Telemedicine for Anger Management Therapy in a Rural Population of Combat Veterans With Posttraumatic Stress Disorder

Morland, Leslie A.; Greene, Carolyn J.; Rosen, Craig S.; Foy, David W.; Reilly, Patrick; Shore, Jay H.; He, Qimei; Frueh, B. Christopher

doi:10.4088/jcp.09m05604blu

Cited by 256 publications

(246 citation statements)

References 25 publications

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“…Chiang et al 13 reported that family caregivers of heart failure patients who received telenursing consultations experienced significant reductions in caregiver burden and stress and significant improvements in family function. Morland et al, 14 in a study of veterans who had posttraumatic stress disorder, found that the use of videoconferencing resulted in reductions in anger symptoms. Moreover, many authors have reported that patients enrolled in telemedicineenabled ICU programs experience improved clinical outcomes, reductions in complications, and improved evidence-based bundle compliance compared with those not enrolled in programs.…”

Section: Discussionmentioning

confidence: 99%

Videoconferencing to Reduce Stress Among Hospitalized Children

et al. 2014

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WHAT'S KNOWN ON THIS SUBJECT:Previous research has demonstrated that family presence alongside hospitalized patients is associated with improvements in physiologic responses, reductions in anxiety, and expedited recovery. Recently, videoconferencing has been increasingly used for virtual visits to pediatric patients and their parents during hospitalization.WHAT THIS STUDY ADDS: Our study demonstrates that in some cases, the use of videoconferencing by children and their parents for virtual visits is associated with greater reductions in stress during hospitalization compared with children and parents who do not use videoconferencing.abstract OBJECTIVES: Family-Link is a videoconferencing program that allows hospitalized children and their parents to virtually visit family members and friends using laptops, webcams, and a secure Wi-Fi connection. We evaluated the association of Family-Link use on the reduction in stress experienced by children during hospitalization. METHODS:We offered Family-Link to pediatric patients who had an expected length of hospitalization equal to or greater than 4 days. We measured the stress levels of hospitalized children at admission and discharge using the previously published Parental Stress Survey. We used propensity score matching and multivariable linear regression methods to evaluate the relationship between the use of Family-Link and stress experienced by children during hospitalization. RESULTS:We included a total of 367 children in the study: 232 FamilyLink users and 135 non-Family-Link users. Using the propensity score matching method, we found that the use of Family-Link was significantly associated with a greater reduction in overall mean stress compared with non-Family-Link users among the cohort of patients who lived closer to the hospital and had shorter lengths of hospitalization (b = 0.23; 95% confidence interval, 0.03 to 0.43; P , .05). In this cohort, the reduction in overall mean stress was 37% greater among Family-Link users than non-Family-Link users. CONCLUSIONS:The use of videoconferencing by some hospitalized children and families to conduct virtual visits with family and friends outside of the hospital was associated with a greater reduction in stress during hospitalization than those who did not use videoconferencing. Dr Yang conceptualized and designed the study, coordinated the data collection process, completed the analyses, interpreted the results, and drafted the initial manuscript; Dr Dharmar conceptualized and designed the study, coordinated the data collection process, assisted with the analyses, interpreted the results, and revised the manuscript; Ms Hojman assisted with the data collection process, assisted with the analyses, and critically reviewed the manuscript; Ms Sadorra coordinated the data collection process, assisted with the analyses, and critically reviewed the manuscript; Ms Sundberg coordinated the data collection process and critically reviewed the manuscript; Mr Wold assisted with the data collection process and critically reviewed t...

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Section: Discussionmentioning

confidence: 99%

Videoconferencing to Reduce Stress Among Hospitalized Children

et al. 2014

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“…Four reports only briefly stated in the results section [29], methods section [30,31] or the discussion [32] that no adverse events occurred or were observed, without providing information about how these adverse events were defined or monitored.…”

Section: Accepted M Manuscriptmentioning

confidence: 99%

Reporting of harms in randomized controlled trials of psychological interventions for mental and behavioral disorders: A review of current practice

Jönsson

Alaie

Parling

et al. 2014

Contemporary Clinical Trials

141

123

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“…As expected, antisocial personality traits were associated with smaller decreases in trait anger, anger expression, and physical aggression during treatment. In a study examining the effectiveness of a telemedicine modality, Morland et al implemented a cognitive-behavioral group anger management treatment for Veterans with PTSD in which treatment was delivered with the therapist present or via video teleconferencing [68]. Both treatment groups demonstrated similar reductions in anger symptoms.…”

Section: Effective Interventions For Anger and Aggressionmentioning

confidence: 99%

Assessment and treatment of posttraumatic anger and aggression: A review

Taft¹,

Creech²,

Kachadourian³

2012

JRRD

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Abstract-The Department of Veterans Affairs (VA) and Department of Defense's (DOD) recently published and updated Department of Veterans Affairs/Department of Defense VA/ DOD Clinical Practice Guideline for Management of PostTraumatic Stress includes irritability, severe agitation, and anger as specific symptoms that frequently co-occur with PTSD. For the first time, the guideline includes nine specific recommendations for the assessment and treatment of PTSDrelated anger, irritability, and agitation. This article will review the literature on PTSD and its association with anger and aggression. We highlight explanatory models for these associations, factors that contribute to the occurrence of anger and aggression in PTSD, assessment of anger and aggression, and effective anger management interventions and strategies.

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Telemedicine for Anger Management Therapy in a Rural Population of Combat Veterans With Posttraumatic Stress Disorder

Abstract: Clinical and process outcomes indicate delivering cognitive-behavioral group treatment for PTSD-related anger problems via videoteleconferencing is an effective and feasible way to increase access to evidence-based care for veterans residing in rural or remote locations.

Cited by 256 publications

References 25 publications

Videoconferencing to Reduce Stress Among Hospitalized Children

Videoconferencing to Reduce Stress Among Hospitalized Children

Reporting of harms in randomized controlled trials of psychological interventions for mental and behavioral disorders: A review of current practice

Assessment and treatment of posttraumatic anger and aggression: A review

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