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Randomised controlled trial of psychological debriefing for victims of acute burn trauma

Bisson, Jonathan Ian, Jenkins, P. L., Alexander, J. and Bannister, C. 1997. Randomised controlled trial of psychological debriefing for victims of acute burn trauma. The British Journal of Psychiatry 171 (1) , pp. 78-81. 10.1192/bjp.171.1.78

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BACKGROUND Psychological debriefing (PD) is widely used following major traumatic events in an attempt to reduce psychological sequelae. METHOD One hundred and thirty-three adult burn trauma victims entered the study. After initial questionnaire completion, participants were randomly allocated to an individual/couple PD group or a control group who received no intervention; 110 (83%) were interviewed by an assessor blind to PD status three and 13 months later. RESULTS Sixteen (26%) of the PD group had PTSD at 13-month follow-up, compared with four (9%) of the control group. The PD group had higher initial questionnaire scores and more severe dimensions of burn trauma than the control group, both of which were associated with a poorer outcome. CONCLUSION This study seriously questions the wisdom of advocating one-off interventions post-trauma, and should stimulate research into more effective initiatives.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
MRC Centre for Neuropsychiatric Genetics and Genomics (CNGG)
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > R Medicine (General)
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Publisher: Royal College of Psychiatrists
ISSN: 0007-1250
Last Modified: 04 Jun 2017 04:55

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