, fifth edition, scores was observed between Periods 2 and 3, but change over time did not differ significantly by period. Overall, these findings support the feasibility of implementing Stress Inoculation Training-Health Sustainment and Restoration across Veterans Affairs settings and suggest that participation in the program was associated with symptom reduction and functional improvement. As the design was observational and lacked a comparison condition, the results should not be interpreted as establishing intervention effectiveness, equivalence across formats, or scalability beyond the contexts studied. (PsycInfo Database Record (c) 2026 APA, all rights reserved).
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