Telemed J E Health - Posttraumatic stress disorder treatment for Operation Enduring Freedom/Operation Iraqi Freedom combat veterans through a civilian community-based telemedicine network.

Tópicos

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Resumo

CKGROUND: Telemedicine holds great potential to improve access to care and to reduce barriers to treatment for military populations with posttraumatic stress disorder (PTSD). This study sought to integrate the use of telemedicine mental health treatment services by a community healthcare provider to military populations residing in a rural location and to compare the equivalency of cognitive behavioral therapy (CBT) administered via telemedicine and traditional face-to-face therapy.SUBJECTS AND METHODS: Study subjects were men or women 18 years of age or older who had served in Operation Enduring Freedom (OEF) and/or Operation Iraqi Freedom (OIF) and were diagnosed with PTSD. The 18 study subjects were randomized and provided 10 weekly therapy sessions of CBT. Pre- and post-intervention assessments were conducted using the Clinician Administered PTSD Scale (CAPS), Hamilton Anxiety Rating Scale (HAM-A), Montgomery-Asberg Depression Rating Scale (MADRS), Life Events Checklist, and SF-36v2? (QualityMetric, Lincoln, RI) Health Survey.RESULTS: The CAPS, HAM-A, and MADRS each demonstrated lower scores, signifying improvement, and 69% of subjects experienced a clinically significant change in the CAPS. Patient satisfaction results indicated greater satisfaction for telemedicine as opposed to traditional face-to-face treatment.CONCLUSIONS: Findings reveal a trend expressing the equivalence of telemedicine and face-to-face therapy when treating OEF/OIF veterans with PTSD among rural populations by a community provider. It further demonstrates the successful collaboration between a community healthcare provider and the military healthcare system.

Resumo Limpo

ckground telemedicin hold great potenti improv access care reduc barrier treatment militari popul posttraumat stress disord ptsd studi sought integr use telemedicin mental health treatment servic communiti healthcar provid militari popul resid rural locat compar equival cognit behavior therapi cbt administ via telemedicin tradit facetofac therapysubject method studi subject men women year age older serv oper endur freedom oef andor oper iraqi freedom oif diagnos ptsd studi subject random provid week therapi session cbt pre postintervent assess conduct use clinician administ ptsd scale cap hamilton anxieti rate scale hama montgomeryasberg depress rate scale madr life event checklist sfv qualitymetr lincoln ri health surveyresult cap hama madr demonstr lower score signifi improv subject experienc clinic signific chang cap patient satisfact result indic greater satisfact telemedicin oppos tradit facetofac treatmentconclus find reveal trend express equival telemedicin facetofac therapi treat oefoif veteran ptsd among rural popul communiti provid demonstr success collabor communiti healthcar provid militari healthcar system

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