The added benefit of including cognitive coping in brief psychosocial interventions: A randomized controlled trial among veterans and family members in Ukraine

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dc.contributor.authorNguyen, Amandaen_US
dc.contributor.authorRussell, Taraen_US
dc.contributor.authorVan Wyk Skavenski, Stephanieen_US
dc.contributor.authorBogdanov, Sergiyen_US
dc.contributor.authorPastukhova, Alonaen_US
dc.contributor.authorLomakina, Kiraen_US
dc.contributor.authorBolton, Paulen_US
dc.contributor.authorMurray, Lauraen_US
dc.contributor.authorBass, Judithen_US
dc.date.accessioned2026-04-14T08:45:08Z
dc.date.available2026-04-14T08:45:08Z
dc.date.issued2025
dc.description.abstractPsychosocial programs in low- and middle-income countries (LMIC) often omit cognitive strategies due to perceived difficulty for clients and lay providers. We evaluated the benefit of including "cognitive copin"” in a brief, online intervention for conflict-affected Ukrainian veterans and family members with mild to moderate psychosocial distress. Participants were randomized to two treatment conditions based on the Common Elements Treatment Approach Psychosocial Program (CPSS). CPSS-Basic (CPSS-B) included a self-assessment, safety screening and psychoeducation. CPSS-Enhanced (CPSS-E) included these as well as cognitive coping. Distress, functional impairment, alcohol use, aggression, social disconnectedness and conflict resolution were assessed after one month. Participants also evaluated program accessibility, acceptability, appropriateness, feasibility and adoption. Of 1,177 study participants, 788 (67%) completed follow-up. Both conditions significantly improved distress, functional impairment, aggression and social disconnectedness; CPSS-E producing a greater reduction in distress than CPSS-B (ES: d = .22, p = .002). Implementation outcomes were positive across conditions, favoring CPSS-E for appropriateness (d = .48, 95% CI: .33, .62), feasibility (d = .15, 95% CI: .00, .29), adoption (d = .34, 95% CI: .19, .48) and acceptability (d = .29, 95% CI: .15, .44). Findings support the feasibility and added value of incorporating cognitive techniques into psychosocial programming in LMIC.en_US
dc.identifier.citationThe added benefit of including cognitive coping in brief psychosocial interventions: A randomized controlled trial among veterans and family members in Ukraine / Amanda Nguyen, Tara Russell, Stephanie Van Wyk Skavenski, Sergiy Bogdanov, Alona Pastukhova, Kira Lomakina, Paul Bolton, Laura Murray and Judith Bass // Cambridge Prisms: Global Mental Health. - 2025. - Vol. 12. - Article Number e111. - https://doi.org/10.1017/gmh.2025.10065en_US
dc.identifier.issn2054-4251
dc.identifier.urihttps://doi.org/10.1017/gmh.2025.10065
dc.identifier.urihttps://ekmair.ukma.edu.ua/handle/123456789/39010
dc.language.isoenen_US
dc.relation.sourceCambridge Prisms: Global Mental Healthen_US
dc.statusfirst publisheden_US
dc.subjectMHPSSen_US
dc.subjectcognitive copingen_US
dc.subjectveteransen_US
dc.subjectpsychosocial interventionen_US
dc.subjectUkraineen_US
dc.subjectarticleen_US
dc.titleThe added benefit of including cognitive coping in brief psychosocial interventions: A randomized controlled trial among veterans and family members in Ukraineen_US
dc.typeArticleen_US
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Центр психічного здоров’я та психосоціального супроводу