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Internet-Delivered Early Interventions for Individuals Exposed to Traumatic Events: Systematic Review

Show simple item record Ennis, Naomi Sijercic, Iris Monson, Candice 2020-08-11T21:21:11Z 2020-08-11T21:21:11Z 2018
dc.identifier.citation Ennis, N.; Sijercic, I.; Monson, C.M. (2018). Internet-Delivered Early Interventions for Individuals Exposed to Traumatic Events: Systematic Review. Journal of Medical Internet Research: 20(11), e280. URL: DOI: 10.2196/jmir.9795 en_US
dc.description.abstract Background: Over 75% of individuals are exposed to a traumatic event, and a substantial minority goes on to experience mental health problems that can be chronic and pernicious in their lifetime. Early interventions show promise for preventing trauma following psychopathology; however, a face-to-face intervention can be costly, and there are many barriers to accessing this format of care. Objective: The aim of this study was to systematically review studies of internet-delivered early interventions for trauma-exposed individuals. Methods: A literature search was conducted in PsycINFO and PubMed for papers published between 1991 and 2017. Papers were included if the following criteria were met: (1) an internet-based intervention was described and applied to individuals exposed to a traumatic event; (2) the authors stated that the intervention was intended to be applied early following trauma exposure or as a preventive intervention; and (3) data on mental health symptoms at pre-and postintervention were described (regardless of whether these were primary outcomes). Methodological quality of included studies was assessed using the Downs and Black checklist. Results: The interventions in the 7 studies identified were categorized as selected (ie, delivered to an entire sample after trauma regardless of psychopathology symptoms) or indicated (ie, delivered to those endorsing some level of posttraumatic distress). Selected interventions did not produce significant symptom improvement compared with treatment-as-usual or no intervention control groups. However, indicated interventions yielded significant improvements over other active control conditions on mental health outcomes. Conclusions: Consistent with the notion that many experience natural recovery following trauma, results imply that indicated early internet-delivered interventions hold the most promise in future prevention efforts. More studies that use rigorous methods and clearly defined outcomes are needed to evaluate the efficacy of early internet-delivered interventions. Moreover, basic research on risk and resilience factors following trauma exposure is necessary to inform indicated internet-delivered interventions. (Author Abstract) en_US
dc.language.iso en_US en_US
dc.publisher Journal of Medical Internet Research en_US
dc.subject Systematic Review en_US
dc.subject Trauma en_US
dc.subject Crisis Intervention en_US
dc.subject Early Interventions en_US
dc.subject Early Response en_US
dc.subject Internet-based en_US
dc.subject Technology-facilitated en_US
dc.subject Online Services en_US
dc.subject Teletherapy en_US
dc.subject Telehealth en_US
dc.subject Telemedicine en_US
dc.subject Mental Health en_US
dc.subject Prevention en_US
dc.subject Psycho-education en_US
dc.subject Counseling en_US
dc.title Internet-Delivered Early Interventions for Individuals Exposed to Traumatic Events: Systematic Review en_US
dc.type Article en_US

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