A pilot study comparing peer supported web-based CBT to self-managed web CBT for primary care veterans with PTSD and hazardous alcohol use.


OBJECTIVE:Many combat veterans struggle with posttraumatic stress disorder (PTSD) and hazardous alcohol use and are hesitant to engage in behavioral health services. Combining peer support with an eHealth intervention may overcome many barriers to care. This pilot study investigated the feasibility of adding peer support to a web-based cognitive behavior therapy (CBT) targeting PTSD symptoms and hazardous drinking, called Thinking Forward. METHOD:Thirty primary care patients with PTSD and hazardous alcohol use were randomized to receive Thinking Forward with or without peer support. Participants were assessed at pretreatment, posttreatment, and 24-week follow-up. Feasibility was analyzed with descriptive statistics. Preliminary outcomes were analyzed with multilevel modeling and effect sizes are presented. RESULTS:Peer support specialists can be feasibly trained to support the Thinking Forward intervention with good fidelity. Both participants and peers reported good satisfaction with the protocol; although peers discussed a mismatch between the philosophies of peer support and diagnostically focused CBT. All participants experienced significant improvements in PTSD, quality of life, resiliency, and coping from pre- to posttreatment, with no differences between conditions. Pretreatment patient activation predicted outcomes regardless of whether participants received peer support. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE:Peer support interventions to facilitate eHealth programs should strive to be consistent with the person-centered, recovery orientation of peer support, explicitly focus on patient activation, and consider characteristics of the patients, such as their level of problem recognition and willingness to engage in traditional behavioral health modalities. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Psychiatr Rehabil J


Possemato K,Johnson EM,Emery JB,Wade M,Acosta MC,Marsch LA,Rosenblum A,Maisto SA




Has Abstract


2019-09-01 00:00:00














  • Follow-up client satisfaction in a supported education program.

    abstract::Satisfaction data have recently returned to popularity, as an outcome measure in managed behavioral healthcare systems. However, there are few examples of management uses of such data. We collected data 12 months after participants had completed a supported education program, concerning their retrospective satisfactio...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章


    authors: Mowbray CT,Bybee D,Collins ME

    更新日期:2001-01-01 00:00:00

  • Affective forecasting in schizophrenia: comparing predictions to real-time Ecological Momentary Assessment (EMA) ratings.

    abstract:OBJECTIVE:"Affective forecasting" refers to the predictions people make about future affective experiences. These predictions influence decision making, which in turn might impact individuals' level of functioning, goal-directed behavior, and pursuit of potentially rewarding activities. In the current study, we explore...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章


    authors: Brenner CJ,Ben-Zeev D

    更新日期:2014-12-01 00:00:00

  • Conducting focus groups with women with severe psychiatric disabilities: a methodological overview.

    abstract::This article presents information on the methodology used in conducting focus groups with women with severe psychiatric disabilities. The purpose of the focus groups was to understand the experiences of low-income women with severe psychiatric disabilities in accessing and using primary health care services. Discussed...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章,评审


    authors: Koppelman NF,Bourjolly JN

    更新日期:2001-10-01 00:00:00

  • A strengths perspective in working with an adolescent with depression.

    abstract::Depression has long been a problem in our society. In this paper, the writer tries to contrast a disease orientation and a strengths perspective in helping an adolescent with depression. The strengths perspective advocates identifying needs and ability behind client's symptoms and deficits; nurturing individuals' posi...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章


    authors: Yip KS

    更新日期:2005-04-01 00:00:00

  • Race analysis in an African American sample with serious mental illness and comorbid diabetes.

    abstract:OBJECTIVES:Targeted Training in Illness Management (TTIM) focuses on enhancing care engagement for people living with serious mental illness and diabetes. This secondary analysis from a 60-week, randomized controlled trial of TTIM versus treatment as usual evaluated racial subgroup outcomes. METHOD:Demographics, clini...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章,随机对照试验


    authors: Sajatovic M,Howland M,Gunzler D,Kanuch SW,Cassidy KA,McCormick R,Bauer MS,Scheidemantel T,Thomas C,Blixen C,Dawson NV

    更新日期:2018-09-01 00:00:00

  • From discrimination to internalized mental illness stigma: The mediating roles of anticipated discrimination and anticipated stigma.

    abstract:OBJECTIVE:Internalizing mental illness stigma is related to poorer well-being, but less is known about the factors that predict levels of internalized stigma. This study explored how experiences of discrimination relate to greater anticipation of discrimination and devaluation in the future and how anticipation of stig...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章


    authors: Quinn DM,Williams MK,Weisz BM

    更新日期:2015-06-01 00:00:00

  • Is recovery possible outside the financial mainstream?

    abstract::As psychiatric rehabilitation practitioners, we have solid evidence that our field's services are effective in helping people become employed, participate in social and civic life, avoid restrictive and coercive psychiatric treatment, and thrive in stable and secure community residences. Yet, hundreds of thousands of ...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章


    authors: Cook JA,Mueser KT

    更新日期:2016-12-01 00:00:00

  • Contrary themes on three peer-run warm lines.

    abstract::Peer-run warm lines are relatively new precrisis services, designed for providing social support. Participant observation of three warm lines revealed them to be complex entities, consisting of three contrary themes. Site 1 emphasized connectedness: build peer support networks and establish relationships. Site 2 empha...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章


    authors: Pudlinski C

    更新日期:2001-04-01 00:00:00

  • What has health care reform meant for the field of psychiatric rehabilitation?

    abstract::The year 2010 saw passage of an historic piece of legislation in Public Law 111-148, entitled the Patient Protection and Affordable Care Act or ACA (2010). Since that time, the ACA has contributed to a number of improvements to the U.S. health care system including a large decrease in the number of uninsured individua...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 社论


    authors: Cook JA,Mueser KT

    更新日期:2016-03-01 00:00:00

  • Supported education for individuals with psychiatric disabilities: State of the practice and policy implications.

    abstract:OBJECTIVE:Supported education (SEd) is a promising practice that supports and encourages educational goals and attainment among individuals with psychiatric disabilities. This paper provides insights into how SEd objectives are pursued in different settings, assesses the evidence base, and discusses policy implications...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章,评审


    authors: Ringeisen H,Langer Ellison M,Ryder-Burge A,Biebel K,Alikhan S,Jones E

    更新日期:2017-06-01 00:00:00

  • Pushing the envelope: shared decision making in mental health.

    abstract:TOPIC:This article reviews the literature on shared decision making in health and mental health and discusses tools in general health that are proposed for adaptation and use in mental health. PURPOSE:To offer findings from literature and a product development process to help inform/guide those who wish to create or i...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章,评审


    authors: Curtis LC,Wells SM,Penney DJ,Ghose SS,Mistler LA,Mahone IH,Delphin-Rittmon M,del Vecchio P,Lesko S

    更新日期:2010-07-01 00:00:00

  • Self-initiated helping behaviors and recovery in severe mental illness: Implications for work, volunteerism, and peer support.

    abstract:OBJECTIVE:Despite recent interest in peer support workers in recovery-oriented services, little is known about how helping behaviors may affect recovery from severe mental illness outside of formal peer support roles. The current study is a mixed-methods approach to understanding naturalistic helping behaviors and thei...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章


    authors: Firmin RL,Luther L,Lysaker PH,Salyers MP

    更新日期:2015-12-01 00:00:00

  • Predictors of mental health services use among lesbian and heterosexual women.

    abstract::Studies examining mental health services have identified a series of indicators with demonstrated effects on services access, barriers, and utilization, including gender, race/ethnicity, and socioeconomic status, as well as indicators such as type of insurance, client attitudes toward mental health, and diagnosis. Thi...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章


    authors: Razzano LA,Cook JA,Hamilton MM,Hughes TL,Matthews AK

    更新日期:2006-04-01 00:00:00

  • A demonstration project involving peers as providers of evidence-based, supported employment services.

    abstract:OBJECTIVE:The present demonstration project involved development of a training program designed to teach recovering consumers employed as peer advocates how to provide evidence-based supported employment services to consumers with severe mental illness. METHODS:A training curriculum was developed to teach the core com...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章


    authors: Kern RS,Zarate R,Glynn SM,Turner LR,Smith KM,Mitchell SS,Becker DR,Drake RE,Kopelowicz A,Tovey W,Liberman RP

    更新日期:2013-06-01 00:00:00

  • Prediction of changes in self-stigma among veterans participating in partial psychiatric hospitalization: The role of disability status and military cohort.

    abstract:OBJECTIVE:Interventions addressing internalized stigma are a new area of research, and it is important to identify the types of clientele who derive benefit from existing interventions. METHOD:Information was provided by 235 veterans attending a partial psychiatric hospitalization program, regarding their levels of in...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章


    authors: Harris JI,Farchmin L,Stull L,Boyd J,Schumacher M,Drapalski AL

    更新日期:2015-06-01 00:00:00

  • Telling our story: consumer perceptions of their role in mental health education.

    abstract:OBJECTIVE:This Australian study provides insight into the meaning that former consumers involved in the education and training of mental health staff attributed to their role. METHODS:Interviews were conducted with 11 consumer educators and were analysed using a qualitative phenomenological approach. RESULTS:Five the...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章


    authors: Meehan T,Glover H

    更新日期:2007-10-01 00:00:00

  • Interdependent recovery of adults with schizophrenia: Asian American consumer perspectives of family involvement and influence.

    abstract:OBJECTIVE:Family involvement is important in the recovery experience of culturally diverse adults with schizophrenia. However, little is known about the influence of family among consumers purported to have close family ties without regular contact. This study explored Asian American consumers' views about family relat...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章


    authors: Lee KK,Yamada AM,Kim MA,Dinh TQ

    更新日期:2015-09-01 00:00:00

  • Understanding Social Situations (USS): A proof-of-concept social-cognitive intervention targeting theory of mind and attributional bias in individuals with psychosis.

    abstract:OBJECTIVES:In this proof-of-concept trial, we examined the feasibility and preliminary efficacy of Understanding Social Situations (USS), a new social-cognitive intervention that targets higher level social-cognitive skills using methods common to neurocognitive remediation, including drill and practice and hierarchica...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章


    authors: Fiszdon JM,Roberts DL,Penn DL,Choi KH,Tek C,Choi J,Bell MD

    更新日期:2017-03-01 00:00:00

  • The effects of supported employment in Latino consumers with severe mental illness.

    abstract:OBJECTIVE:Despite the large number of Latinos living in the United States, little research has evaluated the effectiveness of different vocational rehabilitation programs for individuals with severe mental illness in this rapidly growing minority population. This article presents a secondary analysis of a randomized, c...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章,随机对照试验


    authors: Mueser KT,Bond GR,Essock SM,Clark RE,Carpenter-Song E,Drake RE,Wolfe R

    更新日期:2014-06-01 00:00:00

  • Benefits and challenges of using service dogs for veterans with posttraumatic stress disorder.

    abstract:OBJECTIVE:Veterans with posttraumatic stress disorder (PTSD) are increasingly seeking service dogs to help them manage trauma-related symptoms, yet literature describing service dog use in this population is scant. The goal of this study was to document the benefits and challenges experienced by veterans with service d...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章


    authors: Yarborough BJH,Stumbo SP,Yarborough MT,Owen-Smith A,Green CA

    更新日期:2018-06-01 00:00:00

  • Perceived stigma and quality of life of individuals diagnosed with schizophrenia and receiving psychiatric rehabilitation services: a comparison between the clubhouse model and a rehabilitation skills training model in South Korea.

    abstract:OBJECTIVE:This study aimed to identify the perceived stigma toward, and quality of life of, individuals diagnosed with a mental illness in South Korea, and how these two variables related to the clubhouse model and the rehabilitation skills training model in psychiatric rehabilitation. METHOD:In August 2007, a self-re...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章,多中心研究


    authors: Jung SH,Kim HJ

    更新日期:2012-12-01 00:00:00

  • Is individual placement and support an "active" labor market policy?

    abstract:OBJECTIVE:The aim of this study was to propose individual placement and support (IPS) as an important component of modern labor market policies and as a paradigm to be considered while drafting and adopting them. BACKGROUND:Modern European labor market policies, termed activation policies, aim to support a personal co...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章


    authors: Rizza R,Fioritti A

    更新日期:2020-03-01 00:00:00

  • Termination of parental rights proceedings: legal considerations and practical strategies for parents with psychiatric disabilities and the practitioners who serve them.

    abstract:TOPIC:This article examines the issue of parenting with a psychiatric disability and the risk of custody loss for these parents. PURPOSE:The purpose of this article is to examine the parental rights of parents with psychiatric disabilities and the use of the Americans with Disabilities Act as a legal defense. The curr...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章


    authors: Kundra LB,Alexander LB

    更新日期:2009-10-01 00:00:00

  • A manual-based phenomenological art therapy for individuals diagnosed with moderate to severe depression (PATd): A randomized controlled study.

    abstract:OBJECTIVE:This study investigated the effects of manual-based Phenomenological Art Therapy for individuals living with depression in addition to treatment as usual (PATd/TAU) compared with only treatment as usual (TAU) for individuals diagnosed with moderate to severe depression. METHOD:79 adults (men = 29.1%) were in...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Blomdahl C,Guregård S,Rusner M,Wijk H

    更新日期:2018-09-01 00:00:00

  • Can you hear me now? Teaching listening skills.

    abstract:TOPIC:This column provides an overview of methods for training to improve service provider active listening and reflective responding skills. PURPOSE:Basic skills in active listening and reflective responding allow service providers to gather information about and explore the needs, desires, concerns, and preference o...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章


    authors: Nemec PB,Spagnolo AC,Soydan AS

    更新日期:2017-12-01 00:00:00

  • Can employment positively affect the recovery of people with psychiatric disabilities?

    abstract:OBJECTIVE:This study explored the relationship between employment and recovery in individuals with psychiatric disabilities and proposed that participants who were employed would have higher levels of recovery than participants who were not employed. METHODS:Data were analysed from a pre-existing data-set produced in ...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章


    authors: Connell M,King R,Crowe T

    更新日期:2011-07-01 00:00:00

  • Predictors of psychosocial outcomes for patients with mood disorders: the effects of self-help group participation.

    abstract::This study examined the predictors of psychosocial outcomes (daily functioning and management of illness) for people with mood disorders. After controlling for demographic, severity of illness, and social support predictor variables, the study evaluated whether participation in self-help groups would predict improved ...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章


    authors: Powell TJ,Yeaton W,Hill EM,Silk KR

    更新日期:2001-07-01 00:00:00

  • Are peer specialists happy on the job?

    abstract:OBJECTIVE:This study was designed to examine the impact of role clarity and job training on job satisfaction among peer specialists. METHOD:A 3-part survey assessing job training, job satisfaction, and role clarity was administered online to 195 peer specialists who are members of the International Association of Peer...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章


    authors: Jenkins S,Chenneville T,Salnaitis C

    更新日期:2018-03-01 00:00:00

  • Interventions targeting mental health self-stigma: A review and comparison.

    abstract:OBJECTIVE:With growing awareness of the impact of mental illness self-stigma, interest has arisen in the development of interventions to combat it. The present article briefly reviews and compares interventions targeting self-stigma to clarify the similarities and important differences between the interventions. METHO...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章,评审


    authors: Yanos PT,Lucksted A,Drapalski AL,Roe D,Lysaker P

    更新日期:2015-06-01 00:00:00

  • Augmenting mHealth with human support: Notes from community care of people with serious mental illnesses.

    abstract:TOPIC:This article describes the activities of 2 mHealth specialists who supported the deployment of FOCUS-a smartphone self-management application for individuals with serious mental illnesses. PURPOSE:Several support activities have been identified as potentially advantageous for individuals using mHealth interventi...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章


    authors: Jonathan GK,Pivaral L,Ben-Zeev D

    更新日期:2017-09-01 00:00:00