Impact of veteran-led peer mentorship on posttraumatic stress disorder.

Autor: Franco Z; Department of Family and Community Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA., Ruffalo L; Department of Family and Community Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA., Curry B; Great Lakes Dryhootch, Milwaukee, Wisconsin, USA., Gollin-Graves M; Mental Health America of Wisconsin, Milwaukee, Wisconsin, USA., Ahamed SI; Department of Computer Science, Marquette University, Milwaukee, Wisconsin, USA., Winstead O; Great Lakes Dryhootch, Milwaukee, Wisconsin, USA., Hooyer K; Department of Family and Community Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA., Pazdera M; Office of Community Engagement, Medical College of Wisconsin, Milwaukee, Wisconsin, USA., Rein L; Institute for Health & Equity, Division of Biostatistics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA., Lizarraga Mazaba J; Department of Family and Community Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA., Hossain MF; Department of Computer Science, Marquette University, Milwaukee, Wisconsin, USA., Stoffel V; Department of Rehabilitation Sciences & Technology, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA., Flower M; Mental Health America of Wisconsin, Milwaukee, Wisconsin, USA., Madiraju P; Department of Computer Science, Marquette University, Milwaukee, Wisconsin, USA., Melka S; Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, Wisconsin, USA., Berte K; Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, Wisconsin, USA., Whittle J; Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, Wisconsin, USA.
Jazyk: angličtina
Zdroj: Journal of traumatic stress [J Trauma Stress] 2024 Aug; Vol. 37 (4), pp. 617-630. Date of Electronic Publication: 2024 Apr 18.
DOI: 10.1002/jts.23038
Abstrakt: Peer mentorship shows promise as a strategy to support veteran mental health. A community-academic partnership involving a veteran-led nonprofit organization and institutions of higher education evaluated a collaboratively developed peer mentor intervention. We assessed posttraumatic stress disorder (PTSD), postdeployment experiences, social functioning, and psychological strengths at baseline, midpoint, and 12-week discharge using the PTSD Checklist for DSM-5 (PCL-5), Deployment Risk and Resilience Inventory-2, Social Adaptation Self-evaluation Scale, and Values in Action Survey. Brief weekly check-in surveys reinforced mentor contact and assessed retention. The sample included 307 veterans who were served by 17 veteran peer mentors. Mixed-effects linear models found a modest effect for PTSD symptom change, with a mean PCL-5 score reduction of 4.04 points, 95% CI [-6.44, -1.64], d = 0.44. More symptomatic veterans showed a larger effect, with average reductions of 9.03 points, 95% CI [-12.11, -5.95], d = 0.77. There were no significant findings for other outcome variables. Compared to younger veterans, those aged 32-57 years were less likely to drop out by 6 weeks, aORs = 0.32-0.26. Week-by-week hazard of drop-out was lower with mentors ≥ 35 years old, aHR = 0.62, 95% CI [0.37, 1.05]. Unadjusted survival differed by mentor military branch, p = .028, but the small mentor sample reduced interpretability. Like many community research efforts, this study lacked a control group, limiting the inferences that can be drawn. Continued study of veteran peer mentorship is important as this modality is often viewed as more tolerable than therapy.
(© 2024 International Society for Traumatic Stress Studies.)
Databáze: MEDLINE
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