Gromatsky Molly, Sullivan Sarah R, Greene Ashley L, Govindarajulu Usha, Mitchell Emily L, Edwards Emily R, Lane Robert, Hamerling-Potts Kyra K, Spears Angela Page, Goodman Marianne
VISN 2 Mental Illness Research, Education and Clinical Center (MIRECC), James J. Peters Veterans Affairs Medical Center, Bronx, NY, USA.
Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Psychiatry Res Commun. 2023 Jun;3(2):100122. doi: 10.1016/j.psycom.2023.100122. Epub 2023 Apr 17.
The COVID-19 pandemic impacted emotional well-being due to safety concerns, grief, employment impacts, and social interaction limitations. Face-to-face mental health treatment restrictions were especially impactful to veterans who often gain social enrichment from Veterans Health Administration (VHA) care. We present results from a novel group-based telehealth intervention, VA Caring for Our Nation's Needs Electronically during the COVID-19 Transition (VA CONNECT), which integrates skills training and social support to develop a COVID-19 Safety & Resilience Plan. Veterans ( = 29) experiencing COVID-related stress participated in an open trial of this 10-session, manualized group VHA telehealth intervention. We examined whether COVID-19-related stress, adjustment disorder symptoms, and loneliness decreased, and coping strategy use increased after participation in VA CONNECT. Between baseline and two-month follow-up, participants reported a significant reduction in perceived stress and adjustment disorder symptoms, and an increase in planning coping skills use. Significant changes were not observed in loneliness or other specific coping strategies. Findings may support the utility of VA CONNECT as an intervention for pandemic-related stress and improving certain coping skills. Future research should explore group-based telehealth interventions like VA CONNECT with other populations within and outside of the VA, which have value during major disruptions to face-to-face mental healthcare access.
由于安全担忧、悲伤情绪、就业影响和社交互动受限,新冠疫情对心理健康产生了影响。面对面心理健康治疗限制对退伍军人影响尤为显著,他们常常从退伍军人健康管理局(VHA)的护理中获得社交充实感。我们展示了一项基于小组的新型远程医疗干预措施——新冠疫情过渡期间退伍军人事务部电子关怀国家需求(VA CONNECT)的结果,该措施整合了技能培训和社会支持,以制定新冠疫情安全与恢复力计划。经历新冠相关压力的29名退伍军人参与了这项为期10节、有手册指导的VHA小组远程医疗干预的开放试验。我们研究了参与VA CONNECT后,与新冠疫情相关的压力、适应障碍症状和孤独感是否减少,以及应对策略的使用是否增加。在基线和两个月随访之间,参与者报告称感知压力和适应障碍症状显著减轻,计划应对技能的使用有所增加。孤独感或其他特定应对策略未观察到显著变化。研究结果可能支持VA CONNECT作为一种针对疫情相关压力和改善某些应对技能的干预措施的效用。未来的研究应探索像VA CONNECT这样的基于小组的远程医疗干预措施在退伍军人事务部内外的其他人群中的应用,这些措施在面对面心理医疗服务获取受到重大干扰期间具有价值。