A Two-Phased Telehealth Model to Treat Post-Traumatic Stress Disorder in a Health Care Worker due to the COVID-19 Pandemic: A Case Report.

Autor: Wang CC; Department of Psychiatry, Weill Cornell Medical College, New York, New York, USA., Difede J; Department of Psychiatry, Weill Cornell Medical College, New York, New York, USA.
Jazyk: angličtina
Zdroj: Telemedicine journal and e-health : the official journal of the American Telemedicine Association [Telemed J E Health] 2024 Feb; Vol. 30 (2), pp. 601-606. Date of Electronic Publication: 2023 Aug 16.
DOI: 10.1089/tmj.2023.0326
Abstrakt: Background: We report a case describing the use of a two-step telehealth intervention to treat symptoms of post-traumatic stress disorder (PTSD) that developed in a frontline health care worker (HCW) during the COVID-19 pandemic. HCWs are at increased risk of adverse psychological outcomes, including PTSD, due to the nature of their work, which has been exacerbated by the global pandemic. Methods: This case represents the first successfully completed participant in a larger ongoing trial to address psychological distress, PTSD, and comorbidities in HCWs consequent to the COVID-19 pandemic. Following a two-step intervention of self-directed narrative writing delivered entirely online followed by prolonged exposure therapy using videoconferencing, the HCW displayed significant improvement in symptoms of PTSD, depression, anxiety, and substance use. Results: The treatment model described here offers preliminary support for a two-step remote delivery approach to meet the need for scalable self-directed distance technology-based mental health interventions for HCWs. This study is registered on clinicaltrials.gov (NCT04626050).
Databáze: MEDLINE