@article{ref1,
title="Evaluation of a technology-based adaptive learning and prevention program for stress response-a randomized controlled trial",
journal="Military medicine",
year="2016",
author="Wesemann, Ulrich and Kowalski, Jens T. and Jacobsen, Thomas and Beudt, Susan and Jacobs, Herbert and Fehr, Julia and Büchler, Jana and Zimmermann, Peter L.",
volume="181",
number="8",
pages="863-871",
abstract="To prevent deployment-related disorders, Chaos Driven Situations Management Retrieval System (CHARLY), a computer-aided training platform with a biofeedback interface has been developed. It simulates critical situations photorealistic for certain target and occupational groups. CHARLY was evaluated as a 1.5 days predeployment training method comparing it with the routine training. The evaluation was carried out for a matched random sample of N = 67 soldiers deployed in Afghanistan (International Security Assistance Force). Data collection took place before and after the prevention program and 4 to 6 weeks after deployment, which included mental state, post-traumatic stress disorder (PTSD) symptoms, knowledge of and attitude toward PTSD, and deployment-specific stressors. CHARLY has been significantly superior to the control group in terms of psychoeducation and attitude change. As to the mental state, both groups showed a significant increase in stress after deployment with significant lower increase in CHARLY. For PTSD-specific symptoms, CHARLY achieved a significant superiority. The fact that PTSD-specific scales showed significant differences at the end of deployment substantiates the validity of a specifically preventive effect of CHARLY. The study results tentatively indicate that highly standardized, computer-based primary prevention of mental disorders in soldiers on deployment might be superior to other more personal and less standardized forms of prevention.<br><br>Reprint & Copyright © 2016 Association of Military Surgeons of the U.S.<p /> <p>Language: en</p>",
language="en",
issn="0026-4075",
doi="10.7205/MILMED-D-15-00100",
url="http://dx.doi.org/10.7205/MILMED-D-15-00100"
}