This pilot study examined two telehealth interventions to address symptoms of combat-related posttraumatic stress disorder (PTSD) in veterans. Thirty-three male combat veterans were randomly assigned to one of two telehealth treatment conditions: mindfulness or psychoeducation. In both conditions, participants completed 8 weeks of telehealth treatment (two sessions in person followed by six sessions over the telephone) and three assessments (pretreatment, posttreatment, and 6-week follow-up). The mindfulness treatment was based on the tenets of mindfulness-based stress reduction and the psychoeducation manual was based on commonly used psychoeducation materials for PTSD. Results for the 24 participants who completed all assessments indicate that: (1) Telehealth appears to be a feasible mode for delivery of PTSD treatment for veterans; (2) Veterans with PTSD are able to tolerate and report high satisfaction with a brief mindfulness intervention; (3) Participation in the mindfulness intervention is associated with a temporary reduction in PTSD symptoms; and (4) A brief mindfulness treatment may not be of adequate intensity to sustain effects on PTSD symptoms.
Areliability generalization of the Revised Children's Manifest Anxiety Scale (RCMAS) was conducted using the normative sample. The RCMAS consists of a Total Anxiety scale as well as four subscales. Results suggest that the Total Anxiety scores are typically reliable (median • across 48 samples = .81). Subscale scores were less reliable: The median • coefficients were .61 for the Physiological subscale, .63 for the Concentration subscale, .77 for theWorry& Oversensitivity subscale, and .72 for the Lie subscale. Hierarchical regression analyses demonstrated that score variability, age, race, and mean score were statistically significant predictors of reliability across scales although effects were variable and often, but not always, small. The predictive power of score variability is consistent with psychometric theory, but focused psychometric analyses are needed to isolate the unique and interactive impact of age, race, and mean score on RCMAS scale score reliability estimates, especially the Lie subscale.
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