PTSD in ambulant RTA victims: a randomized controlled trial of debriefing.

Abstract:

:This report examines initial distress levels, course of symptoms, incidence of posttraumatic stress disorder (PTSD), predictors of short-term outcome, and value of prophylactic counseling in a consecutive series of 40 ambulant trauma clinic attenders with minor road traffic accident (RTA) injuries. Subjects were randomly allocated to intervention and monitoring groups following assessment at a mean of 7 days posttrauma and reassessed at 3 months using a variety of standard rating scales. Seventy-five percent reported significant levels of distress at 1 week posttrauma. By 3 months this had decreased sharply to 35%, and 22% were significantly impaired by clinical assessment. Incidence of PTSD over 3 months was estimated at 19% and point prevalence at 3 months posttrauma was 9%. High initial distress, increasing age, and high levels of perceived threat were significant independent predictors of morbidity, and no significant differences in outcome were found between intervention and monitoring groups at 3 months.

journal_name

J Psychosom Res

authors

Conlon L,Fahy TJ,Conroy R

doi

10.1016/s0022-3999(98)00068-3

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

37-44

issue

1

eissn

0022-3999

issn

1879-1360

pii

S0022-3999(98)00068-3

journal_volume

46

pub_type

临床试验,杂志文章,随机对照试验
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