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Preventing the onset of Post Traumatic Stress Disorder

Bisson, Jonathan I., Astill Wright, Laurence, Jones, Kimberley, Lewis, Catrin, Phelps, Andrea, Sijbrandij, Marit, Varker, Tracey and Roberts, Neil 2021. Preventing the onset of Post Traumatic Stress Disorder. Clinical Psychology Review 81 , 102004. 10.1016/j.cpr.2021.102004

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Abstract

Post-traumatic stress disorder (PTSD) is a common mental health condition that requires exposure to a traumatic event. This provides unique opportunities for prevention that are not available for other disorders. The aim of this review was to undertake a systematic review and evaluation of randomized controlled trials (RCTs) of interventions designed to prevent PTSD in adults. Searches involving Cochrane, Embase, Medline, PsycINFO, PILOTS and Pubmed databases were undertaken to identify RCTs of pre-incident preparedness and post-incident interventions until May 2019. Six pre-incident and 69 post-incident trials were identified that could be included in meta-analyses. The overall quality of the evidence was low. There was emerging evidence that some interventions may be helpful but an absence of evidence for any intervention that can be strongly recommended for universal, selected or indicated prevention before or within the first three months of a traumatic event. The strongest results were found for cognitive-behavioural therapy with a trauma focus (CBT-T) in individuals with a diagnosis of acute stress disorder which supports calls to detect and treat individuals with significant symptoms rather than providing blanket preventative interventions. Further research is required to optimally configure existing interventions with some evidence of effect and to develop novel interventions to address this major public health issue.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
MRC Centre for Neuropsychiatric Genetics and Genomics (CNGG)
Publisher: Elsevier
ISSN: 0272-7358
Date of First Compliant Deposit: 26 February 2021
Date of Acceptance: 26 February 2021
Last Modified: 06 May 2021 13:32
URI: http://orca.cardiff.ac.uk/id/eprint/139018

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