Although empirically supported treatments for posttraumatic stress disorder (PTSD) and depression have been available for some time, many Mandarin-speaking Chinese immigrants who seek treatment do not receive such services due to living in rural areas. Fortunately, advances in videoconferencing-based technologies are improving rural trauma survivors’ access to remote specialty clinics. Presently, little is known about feasibility and efficacy of psychotherapy provided through distance technologies for clients unable to access local services in their native languages. The present two case studies attempt to partially address this void by providing an account of treatment implemented via videoconferencing with two Mandarin-speaking women from a small Wyoming town. Not only was therapy effective in reducing the severity of PTSD and depressive symptoms for both clients, but treatment gains were also maintained for 4 months following therapy. Connecting and effectively treating two Mandarin-speaking clients using telehealth compellingly demonstrated innovations to expand services and tailor treatments.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
2.
BarakA.HenL.Boniel-NissimM.ShapiraN. (2008). A comprehensive review and a meta-analysis of the effectiveness of internet-based psychotherapeutic interventions. Journal of Technology in Human Services, 26, 109-160. doi:10.1080/15228830802094429
3.
BeckA. T. (1976). Cognitive therapy and the emotional disorders. New York, NY: International Universities Press.
4.
CahillS. P.FoaE. B. (2007). Psychological theories of PTSD. In FriedmanM. J.KeaneT. M.ResickP. A. (Eds.), Handbook of PTSD: Science and practice (pp. 55-77). New York, NY: Guilford Press.
5.
CampbellJ. C. (2002). Health consequences of intimate partner violence. Lancet, 359, 1331-1336. doi:10.1016/S0140-6736(02)08336-8
6.
Darves-BornozJ.-M.AlonsoJ.de GirolamoG.de GraafR.HaroJ. M.Kovess-MasfetyV.. . .GasquetI. (2008). Main traumatic events in Europe: PTSD in the European study of the epidemiology of mental disorders survey. Journal of Traumatic Stress, 21, 455-462. doi:10.1002/jts.20357
7.
EatonW. W.SmithC.YbarraM.MuntanerC.TienA. (2004). Center for epidemiologic studies depression scale: Review and revision (CESD and CESD-R). In MaruishM. E. (Ed.), The Use of Psychological Testing for Treatment Planning and Outcomes Assessment: Vol. 3. Instruments for adults (3rd ed., pp. 363-377). Mahwah, NJ: Erlbaum.
8.
FoaE. B.HembreeE. A.RothbaumB. O. (2007). Prolonged exposure therapy for PTSD: Emotional processing of traumatic experiences. New York: Oxford University Press.
9.
FoaE. B.HuppertJ. D.CahillS. P. (2006). Emotional processing theory: An update. In RothbaumB. O. (Ed.), Pathological anxiety: Emotional processing in etiology and treatment (pp. 3-24). New York, NY: Guilford Press.
10.
HassijaC.GrayM. J. (2011). The effectiveness and feasibility of videoconferencing technology to provide evidence-based treatment to rural domestic violence and sexual assault populations. Telemedicine and e-Health, 17, 309-315. doi:10.1089/tmj.2010.0147
11.
HassijaC. M.GrayM. J. (2009). Telehealth-based exposure therapy for motor vehicle accident-related posttraumatic stress disorder. Clinical Case Studies, 8, 84-94. doi:10.1177/1534650108326975
12.
HinschB. (2007). The emotional underpinnings of male fidelity in imperial China. Journal of Family History, 32, 392-412. doi:10.1177/0363199007304512
13.
HoeffelE. M.RastogiS.KimM. O.ShahidH. (2012). The Asian population: 2010 (U.S. Census Bureau, Census 2010 Brief, c2010br-11). Washington, DC: Government Printing Office. Retrieved from http://www.census.gov/prod/cen2010/briefs/c2010br-11.pdf
14.
KeaneT. M.ZimeringR. T.CaddellJ. M. (1985). A behavioral formulation of posttraumatic stress disorder in Vietnam veterans. Behavior Therapist, 8, 9-12.
15.
KesslerR. C.SonnegaA.BrometE.HughesM.NelsonC. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry, 52, 1048-1060. doi:10.1001/archpsyc.1995.03950240066012
16.
KrakowB.SchraderR.TandbergD.HollifieldM.KossM. P.YauC.ChengD. T. (2002). Nightmare frequency in sexual assault survivors with PTSD. Journal of Anxiety Disorders, 16, 175-190. doi:10.1016/S0887-6185(02)00093-2
17.
KungW. W. (2003). Chinese Americans’ help seeking for emotional distress. Social Service Review, 77, 110-134. doi:10.1086/345707
18.
LejuezC. W.HopkoD. R.AciernoR.DaughtersS. B.PagotoS. L. (2011). Ten year revision of the brief behavioral activation treatment for depression: Revised treatment manual. Behavior Modification, 35, 111-161. doi:10.1177/0145445510390929
19.
LejuezC. W.HopkoD. R.HopkoS. D. (2001). A brief behavioral activation treatment for depression: Treatment manual. Behavior Modification, 25, 255-286. doi:10.1177/0145445501252005
20.
MillerW. R.RollnickS. (2012). Motivational interviewing: Preparing people for change (3rd ed.). New York, NY: Guildford Press.
21.
MorlandL. A.PierceK.WongM. Y. (2004). Telemedicine and coping skills groups for pacific island veterans with post-traumatic stress disorder: A pilot study. Journal of Telemedicine and Telecare, 10, 286-289.
22.
Nolen-HoeksemaS.GirgusJ. S.SeligmanM. E. (1992). Predictors and consequences of childhood depressive symptoms: A 5-year longitudinal study. Journal of Abnormal Psychology, 101, 405-422. doi:10.1037/0021-843X.101.3.405
23.
OlffM.LangelandW.DraijerN.GersonsB. P. R. (2007). Gender differences in posttraumatic stress disorder. Psychological Bulletin, 133, 183-204. doi:10.1037/0033-2909.133.2.183
24.
PerleJ. G.NierenbergB. (2013). How psychological telehealth can alleviate society’s mental health burden: A literature review. Journal of Technology in Human Services, 31, 22-41. doi:10.1080/15228835.2012.760332
25.
PösselP. (2011). Can beck’s theory of depression and the response style theory be integrated?Journal of Counseling Psychology, 58, 618-629. doi:10.1037/a0025092
26.
RollnickS.MillerW. R.ButlerC. C. (2008). Motivational interviewing in health care: Helping patients change behavior. New York, NY: The Guilford Press.
27.
RuggieroK. J.Del BenK.ScottiJ. R.RabalaisA. E. (2003). Psychometric properties of the PTSD Checklist–Civilian Version. Journal of Traumatic Stress, 16, 495-502. doi:10.1023/A:1025714729117
28.
RuscioA. M.HolohanD. R. (2006). Applying empirically supported treatments to complex cases: Ethical, empirical, and practical considerations. Clinical Psychology: Science and Practice, 13, 146-162. doi:10.1111/j.1468-2850.2006.00017.x
29.
WangZ.TangS.WangJ.MaerckerA. (2012). Foundations and future application of internet-based interventions for PTSD in PR China. International Journal of Electronic Healthcare, 7, 19-35.
