Abstract:
PURPOSE OF REVIEW:The development of acute and posttraumatic stress symptoms after a traumatic event is common and often leads to personal distress, functional impairment, and economic consequences in trauma victims and their loved ones. Hence, the prevention of acute and chronic posttraumatic stress is an important public health priority. This article aims to review the current evidence regarding immediate (within hours) and early (within days and weeks) psychological and behavioral interventions to prevent posttraumatic stress symptoms. RECENT FINDINGS:Acute distress management, psychological debriefing and other immediate unspecific interventions within the first hours following a traumatic event have so far not demonstrated efficacy in preventing posttraumatic stress symptoms. So far, there are no randomized controlled trials (RCTs) that have examined immediate trauma-focused cognitive behavioral interventions. In contrast, some, but not many, studies have shown that cognitive behavioral interventions are efficacious if administered within days or weeks after a traumatic event. For other early interventions after trauma exposure, there is no, or only weak, evidence in support of their efficacy. However, conclusions are limited by the small numbers of trials examining immediate and early interventions. SUMMARY:Today, there is no empirical evidence to support any immediate intervention within hours after the traumatic event to prevent posttraumatic stress symptoms. With regard to early interventions in the first days or weeks after trauma, literature is also sparse, but supports brief cognitive behavioral interventions as a first choice. There is an urgent need for RCTs to examine if behavioral interventions immediately following a traumatic event might be able to reduce the burden of acute and posttraumatic stress symptoms.
journal_name
Curr Opin Psychiatryjournal_title
Current opinion in psychiatryauthors
Agorastos A,Marmar CR,Otte Cdoi
10.1097/YCO.0b013e32834cdde2subject
Has Abstractpub_date
2011-11-01 00:00:00pages
526-32issue
6eissn
0951-7367issn
1473-6578journal_volume
24pub_type
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journal_title:Current opinion in psychiatry
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abstract:PURPOSE OF REVIEW:Alcohol is widely available and one of the most commonly used psychoactive substances. This review examined the recent literature for empirical research addressing the cause, prevalence and treatment of alcohol-related problems in adolescents and adults with intellectual disabilities. RECENT FINDINGS...
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更新日期:2006-09-01 00:00:00
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更新日期:2013-07-01 00:00:00
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journal_title:Current opinion in psychiatry
pub_type: 杂志文章,评审
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更新日期:2014-05-01 00:00:00
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journal_title:Current opinion in psychiatry
pub_type: 杂志文章,评审
doi:10.1097/YCO.0000000000000038
更新日期:2014-03-01 00:00:00
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更新日期:2014-07-01 00:00:00
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更新日期:2009-05-01 00:00:00
abstract:PURPOSE OF REVIEW:Clinical registries, routinely collected administrative data and electronic medical records (EMRs) provide new opportunities to investigate medication safety and effectiveness. This review outlines the strengths and limitations of these data, and highlights recent research related to safe and effectiv...
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更新日期:2020-03-01 00:00:00
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journal_title:Current opinion in psychiatry
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更新日期:2014-03-01 00:00:00
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