Author: O’Donnell, M.L.; Lau, W.; Tipping, S.; Holmes, A.C.N.; Ellen, S.; Judson, R.; Varker, T.; Elliot, P.; Bryant, R.A.; Creamer, M.C.; Forbes, D.
Description: The best approach for implementing early psychological intervention for anxiety and depressive disorders after a traumatic event has not been established. This study aimed to test the effectiveness of a stepped model of early psychological intervention following traumatic injury. A sample of 683 consecutively admitted injury patients were screened during hospitalization. High-risk patients were followed up at 4-weeks postinjury and assessed for anxiety and depression symptom levels. Patients with elevated symptoms were randomly assigned to receive 4-10 sessions of cognitive-behavioral therapy (n = 24) or usual care (n = 22). Screening in the hospital identified 89% of those who went on to develop any anxiety or affective disorder at 12 months. Relative to usual care, patients receiving early intervention had significantly improved mental health at 12 months. A stepped model can effectively identify and treat injury patients with high psychiatric symptoms within 3 months of the initial trauma.
Subject Headings: Adolescent; Adult; Aged; Anxiety Disorders/therapy; Cognitive Behavioral Therapy; Depression/therapy; Female; Hospitalization; Humans; Interviews as Topic; Male; Middle Aged; Psychotherapy; Severity of Illness Index; Stress Disorders, Post-Traumatic/diagnosis/therapy; Victoria; Wounds and Injuries/psychology; Young Adult
Keywords: Stepped early psychological intervention for posttraumatic stress disorder, other anxiety disorders, and depression following serious injury
Publication year: 2012
Journal or book title: Journal of Traumatic Stress
Volume: 25
Issue: 2
Pages: 125-133
Find the full text :Â https://onlinelibrary.wiley.com/doi/abs/10.1002/jts.21677
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Type: Journal Article
Serial number: 2828