© 2004 The Royal College of Psychiatrists
Early cognitive–behavioural therapy for post-traumatic stress symptoms after physical injury
Randomised controlled trial
Department of Liaison Psychiatry, Cardiff and Vale NHS Trust, University Hospital of Wales, Cardiff, UK
Violence Research Group, Department of Oral Surgery, Medicine and Pathology, University of Wales College of Medicine, Cardiff, UK
Violence Research Group, Department of Oral Surgery, Medicine and Pathology, University of Wales College of Medicine, Cardiff, UK
Violence Research Group, Department of Oral Surgery, Medicine and Pathology, University of Wales College of Medicine, Cardiff, UK
Department of Epidemiology, Statistics and Public Health, University of Wales College of Medicine, Cardiff, UK
Correspondence: Jonathan I. Bisson, Department of Liaison Psychiatry, Cardiff and Vale NHS Trust, Monmouth House, University Hospital of Wales, Heath Park, Cardiff CF14 4XW, UK. Tel: 029 20743940; fax: 029 20743928; e-mail: BissonJI{at}Cardiff.ac.uk
See editorial, pp.
3–4, this
issue.
Background Early single-session psychological interventions, including psychological debriefing following trauma, have not been shown to reduce psychological distress. Longer early psychological interventions have shown some promise.
Aims To examine the efficacy of a four-session cognitive–behavioural intervention following physical injury.
Method A total of 152 patients attending an accident and emergency department displaying psychological distress following physical injury were randomised 1–3 weeks post-injury to a four-session cognitive–behavioural intervention that started 5–10 weeks after the injury or to no intervention and then followed up for 13 months.
Results At 13 months, the total Impact of Event Scale score was significantly more reduced in the intervention group (adjusted mean difference=8.4,95% CI 2.4–14.36). Other differences were not statistically significant.
Conclusions A brief cognitive–behavioural intervention reduces symptoms of post-traumatic stress disorder in individuals with physical injury who display initial distress.
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