Randomised trial of early, brief psychological intervention to prevent post traumatic stress disorder following injury

Joy, Diamond, Shepherd, Jonathan Paul ORCID: https://orcid.org/0000-0001-6466-2298 and Bisson, Jonathan Ian ORCID: https://orcid.org/0000-0001-5170-1243 2000. Randomised trial of early, brief psychological intervention to prevent post traumatic stress disorder following injury. Journal of Dental Research 79 (1s) , p. 607.

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Abstract

About one third of patients with maxillofacial injury develop Post-traumatic Stress Disorder (PTSD) following MVA and assault (Bisson et al 1997). A randomised controlled trial was conducted to assess the efficacy of a brief cognitive-behavioural intervention to prevent PTSD. 152 trauma centre attendees were randomised. All had an acute stress reaction defined as either fullfillment of DSM IV PTSD criteria on the Post-traumatic Stress Disorder Scale (PDS; Foa et al1993), or scores greater than 15 on the Hospital Anxiety and Depression Scale (HADS; Zigmond &. Snaith, 1993) and 35 on the Impact of Event Scale (IES; Horowitz et al 1979). Treatment comprised four, one hour, weekly sessions of taped imaginal exposure, image habituation training and graded exposure 5-10 weeks following injury. The HADS and IES were completed at baseline, three and thirteen months following injury. An interview, (the Clinician Administered PTSD Scale (CAPS); Blake et al, 1990) was also conducted. Independent t tests showed no significant differences in psychological distress at baseline and three months. The intervention group reported significantly less psychological distress {mean IES score = 21.8) than the control group (mean IES score = 31.6) (p<O.OOl) at thirteen months. These findings indicate long-term benefit of this brief early cognitive-behavioural intervention in acutely distressed trauma patients.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine MRC Centre for Neuropsychiatric Genetics and Genomics (CNGG)
Subjects:	R Medicine > R Medicine (General)
Additional Information:	Abstracts of Papers from Symposia/Behavioral Sciences & Health Services Research
Publisher:	International and American Associations for Dental Research
ISSN:	1544-0591
Last Modified:	24 Oct 2022 11:09
URI:	https://orca.cardiff.ac.uk/id/eprint/47118

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