Online interventions for relatives of persons with schizophrenia, while feasible, present unique challenges. These include 1) assuring access to the intervention in populations who do not own a computer; 2) addressing privacy concerns; 3) overcoming the special challenges of conducting groups in real time; 4) managing emergent situations adequately; and 5) questions about efficacy.

Social support is believed to mediate psychosocial recovery in vulnerable populations following trauma. In this study, we examine the relationships between perceived social support and posttraumatic stress disorder symptoms in a cohort of 287 socio-economically disadvantaged adults with orofacial injury by using three waves of data collected over one year following the injury. Using structural equation modeling process, we evaluate the cross-lagged effects between perceived social support (PSS) and PTSD symptoms. We found that PSS had a direct influence on PTSD only when examined concurrently. After controlling the covariates, the model supports the cross-lagged effect for PTSD symptoms on PSS at T2 and T3, which suggests a reciprocal contribution between symptoms and support as time progressed. Our data suggest that, over time, high rates of PTSD symptoms are related to a diminished perception of available social support.

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