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5. Massed written exposure therapy delivered to veterans with posttraumatic stress symptoms on an acute inpatient mental health unit.

Author

Ennis, Chelsea R., Raines, Amanda M., Boffa, Joseph W., Shapiro, Mary O., Dornbach‐Bender, Allison, Ferrie, Mara L., Fondren, Alana H., Vidaurri, Desirae N., Walton, Jessica L., Chambliss, Jessica L., and Franklin, C. Laurel

Subjects
EXPOSURE therapy, POST-traumatic stress, MENTAL depression, RESEARCH personnel, INPATIENT care
Abstract

Written exposure therapy (WET) is a brief, manualized trauma‐focused treatment typically delivered in five individual weekly sessions. Given the brevity and effectiveness of WET, researchers have begun to focus on its delivery in a massed format. However, only one case study examining massed delivery has been published to date. As such, the objective of the current study was to examine the acceptability, feasibility, and preliminary effectiveness of massed WET among veterans with a trauma‐ and stressor‐related disorder receiving care on an acute inpatient mental health unit. Veterans (N = 26) were assessed prior to, immediately after, and 1 month following massed WET. Most veterans found massed WET to be useful and acceptable. Recruitment and retention rates suggested that the treatment was feasible. Notably, the results revealed statistically significant reductions in overall posttraumatic stress symptoms, ηp2 =.81, p <.001; depressive symptoms, ηp2 =.71, p <.001; and functional impairment, ηp2 =.42, p =.002. These findings add to a growing body of literature highlighting the preliminary effectiveness of WET across various settings, populations, and delivery formats. Limitations include the small sample size and uncontrolled design. [ABSTRACT FROM AUTHOR]

Published
2024
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25. Psychometric Properties of the Self-Injurious Thoughts and Behaviors Interview–Short Form Among U.S. Active Duty Military Service Members and Veterans.

Author

Stanley, Ian H., Marx, Brian P., Fina, Brooke A., Young-McCaughan, Stacey, Tyler, Hannah C., Sloan, Denise M., Blankenship, Abby E., Dondanville, Katherine A., Walker, James L., Boffa, Joseph W., Bryan, Craig J., Brown, Lily A., Straud, Casey L., Mintz, Jim, Abdallah, Chadi G., Back, Sudie E., Blount, Tabatha H., DeBeer, Bryann B., Flanagan, Julianne, and Foa, Edna B.

Subjects
RESEARCH evaluation, RESEARCH methodology evaluation, RESEARCH methodology, SELF-injurious behavior, DISCRIMINANT analysis, POST-traumatic stress disorder, PSYCHOMETRICS, INTER-observer reliability, SUICIDAL ideation, HEALTH behavior, QUESTIONNAIRES, RESEARCH funding, PSYCHOLOGY of military personnel, EVALUATION
Abstract

We assessed the interrater reliability, convergent validity, and discriminant validity of the Self-Injurious Thoughts and Behaviors Interview-Short Form (SITBI-SF) in a sample of 1,944 active duty service members and veterans seeking services for posttraumatic stress disorder (PTSD) and related conditions. The SITBI-SF demonstrated high interrater reliability and good convergent and discriminant validity. The measurement properties of the SITBI-SF were comparable across service members and veterans. Approximately 8% of participants who denied a history of suicidal ideation on the SITBI-SF reported suicidal ideation on a separate self-report questionnaire (i.e., discordant responders). Discordant responders reported significantly higher levels of PTSD symptoms than those who denied suicidal ideation on both response formats. Findings suggest that the SITBI-SF is a reliable and valid interview-based measure of suicide-related thoughts and behaviors for use with military service members and veterans. Suicide risk assessment might be optimized if the SITBI-SF interview is combined with a self-report measure of related constructs. [ABSTRACT FROM AUTHOR]

Published
2023
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30. sj-docx-1-asm-10.1177_10731911221143979 – Supplemental material for Psychometric Properties of the Self-Injurious Thoughts and Behaviors Interview–Short Form Among U.S. Active Duty Military Service Members and Veterans

Author

Stanley, Ian H., Marx, Brian P., Fina, Brooke A., Young-McCaughan, Stacey, Tyler, Hannah C., Sloan, Denise M., Blankenship, Abby E., Dondanville, Katherine A., Walker, James L., Boffa, Joseph W., Bryan, Craig J., Brown, Lily A., Straud, Casey L., Mintz, Jim, Abdallah, Chadi G., Back, Sudie E., Blount, Tabatha H., DeBeer, Bryann B., Flanagan, Julianne, Foa, Edna B., Fox, Peter T., Fredman, Steffany J., Krystal, John, McDevitt-Murphy, Meghan E., McGeary, Donald D., Pruiksma, Kristi E., Resick, Patricia A., Roache, John D., Shiroma, Paulo, Taylor, Daniel J., Wachen, Jennifer Schuster, Kaplan, Alexander M., López-Roca, Argelio L., Nicholson, Karin L., Schobitz, Richard P., Schrader, Christian C., Sharrieff, Allah-Fard M., Yarvis, Jeffrey S., Litz, Brett T., Keane, Terence M., and Peterson, Alan L.

Subjects
FOS: Psychology, 160807 Sociological Methodology and Research Methods, 170199 Psychology not elsewhere classified, FOS: Sociology
Abstract

Supplemental material, sj-docx-1-asm-10.1177_10731911221143979 for Psychometric Properties of the Self-Injurious Thoughts and Behaviors Interview–Short Form Among U.S. Active Duty Military Service Members and Veterans by Ian H. Stanley, Brian P. Marx, Brooke A. Fina, Stacey Young-McCaughan, Hannah C. Tyler, Denise M. Sloan, Abby E. Blankenship, Katherine A. Dondanville, James L. Walker, Joseph W. Boffa, Craig J. Bryan, Lily A. Brown, Casey L. Straud, Jim Mintz, Chadi G. Abdallah, Sudie E. Back, Tabatha H. Blount, Bryann B. DeBeer, Julianne Flanagan, Edna B. Foa, Peter T. Fox, Steffany J. Fredman, John Krystal, Meghan E. McDevitt-Murphy, Donald D. McGeary, Kristi E. Pruiksma, Patricia A. Resick, John D. Roache, Paulo Shiroma, Daniel J. Taylor, Jennifer Schuster Wachen, Alexander M. Kaplan, Argelio L. López-Roca, Karin L. Nicholson, Richard P. Schobitz, Christian C. Schrader, Allah-Fard M. Sharrieff, Jeffrey S. Yarvis, Brett T. Litz, Terence M. Keane and Alan L. Peterson in Assessment

Published
2023
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43. PTSD Symptoms and Suicide Risk in Male Firefighters: The Mediating Role of Anxiety Sensitivity

Author

Boffa, Joseph W., Stanley, Ian H., Smith, Lia J., Mathes, Brittany M., Tran, Jana K., Buser, Sam J., Schmidt, Norman B., and Vujanovic, Anka A.

Subjects
Adult, Male, Psychiatric Status Rating Scales, Stress Disorders, Post-Traumatic, Suicide, Young Adult, Risk Factors, Firefighters, Surveys and Questionnaires, Humans, Anxiety, Middle Aged, Article
Abstract

Posttraumatic stress disorder (PTSD) symptoms are positively related to suicide risk among firefighters. One mechanism that may account for this relationship is anxiety sensitivity (AS) cognitive concerns-the fear that cognitive symptoms of anxiety will have catastrophic consequences. We sought to replicate the mediating effect of AS cognitive concerns on the relationship between PTSD symptoms and suicide risk among 214 trauma-exposed male firefighters with non-zero suicide risk. Bootstrap mediation analyses tested AS cognitive concerns as a statistical mediator of PTSD symptoms (total and symptoms clusters scores) and suicide risk, controlling for depression symptoms and relevant demographic variables. AS cognitive concerns statistically mediated the relationship between PTSD symptoms (total score, as well as intrusion, avoidance, and arousal-reactivity symptoms clusters) and suicide risk; however, the reverse was also true. AS cognitive concerns may confer risk for suicide among trauma-exposed firefighters. Firefighters may benefit from AS-specific interventions, which are shown to reduce PTSD symptoms and suicidality.

Published
2018

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