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

Joy, Diamond, Shepherd, Jonathan Paul and Bisson, Jonathan Ian 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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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: 04 Jun 2017 04:59

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