Testing the acceptability and initial efficacy of a smartphone-app mindfulness intervention for college student veterans with PTSD

Reyes, Andrew Thomas; Bhatta, Tirth; Muthukumar, Venkatesan; Gangozo, William J.

doi:10.1016/j.apnu.2020.02.004

Cited by 33 publications

(23 citation statements)

References 68 publications

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“…Previous randomized clinical trials provided promising initial findings that various PTSD experiencing samples could benefit from mindfulness-based PTSD treatments (Colgan et al, 2016 ; Jasbi et al, 2018 ; Valenstein-Mah et al, 2019 ). Furthermore, our findings are different from a recent study on internet-delivered mindfulness intervention for PTSD (Reyes et al, 2020 ). Possibly, the best treatments for PTSD are trauma-focused PTSD therapies that explicitly address previous traumatic experiences and traumatic memories (APA, 2017; ISTSS, 2018 ; Lewis, et al, 2020a ).…”

Section: Discussioncontrasting

confidence: 99%

“…Empirical evidence supports the view that mindfulness-based interventions may reduce PTSD symptoms in various populations (Colgan et al, 2016 ; Jasbi et al, 2018 ; Valenstein-Mah et al, 2019 ). Moreover, mindfulness-based treatments may reduce comorbid symptoms of depression and anxiety (Jasbi et al, 2018 ), as well as improve positive mental health aspects, such as resilience (Reyes et al, 2020 ) after traumatic experiences. Although a more detailed investigation is needed, dropout rates for existing mindfulness treatments for PTSD seem to be low (from none to 13.3%; Jasbi et al, 2018 ; Valenstein-Mah et al, 2019 ).…”

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confidence: 99%

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Effects of Mindfulness-Based Internet Intervention on ICD-11 Posttraumatic Stress Disorder and Complex Posttraumatic Stress Disorder Symptoms: a Pilot Randomized Controlled Trial

Dumarkaitė

Truskauskaitė‐Kunevičienė

Andersson

et al. 2021

Mindfulness

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Objectives A substantial proportion of trauma survivors with posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) continue to experience symptoms even after trauma-focused therapies. Internet-based interventions could facilitate access to treatment for PTSD and CPTSD. The current pilot study aimed to investigate the effects of mindfulness-based internet intervention on PTSD and CPTSD symptoms. Methods A randomized controlled trial (RCT) design with two measurement points (pre-test and post-test) was used to investigate the effects of a structured mindfulness-based internet intervention on PTSD and CPTSD symptoms as well as anxiety, depression, and positive mental health. In total, 70 university students with high levels of PTSD and CPTSD symptoms based on ICD-11 criteria participated in the study: 31 in the intervention group and 39 in the waiting list control group. Results We found that the mindfulness-based internet intervention reduced CPTSD disturbances in self-organization (DSO) symptoms (ES = − 0.48 [− 0.96; 0.00]), particularly negative self-concept (ES = − 0.72 [− 1.21; − 0.24]) and disturbances in relationships (ES = − 0.55 [− 1.03; − 0.07]). Moreover, the intervention reduced the symptoms of PTSD sense of threat (ES = − 0.48 [− 0.96; − 0.01]) and promoted positive mental health (ES = 0.51 [0.03; 0.99]). High user satisfaction and good usability of the intervention were reported. Conclusions Promising treatment effects were found, indicating that mindfulness-based internet intervention can reduce CPTSD symptoms and have a positive effect on mental health among youth in general. The findings of the current study contribute to the further development of trauma care using internet-delivered interventions. Trial registration: ClinicalTrials.gov NTC04333667 (3 April 2020)

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Section: Discussioncontrasting

confidence: 99%

mentioning

confidence: 99%

Effects of Mindfulness-Based Internet Intervention on ICD-11 Posttraumatic Stress Disorder and Complex Posttraumatic Stress Disorder Symptoms: a Pilot Randomized Controlled Trial

Dumarkaitė

Truskauskaitė‐Kunevičienė

Andersson

et al. 2021

Mindfulness

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“…Eleven studies are randomized controlled trials (RCT) (Witkiewitz et al, 2014 ; Gajecki et al, 2017 ; Harrer et al, 2018 ; Lee and Jung, 2018 ; Fish and Saul, 2019 ; Huberty et al, 2019 ; Bruehlman-Senecal et al, 2020 ; Flett et al, 2020 ; McCloud et al, 2020 ; Newman et al, 2020 ; Ponzo et al, 2020 ) and two studies are considered quasi-experimental trials (Benton et al, 2016 ; Borjalilu et al, 2019 ). Four studies considered a single-arm pre-test-post-test study design (Jackson et al, 2016 ; Leonard et al, 2017 ; Haeger et al, 2020 ; Lattie et al, 2020 ; Reyes et al, 2020 ) and one study included two groups through an iterative process (Kazemi et al, 2018 ).…”

Section: Resultsmentioning

confidence: 99%

“…Appropriate trial design, and any deviates from the standard RCT accounted for in the conduct and analysis of the trial 11/11 2016; Borjalilu et al, 2019). Four studies considered a singlearm pre-test-post-test study design (Jackson et al, 2016;Leonard et al, 2017;Haeger et al, 2020;Lattie et al, 2020;Reyes et al, 2020) and one study included two groups through an iterative process (Kazemi et al, 2018). Eleven of the included studies are RCTs and the total sample size ranges from 72 to 330 college student participants; the overall duration of the intervention range from 14 days to 3 months and when we consider follow-ups, the longest trial lasted for 9 months.…”

Section: /11mentioning

confidence: 99%

Effectiveness of Mobile App-Based Psychological Interventions for College Students: A Systematic Review of the Literature

et al. 2021

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Serious mental health disorders are increasing among college students and university counseling services are often overburdened. Mobile applications for mental health have been growing exponentially in the last decade and they are emerging in university settings as a promising tool to promote and intervene in college students' mental health. Additionally, considering the recent covid-19 pandemic, mHealth interventions, due to its nature and possibilities, may play an important role in these institutions. Our main objectives are to explore mhealth interventions in universities, regarding its conceptual framework, acceptability and efficacy outcomes and understand its impact and contributions to address treatment delivery and psychological difficulties resulting from covid-19 pandemic. The literature search was conducted in scientific databases, namely, Web of Science, Pubmed, and Scopus. A search in app stores was not conducted, thus regarding commercially available apps, only those found in our database search were included in our review. We selected studies with mobile applications addressing psychological interventions for college students. A total of 2,158 participants were included in the 8 selected studies and most interventions were delivered through mobile apps only and based in cognitive behavioral therapy. Results suggested that college students accept and adhere to these interventions and preliminary evidence of efficacy was demonstrated in different disorders, such as stress, anxiety, depression and risky behaviors such as alcohol and tobacco abuse and sexual knowledge. We conclude that universities, particularly college counseling services, may benefit from mhealth interventions, not only to address college students' mental health but to decrease some of its difficulties related to lack of human resources. Specifically in covid-19 pandemic context, these interventions may contribute significantly by promoting and delivering psychological interventions at a safe distance.

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“…Finally, Alexopoulos et al's (2020) suggestion of exploring the effectiveness of the mobile app intervention among COVID-19 healthcare workers and former COVID-19 patients contextualizes the key scientific premise of the intervention-namely, that mindfulness can promote resilience to trauma, and that this trauma resilience could consequently reduce the severity of PTSD symptoms (Thompson et al 2011). Our preliminary results on the efficacy of the mobile app intervention have already yielded promising outcomes on mindfulness, resilience, PTSD, and intervention acceptability among college student veterans (Reyes et al 2020a). Based on this evidence, we hope to find similarly promising results in applying the mobile app intervention among healthcare workers and former COVID-19 patients who have been adversely affected by the current pandemic.…”

mentioning

confidence: 95%

A Mindfulness Mobile App for Traumatized COVID-19 Healthcare Workers and Recovered Patients: A Response to “The Use of Digital Applications and COVID-19”

Testing the acceptability and initial efficacy of a smartphone-app mindfulness intervention for college student veterans with PTSD

Cited by 33 publications

References 68 publications

Effects of Mindfulness-Based Internet Intervention on ICD-11 Posttraumatic Stress Disorder and Complex Posttraumatic Stress Disorder Symptoms: a Pilot Randomized Controlled Trial

Effects of Mindfulness-Based Internet Intervention on ICD-11 Posttraumatic Stress Disorder and Complex Posttraumatic Stress Disorder Symptoms: a Pilot Randomized Controlled Trial

Effectiveness of Mobile App-Based Psychological Interventions for College Students: A Systematic Review of the Literature

A Mindfulness Mobile App for Traumatized COVID-19 Healthcare Workers and Recovered Patients: A Response to “The Use of Digital Applications and COVID-19”

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