Highlights
- •Online program can improve the mental health of traumatized female college students
- •Online program improves physical symptoms in traumatized female college students
- •Using cognitive behavior therapy methods can relieve post-traumatic stress symptoms
- •Online interventions are time and cost effective
- •The Roy Adaptation Model is an appropriate theory for trauma intervention
Abstract
This study developed and evaluated an online mental health program for female college
students who experienced trauma, based on Roy's Adaptation Model. A randomized controlled
trial was adopted. Participants completed a survey on trauma and post-traumatic stress
symptoms. Data from experimental and control groups (n = 16) were collected over two months. The program reduced post-traumatic stress and
depression symptoms and improved functional health and adjustment. This effect was
sustained in experimental group participants for one month post-program. The findings
revealed the effectiveness of Internet mental healthcare for female students and the
crucial role nurses play in it.
Keywords
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References
- Depression and anxiety among college students: Understanding the impact on grade average and differences in gender and ethnicity.Journal of American College Health. 2021; https://doi.org/10.1080/07448481.2021.1920954
- Sexual victimization history predicts academic performance in college women.Journal of Counseling Psychology. 2016; 63: 685-692https://doi.org/10.1037/cou0000146
- Measuring adjustment to college.Journal of Counseling Psychology. 1984; 31: 179-189https://doi.org/10.1037/0022-0167.31.2.179
- Academic achievement and college persistence of African American students with trauma exposure.Journal of Counseling Psychology. 2013; 60: 582-592https://doi.org/10.1037/a0033672
- Gender differences in the sensitivity to post-traumatic stress disorder: An epidemiological study of urban young adults.Journal of Abnormal Psychology. 2007; 116: 607-611https://doi.org/10.1037/0021-843X.116.3.607
- Diagnosis validity of CES-D (Korean version) in the assessment of DSM-III-R major depression.Journal of Korean Neuropsychistric Association. 1993; 32: 381-399
- Statistical power analysis for the behavioral sciences.L. Erlbaum Associates, 1988
- A systematic review of the impact of adherence on the effectiveness of e-therapies.Journal of Medical Internet Research. 2011; 13e52https://doi.org/10.2196/jmir.1772
- A naturalistic study of the effects of synchronous online chat counselling on young people’s psychological distress, life satisfaction and hope.Counselling and Psychotherapy Research. 2015; 15: 274-283https://doi.org/10.1002/capr.12037
- The biological basis of human irrationality: A reply to McBurnett and LaPointe.Journal of Individual Psychology. 1979; 35: 111-116
- Delivery of self training and education for stressful situations (DESTRESS-PC): A randomized trial of nurse assisted online self-management for PTSD in primary care.General Hospital Psychiatry. 2015; 37: 323-328https://doi.org/10.1016/j.genhosppsych.2015.04.007
- A study on reliability and validity of the Korean version of impact of event scale-revised.Journal Korean Neuropsychisatric Association. 2005; 44: 303-310
- Assessing traumatic event exposure: General issues and preliminary findings for the stressful life events screening questionnaire.Journal of Traumatic Stress. 1998; 11: 521-542https://doi.org/10.1023/A:1024456713321
- The effect of depression, trait anxiety, social support and adult attachment on life adjustment in college.Journal of the Korean Society for Wellness. 2018; 13: 73-88https://doi.org/10.21097/ksw.2018.02.13.1.73
- Associations between childhood abuse and interpersonal aggression and suicide attempt among US adults in a national study.Child Abuse and Neglect. 2014; 38: 1389-1398https://doi.org/10.1016/j.chiabu.2014.02.011
- An internet-based self-change program for traumatic event related fear, distress, and maladaptive coping.Journal of Traumatic Stress. 2005; 18: 631-636https://doi.org/10.1002/jts.20071
- An investigation of the efficacy of online expressive writing for trauma-related psychological distress in Hispanic individuals.Behavior Therapy. 2012; 43: 812-824https://doi.org/10.1016/j.beth.2012.04.006
- Annual research review: Digital health interventions for children and young people with mental health problems—A systematic and meta-review.Journal of Child Psychology and Psychiatry, and Allied Disciplines. 2017; 58: 474-503https://doi.org/10.1111/jcpp.12663
- Guided internet-delivered cognitive behavior therapy for post-traumatic stress disorder: A randomized controlled trial.Internet Interventions. 2014; 1: 33-40https://doi.org/10.1016/j.invent.2014.03.002
- Cyberspace and survey research: The methodological implications and issues of online survey research.Survey Research. 2000; 1: 73-108
- The development and testing of the functional health pattern assessment screening tool (FHPAST).Journal of Japan Society of Nursing Diagnosis. 2002; 7: 21-31
- Perceived functional health patterns and recovery in people with schizophrenia spectrum disorders.Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2012; 21: 238-249https://doi.org/10.12934/jkpmhn.2012.21.3.238
- The relationship between family system patterns and career decision-making and adjustment to college.(Unpublished master’ thesis) Sookmyung women’s university, Seoul2005
- PTSD symptom reduction with mindfulness-based stretching and deep breathing exercise: Randomized controlled clinical trial of efficacy.Journal of Clinical Endocrinology and Metabolism. 2013; 98: 2984-2992https://doi.org/10.1210/jc.2012-3742
- Web-based psychotherapy for post-traumatic stress disorder in war-traumatized Arab patients: Randomized controlled trial.Journal of Medical Internet Research. 2015; 17: e71https://doi.org/10.2196/jmir.3582
- An internet-based writing intervention for PTSD in veterans: A feasibility and pilot effectiveness trial.Psychological Trauma: Theory, Research, Practice and Policy. 2017; 9: 461-470https://doi.org/10.1037/tra0000176
- An exploratory study on the possibilities and limitations of online psychotherapy.Korean Journal of Counseling and Psychotherapy. 2015; 27: 543-582https://doi.org/10.23844/kjcp.2015.08.27.3.543
- Relationships among traumatic experiences, posttraumatic stress symptoms, and mental health-related characteristics in young adults.Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2018; 27: 85https://doi.org/10.12934/jkpmhn.2018.27.2.85
- Associations between childhood psychological trauma, posttraumatic stress symptoms, and mental health in female college students: Mediation of coping styles.Perspectives in Psychiatric Care. 2021; 58: 1763-1775
- Internet-based cognitive and behavioural therapies for post-traumatic stress disorder (PTSD) in adults, published.Cochrane Database of Systematic Reviews. 2018; 12: CD011710https://doi.org/10.1002/14651858.CD011710.pub2
- Internet-based guided self-help for post-traumatic stress disorder (PTSD): Randomized controlled trial.Depression and Anxiety. 2017; 34: 555-565https://doi.org/10.1002/da.22645
- Reliability and validity of the korean version of the impact of event scale-revised.In Comprehensive Psychiatry. 2009; 50: 385-390https://doi.org/10.1016/j.comppsych.2008.09.011
- Association of DSM-IV posttraumatic stress disorder with traumatic experience type and history in the World Health Organization world mental health surveys.JAMA Psychiatry. 2017; 74: 270
- Hope and adjustment to college in the context of collective trauma.Journal of American College Health: J of ACH. 2017; 65: 323-330https://doi.org/10.1080/07448481.2017.1312412
- Feasibility, acceptability, and potential efficacy of the PTSD coach app: A pilot randomized controlled trial with community trauma survivors.Psychological Trauma: Theory, Research, Practice and Policy. 2016; 8: 384-392https://doi.org/10.1037/tra0000092
- PTSD in the combat veteran: Using Roy’s adaptation model to examine the combat veteran as a human adaptive system.Issues in Mental Health Nursing. 2009; 30: 304-310https://doi.org/10.1080/01612840902754404
- Using online interventions to deliver college student mental health resources: Evidence from randomized clinical trials.Psychological Services. 2017; 14: 481-489https://doi.org/10.1037/ser0000154
- Somatic symptoms after psychological trauma Joo.Korean Journal of Psychosomatic Medicine. 2016; 24: 43-53
- The relationship between traumatic events, complex posttraumatic stress disorder symptoms and personality traits in adolescents.Ewha Womans University, 2010 (Master's thesis)
- The CES-D scale.Applied Psychological Measurement. 1977; 1: 385-401https://doi.org/10.1177/014662167700100306
- Coping, PTSD symptoms, and alcohol involvement in trauma-exposed college students in the first three years of college.Psychology of Addictive Behaviors: Journal of the Society of Psychologists in Addictive Behaviors. 2014; 28: 1052-1064https://doi.org/10.1037/a0038348
- Association of post-traumatic stress and depressive symptoms with mortality in women.JAMA Network Open. 2020; 3e2027935https://doi.org/10.1001/jamanetworkopen.2020.27935
- Introduction to nursing: An adaptation model.Englewood Cliffs, 1984
- Traumatic events experienced by South Koreans: Types and prevalence.Korean Journal of Counseling and Psychotherapy. 2012; 24: 671-701
- A study on types of traumatic events experienced by undergraduate students.Journal of Play Therapy. 2015; 19: 69-95
- Treatment-related reductions in PTSD and changes in physical health symptoms in women.Journal of Behavioral Medicine. 2014; 37: 423-433https://doi.org/10.1007/s10865-013-9500-2
- A systematic review and meta-analysis of e-mental health interventions to treat symptoms of posttraumatic stress.JMIR Mental Health. 2017; 4e14https://doi.org/10.2196/mental.5558
- A study on effects of the internet depression self-help program -focusing on depression self-help program “MAUM TOUCH” -.Mental Health. 2015; 6: 55-61
- Efficacy of an online cognitive behavioral therapy program developed for healthcare workers during the COVID-19 pandemic: The REduction of STress (REST) study protocol for a randomized controlled trial.Trials. 2020; 21: 1-10
- The impact of event scale-revised.in: Wilson J. Keane T. Assessing psychological trauma and PTSD. Guilford Press, 1997
- Adaptation as a mediator of intimate abuse and traumatic stress in battered women.Nursing Science Quarterly. 2001; 14 (7p): 215-221https://doi.org/10.1177/08943180122108463
- Post-traumatic stress disorder.New England Journal of Medicine. 2002; 346: 108-114https://doi.org/10.1056/NEJMra012941
- A pilot study of tailored cognitive-behavioral resilience training for trauma survivors with subthreshold distress.Journal of Traumatic Stress. 2016; 29: 268-272https://doi.org/10.1002/jts.22094
Article info
Publication history
Published online: January 23, 2023
Accepted:
January 11,
2023
Received in revised form:
September 25,
2022
Received:
December 15,
2021
Footnotes
☆This article is a revision of the Kyunghyun Lee's doctoral dissertation from Yonsei University.
Identification
Copyright
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