Changes in Psychiatric Symptoms and Psychological Processes Among Veterans Participating in a Therapeutic Adventure Program

When veterans need effective mental health treatment, many are reluctant to engage in traditional treatment modalities because of stigma. Therapeutic adventure shows promise as a way to engage veterans and enact positive changes in functioning, but little is known about how therapeutic adventure imp...

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Published in:	Psychological services Vol. 16; no. 4; pp. 525 - 534
Main Authors:	Bettmann, Joanna E., Scheinfeld, David E., Prince, Kort C., Garland, Eric L., Ovrom, Katherine V.
Format:	Journal Article
Language:	English
Published:	United States Educational Publishing Foundation 01-11-2019 American Psychological Association
Subjects:	Adult Adventure Therapy Armed forces Combined Modality Therapy Confidence Exercise Therapy - methods Female Follow-Up Studies Health behavior Help seeking behavior Human Humans Life satisfaction Male Mental disorders Mental Disorders - therapy Mental Health Mental Health Programs Mental health services Middle Aged Military Veterans Mountaineering Outcome Assessment, Health Care Personal development Professional attitudes Psychiatric Symptoms Psychological development Psychological mindedness Psychological processes Psychotherapy, Group - methods Purpose in life Self expression Stigma Symptoms Traditional medicine Treatment needs United States Variance analysis Veterans Young Adult United States veterans therapeutic adventure adventure therapy mental health
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Abstract	When veterans need effective mental health treatment, many are reluctant to engage in traditional treatment modalities because of stigma. Therapeutic adventure shows promise as a way to engage veterans and enact positive changes in functioning, but little is known about how therapeutic adventure impacts mental health symptoms among veterans. This study examined changes in mental health symptoms and related psychological processes over the course of a 6-day Outward Bound for Veterans (OB4V) program and at a 1-month follow-up. This study examined data from 77 U.S. military veterans with psychiatric diagnoses. The authors hypothesized that participants would report significant reductions in mental health symptoms over the course of the program and following its completion, as well as significant improvements in psychological processes that included initiative for psychological growth, psychological attitudes, attitudes toward help-seeking, psychological mindedness, and emotional suppression. A repeated-measures analysis of variance was performed on each of the dependent variables. Results showed that, from pre- to postprogram, participants reported significant improvement in life purpose satisfaction and self-confidence during stressful situations. Further, from preprogram to 1-month postprogram, veterans reported increased psychological mindedness, increased engagement to promote personal growth, decreased mental health symptomology, decreased emotional suppression, and an increase in positive attitude toward seeking professional psychological help. These improvements were significant during the OB4V program and even continued to improve after the program ended, showing the promise of therapeutic adventure as a modality to address veterans' mental health issues.
AbstractList	When veterans need effective mental health treatment, many are reluctant to engage in traditional treatment modalities because of stigma. Therapeutic adventure shows promise as a way to engage veterans and enact positive changes in functioning, but little is known about how therapeutic adventure impacts mental health symptoms among veterans. This study examined changes in mental health symptoms and related psychological processes over the course of a 6-day Outward Bound for Veterans (OB4V) program and at a 1-month follow-up. This study examined data from 77 U.S. military veterans with psychiatric diagnoses. The authors hypothesized that participants would report significant reductions in mental health symptoms over the course of the program and following its completion, as well as significant improvements in psychological processes that included initiative for psychological growth, psychological attitudes, attitudes toward help-seeking, psychological mindedness, and emotional suppression. A repeated-measures analysis of variance was performed on each of the dependent variables. Results showed that, from pre- to postprogram, participants reported significant improvement in life purpose satisfaction and self-confidence during stressful situations. Further, from preprogram to 1-month postprogram, veterans reported increased psychological mindedness, increased engagement to promote personal growth, decreased mental health symptomology, decreased emotional suppression, and an increase in positive attitude toward seeking professional psychological help. These improvements were significant during the OB4V program and even continued to improve after the program ended, showing the promise of therapeutic adventure as a modality to address veterans' mental health issues. (PsycINFO Database Record (c) 2019 APA, all rights reserved). When veterans need effective mental health treatment, many are reluctant to engage in traditional treatment modalities because of stigma. Therapeutic adventure shows promise as a way to engage veterans and enact positive changes in functioning, but little is known about how therapeutic adventure impacts mental health symptoms among veterans. This study examined changes in mental health symptoms and related psychological processes over the course of a 6-day Outward Bound for Veterans (OB4V) program and at a 1-month follow-up. This study examined data from 77 U.S. military veterans with psychiatric diagnoses. The authors hypothesized that participants would report significant reductions in mental health symptoms over the course of the program and following its completion, as well as significant improvements in psychological processes that included initiative for psychological growth, psychological attitudes, attitudes toward help-seeking, psychological mindedness, and emotional suppression. A repeated-measures analysis of variance was performed on each of the dependent variables. Results showed that, from pre- to postprogram, participants reported significant improvement in life purpose satisfaction and self-confidence during stressful situations. Further, from preprogram to 1-month postprogram, veterans reported increased psychological mindedness, increased engagement to promote personal growth, decreased mental health symptomology, decreased emotional suppression, and an increase in positive attitude toward seeking professional psychological help. These improvements were significant during the OB4V program and even continued to improve after the program ended, showing the promise of therapeutic adventure as a modality to address veterans' mental health issues. When veterans need effective mental health treatment, many are reluctant to engage in traditional treatment modalities because of stigma. Therapeutic adventure shows promise as a way to engage veterans and enact positive changes in functioning, but little is known about how therapeutic adventure impacts mental health symptoms among veterans. This study examined changes in mental health symptoms and related psychological processes over the course of a 6-day Outward Bound for Veterans (OB4V) program and at a 1-month follow-up. This study examined data from 77 U.S. military veterans with psychiatric diagnoses. The authors hypothesized that participants would report significant reductions in mental health symptoms over the course of the program and following its completion, as well as significant improvements in psychological processes that included initiative for psychological growth, psychological attitudes, attitudes toward help-seeking, psychological mindedness, and emotional suppression. A repeated-measures analysis of variance was performed on each of the dependent variables. Results showed that, from pre- to postprogram, participants reported significant improvement in life purpose satisfaction and self-confidence during stressful situations. Further, from preprogram to 1-month postprogram, veterans reported increased psychological mindedness, increased engagement to promote personal growth, decreased mental health symptomology, decreased emotional suppression, and an increase in positive attitude toward seeking professional psychological help. These improvements were significant during the OB4V program and even continued to improve after the program ended, showing the promise of therapeutic adventure as a modality to address veterans’ mental health issues. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: journal abstract)
Author	Scheinfeld, David E. Prince, Kort C. Ovrom, Katherine V. Bettmann, Joanna E. Garland, Eric L.
Author_xml	– sequence: 1 givenname: Joanna E. orcidid: 0000-0002-1849-2029 surname: Bettmann fullname: Bettmann, Joanna E. email: joanna.schaefer@socwk.utah.edu organization: College of Social Work, University of Utah – sequence: 2 givenname: David E. surname: Scheinfeld fullname: Scheinfeld, David E. organization: Department of Counseling Psychology, University of Texas Austin – sequence: 3 givenname: Kort C. surname: Prince fullname: Prince, Kort C. organization: College of Social Work, University of Utah – sequence: 4 givenname: Eric L. surname: Garland fullname: Garland, Eric L. organization: College of Social Work, University of Utah – sequence: 5 givenname: Katherine V. orcidid: 0000-0002-7814-1589 surname: Ovrom fullname: Ovrom, Katherine V. organization: College of Social Work, University of Utah
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Snippet	When veterans need effective mental health treatment, many are reluctant to engage in traditional treatment modalities because of stigma. Therapeutic adventure...
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SubjectTerms	Adult Adventure Therapy Armed forces Combined Modality Therapy Confidence Exercise Therapy - methods Female Follow-Up Studies Health behavior Help seeking behavior Human Humans Life satisfaction Male Mental disorders Mental Disorders - therapy Mental Health Mental Health Programs Mental health services Middle Aged Military Veterans Mountaineering Outcome Assessment, Health Care Personal development Professional attitudes Psychiatric Symptoms Psychological development Psychological mindedness Psychological processes Psychotherapy, Group - methods Purpose in life Self expression Stigma Symptoms Traditional medicine Treatment needs United States Variance analysis Veterans Young Adult
Title	Changes in Psychiatric Symptoms and Psychological Processes Among Veterans Participating in a Therapeutic Adventure Program
URI	http://psycnet.apa.org/journals/ser/16/4/525 https://www.ncbi.nlm.nih.gov/pubmed/29419308 https://www.proquest.com/docview/1999311008 https://www.proquest.com/docview/2309320290 https://search.proquest.com/docview/1999679373
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