:33030936

      > Crossref MedlineGoogle Scholar
    • Wortmann J. H., Jordan A. H., Weathers F. W., Resick P. A., Dondanville K. A., Hall-Clark B., Foa E. B., Young-McCaughan S., Yarvis J. S., Hembree E. A., Mintz J., Peterson A. L., & Litz B. T. (2016). Psychometric analysis of the PTSD Checklist-5 (PCL-5) among treatment-seeking military service members. Psychological Assessment, 28(11), 1392–1403. 10.1037/pas0000260 PMID:26751087

      > Crossref MedlineGoogle Scholar
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