@article{belleville_efficacy_2023,

title = {Efficacy of a Therapist-Assisted Self-Help Internet-Based Intervention Targeting PTSD, Depression, and Insomnia Symptoms After a Disaster: A Randomized Controlled Trial},

author = {G. Belleville and M. -C. Ouellet and V. Békés and J. Lebel and C. M. Morin and S. Bouchard and S. Guay and N. Bergeron and S. Ghosh and T. Campbell and F. P. Macmaster},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85140981202&doi=10.1016%2fj.beth.2022.08.004&partnerID=40&md5=261383919bbdaa149ac0eeb6d3317fc0},

doi = {10.1016/j.beth.2022.08.004},

issn = {00057894 (ISSN)},

year  = {2023},

date = {2023-01-01},

journal = {Behavior Therapy},

volume = {54},

number = {2},

pages = {230–246},

abstract = {This study aimed at evaluating the efficacy of an online CBT intervention with limited therapist contact targeting a range of posttraumatic symptoms among evacuees from the 2016 Fort McMurray wildfires. One hundred and thirty-six residents of Fort McMurray who reported either moderate PTSD symptoms (PCL-5 ≥ 23) or mild PTSD symptoms (PCL-5 ≥ 10) with moderate depression (PHQ-9 ≥ 10) or subthreshold insomnia symptoms (ISI ≥ 8) were randomized either to a treatment (n = 69) or a waitlist condition (n = 67). Participants were on average 45 years old, and mostly identified as White (82%) and as women (76%). Primary outcomes were PTSD, depression, and insomnia symptoms. Secondary outcomes were anxiety symptoms and disability. Significant Assessment Time × Treatment Condition interactions were observed on all outcomes, indicating that access to the treatment led to a decrease in posttraumatic stress (F[1,117.04] = 12.128},

note = {Publisher: Elsevier Inc.},

keywords = {adult, Anxiety, article, clinical effectiveness, clinical feature, cognitive behavioral therapy, controlled study, Depression, disaster, Disasters, disease severity, e-mental health, female, human, Humans, insomnia, Internet-Based Intervention, major clinical study, male, Middle Aged, natural disaster, physical disability, Post-Traumatic, posttraumatic stress disorder, psychotherapist, PTSD, randomized controlled trial, risk factor, Sleep Initiation and Maintenance Disorders, Stress Disorders, telepsychotherapy, treatment outcome, wildfire},

pubstate = {published},

tppubtype = {article}

}

@article{bekes_trainee_2022,

title = {Trainee Therapists’ Perceptions of a Blended Intervention to Promote Resilience after a Natural Disaster: A Qualitative Case Study},

author = {V. Békés and G. Belleville and J. Lebel and M. -C. Ouellet and Z. Chen and C. M. Morin and N. Bergeron and T. S. Campbell and S. Ghosh and S. Bouchard and S. Guay and F. P. MacMaster},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85136961448&doi=10.3390%2fjcm11154361&partnerID=40&md5=9705da30150789ca11a9c7719d221dac},

doi = {10.3390/jcm11154361},

issn = {20770383},

year  = {2022},

date = {2022-01-01},

journal = {Journal of Clinical Medicine},

volume = {11},

number = {15},

abstract = {Background: Natural disasters happen in an increased frequency, and telemental health interventions could offer easily accessible help to reduce mental health symptoms experienced by survivors. However, there are very few programs offered to natural disaster survivors, and no research exists on therapists’ experiences with providing blended interventions for natural disaster survivors. Aims: Our qualitative case study aims to describe psychologists’ experiences with an online, therapist-assisted blended intervention for survivors of the Fort McMurray wildfires in Alberta, Canada. Method: The RESILIENT intervention was developed in the frames of a randomized controlled trial to promote resilience after the Fort McMurray wildfires by providing survivors free access to a 12-module, therapist-assisted intervention, aiming to improve post-traumatic stress, insomnia, and depression symptoms. A focus group design was used to collect data from the therapists, and emerging common themes were identified by thematic analysis. Results: Therapists felt they could build strong alliances and communicate emotions and empathy effectively, although the lack of nonverbal cues posed some challenges. The intervention, according to participating therapists, was less suitable for participants in high-stress situations and in case of discrepancy between client expectations and the intervention content. Moreover, the therapists perceived specific interventions as easy-to-use or as more challenging based on their complexity and on the therapist support needed for executing them. Client engagement in the program emerged as an underlying theme that had fundamental impact on alliance, communication, and ultimately, treatment efficiency. Therapist training and supervision was perceived as crucial for the success of the program delivery. Conclusions: Our findings provided several implications for the optimalization of blended interventions for natural disaster survivors from our therapists’ perspective. © 2022 by the authors.},

note = {Publisher: MDPI},

keywords = {adult, Alberta, article, case study, Depression, emotion, Empathy, expectation, female, human, insomnia, natural disaster, perception, personal experience, posttraumatic stress disorder, psychological resilience, psychotherapist, qualitative analysis, survivor, thematic analysis, therapeutic alliance, wildfire, Young Adult},

pubstate = {published},

tppubtype = {article}

}

@article{belleville_psychological_2021,

title = {Psychological Symptoms Among Evacuees From the 2016 Fort McMurray Wildfires: A Population-Based Survey One Year Later},

author = {G. Belleville and M. -C. Ouellet and J. Lebel and S. Ghosh and C. M. Morin and S. Bouchard and S. Guay and N. Bergeron and T. Campbell and F. P. MacMaster},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85105988601&doi=10.3389%2ffpubh.2021.655357&partnerID=40&md5=4971ac1ba23f88f8b6fa132caed4785d},

doi = {10.3389/fpubh.2021.655357},

issn = {22962565},

year  = {2021},

date = {2021-01-01},

journal = {Frontiers in Public Health},

volume = {9},

abstract = {Background: The 2016 wildfires in Fort McMurray (Alberta, Canada) led to a massive displacement of 88,000 people and destroyed 2,400 homes. Although no direct human fatality resulted, many individuals feared for their lives or those of their loved ones. Objectives: (1) To estimate the prevalence of post-traumatic stress, major depressive, insomnia, generalized anxiety, and substance use disorders in the adult population of Fort McMurray 1 year after the evacuation; (2) To identify pre-, peri-, and post-disaster correlates of mental health disorders. Methods: A phone survey using random digit sampling was used to survey evacuees. A total of 1,510 evacuees (response rate = 40.2%, 55.5% women, mean age = 44.11},

note = {Publisher: Frontiers Media S.A.},

keywords = {adult, Alberta, Anxiety disorder, Anxiety Disorders, Depressive Disorder, female, human, Humans, Major, major depression, male, Post-Traumatic, posttraumatic stress disorder, Stress Disorders, wildfire, Wildfires},

pubstate = {published},

tppubtype = {article}

}

@article{binet_portrait_2021,

title = {A Portrait of Mental Health Services Utilization and Perceived Barriers to Care in Men and Women Evacuated During the 2016 Fort McMurray Wildfires},

author = {É. Binet and M. -C. Ouellet and J. Lebel and V. Békés and C. M. Morin and N. Bergeron and T. Campbell and S. Ghosh and S. Bouchard and S. Guay and F. P. MacMaster and G. Belleville},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85101819468&doi=10.1007%2fs10488-021-01114-w&partnerID=40&md5=4130f3aeaaf2d3894820e7fce46e67f0},

doi = {10.1007/s10488-021-01114-w},

issn = {0894587X (ISSN)},

year  = {2021},

date = {2021-01-01},

journal = {Administration and Policy in Mental Health and Mental Health Services Research},

volume = {48},

number = {6},

pages = {1006–1018},

abstract = {This study examines the influence of gender on mental health services utilization and on perceived barriers to treatment one year after the 2016 Fort McMurray wildfires. Data was collected through a phone survey from May to July 2017 (N = 1510). Participants were English-speaking evacuees aged 18 and older. Mental health services utilization and barriers to mental health care were assessed with the Perceived Need for Care questionnaire. Probable diagnoses of posttraumatic stress disorder, depression and insomnia were assessed with validated self-report questionnaires. Multiple logistic regressions confirmed that gender was a significant predictor of services utilization, after controlling for associated sociodemographic variables and presence of probable diagnoses. Women were respectively 1.50, 1.55 and 1.86 times more likely than men to receive information, medication and psychological help. Self-reliance was the most frequently reported reason for not receiving help, and motivational barriers, such as pessimism and stigma, were reported in a higher proportion than structural barriers, including nonresponse and finance. No significant gender differences were found in the types of perceived barriers to services. Among the Fort McMurray fire evacuees, mental health services utilization was similar to other studies on natural disaster victims, and higher in women than in men. Efforts to increase services utilization in natural disaster victims should focus on motivational barriers and offering treatments fostering people’s autonomy, such as online treatments. © 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature.},

note = {Publisher: Springer},

keywords = {Depression, female, Gender, health care delivery, Health Services Accessibility, human, Humans, insomnia, male, mental health service, Mental Health Services, Mental health services utilization, natural disaster, Patient Acceptance of Health Care, patient attitude, Post-Traumatic, posttraumatic stress disorder, Stress Disorders, wildfire, Wildfires},

pubstate = {published},

tppubtype = {article}

}