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Early Interventions Following Psychological Trauma

Published online by Cambridge University Press:  07 November 2014

Richard A. Bryant
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Abstract

What is the best way to provide early interventions for psychiatric disorders after trauma? The terrorist attacks of September 11, 2001, have raised urgent concerns about the evidence for early treatments after trauma that can prevent psychiatric disorders. This review outlines the expected course of posttraumatic stress reactions and discusses the current means of identifying people who are at risk of developing disorders. A critique of psychological debriefing and an analysis of evidence for cognitive-behavioral therapy as an early intervention is provided. The major challenges for early intervention are discussed, including increasing treatment effectiveness, delivering therapy when it is required by thousands of people, and developing early interventions for a wide array of psychiatric disorders in addition to posttraumatic stress disorder that can develop following trauma.

Type
Feature Article
Information
CNS Spectrums , Volume 7 , Issue 9 , September 2002 , pp. 650 - 654
Copyright
Copyright © Cambridge University Press 2002

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References

REFERENCES

1.Riggs, DS, Rothbaum, BO, Foa, EB. A prospective examination of symptoms of posttraumatic stress disorder in victims of nonsexual assault. J Interpers Violence. 1995;10:201–213.CrossRefGoogle Scholar
2.Rothbaum, B, Foa, E, Riggs, D, Murdock, T, Walsh, W. A prospective examination of post-traumatic stress disorder in rape victims. J Trauma Stress. 1992;5:455–475.Google Scholar
3.Koopman, C, Classen, C, Spiegel D: Predictors of posttraumatic stress symptoms among survivors of the Oakland/Berkeley, Calif., firestorm. Am J Psychiatry. 1994;151:888–894.Google ScholarPubMed
4.Harvey, AG, Bryant, RA. Relationship of acute stress disorder and posttraumatic stress disorder following motor vehicle accidents. J Consult Clin Psychol. 1998;66:507–512.CrossRefGoogle Scholar
5.Brewin, CR, Andrews, B, Rose, S, Kirk, M. Acute stress disorder and posttraumatic stress disorder in victims of violent crime. Am J Psychiatry. 1999;156:360–365.CrossRefGoogle ScholarPubMed
6.Bryant, RA, Harvey, AG. Relationship of acute stress disorder and posttraumatic stress disorder following mild traumatic brain injury. Am J Psychiatry. 1998;155:625–629.CrossRefGoogle ScholarPubMed
7.Harvey, AG, Bryant, RA. Relationship of acute stress disorder and posttraumatic stress disorder: a two-year prospective study. J Consult Clin Psychol. 1999;67:985–988.CrossRefGoogle Scholar
8.Harvey, AG, Bryant, RA. A two-year prospective evaluation of the relationship between acute stress disorder and posttraumatic stress disorder following mild traumatic brain injury. Am J Psychiatry. 2000;157:626–628.CrossRefGoogle ScholarPubMed
9.Harvey, AG, Bryant, RA. Acute stress disorder: a synthesis and critique. Psychol Bull. In press.Google Scholar
10.Mitchell, JT, Everly, GS Jr., Critical Incident Stress Debriefing: An Operations Manual for the Prevention of Traumatic Stress among Emergency Services and Disaster Workers. 2nd ed. Ellicott City, Md: Chevron Publishing Corporation; 1996.Google Scholar
11.Everly, GS, Flannery, RB, Mitchell, JT. Critical incident stress management (CISM): a re view of the literature. Aggress Violent Behav. 2000;5:23–40.CrossRefGoogle Scholar
12.Bisson, JI, Jenkins, PL, Alexander, J, Bannister, C. Randomized controlled trial of psychological debriefing for victims of acute burn trauma. Br J Psychiatry. 1997;171:78–81.CrossRefGoogle ScholarPubMed
13.Conlon, L, Fahy, TJ, Conroy, RM. PTSD in ambulant RTA victims: a randomised controlled trial of debriefing. J Psychosom Res. 1999:46:37–44.CrossRefGoogle ScholarPubMed
14.Deahl, M, Srinivasan, M, Jones, N, Thomas, J, Neblett, C, Jolly, A. Preventing psychological trauma in soldiers: the role of operational stress training and psychological debriefing. Brit J Med Psychol. 2000;73:77–85.CrossRefGoogle ScholarPubMed
15.Hobbs, M, Mayou, R, Harrison, B, Warlock, P. A randomized trial of psychological debriefing for victims of road traffic accidents. Br Med J. 1996; 313:1438–1439.CrossRefGoogle ScholarPubMed
16.Mayou, R, Ehlers, A, Hobbs, M. Psychological debriefing for road traffic accident victims: Three-year follow-up of a randomised controlled trial. Brit J Psychiatry 2000;176:589–593.CrossRefGoogle ScholarPubMed
17.Rose, S, Brewin, CR, Andrews, B, Kirk, M. A randomized controlled trial of individual psychological debriefing for victims of violent crime. Psychol Med. 1999;29:793–799.CrossRefGoogle ScholarPubMed
18.National Institute of Mental Health. Mental Health and mass violence: evidence based early psychological intervention for victims: survivors of mass violence: a workshop to reach consensus on best practices. National Institutes of Health Publication No. 02-5138. Washington, DC: U.S. Government Printing Office; 2002.Google Scholar
19.Rose, S, Bisson, J, Wessely, S. Psychological debriefing for preventing post traumatic stress disorder (PTSD) (Cochrane Review). In: The Cochrane Library, Issue 3 2002. Oxford, England: Update Software.Google Scholar
20.Kenardy, JA, Webster, RA, Lewin, TJ, Carr, VJ, Hazell, PL, Carter, GL. Stress debriefing and patterns of recovery following a natural disaster. J Trauma Stress. 1996;9:37–49.CrossRefGoogle ScholarPubMed
21.Shalev, AY. Stress management and debriefing: historical concepts and present patterns. In: Raphael, B, JP Wilson, JP, eds. Psychological Debriefing. Cambridge, England: Cambridge University Press; 2000: 17–31.CrossRefGoogle Scholar
22.Bisson, JI, McFarlane, AC, Rose, S. Psychological debriefing. In: Foa, EB, Keane, TM, Friedman, MJ, eds. Effective Treatments for PTSD. New York, NY: Guilford Press; 2000.Google Scholar
23.Young, BH, Gerrity, E. Critical incident stress debriefing (CISD): value and limitations in disaster response. National Center for Post Traumatic Stress Disorder Clinical Quarterly. 1994;4:17–19.Google Scholar
24.Litz, BT, Gray, M, Bryant, RA, Wagner, A. Early intervention for trauma: current status and future directions. Clinical Psychology: Science and Practice. 2002;9:112–134.Google Scholar
25.Foa, EB, Meadows, EA. Psychosocial treatments for posttraumatic stress disorder: a critical review. Annu Rev Psychol. 1997;48:449–480. Review.CrossRefGoogle ScholarPubMed
26.Jaycox, LH, Foa, EB. Obstacles in implementing exposure therapy for PTSD: case discussions and practical solutions. Clin Psychol Psychother. 1996;3:176–184.3.0.CO;2-1>CrossRefGoogle Scholar
27.Foa, EB, Hearst-Ikeda, D, Perry, KJ. Evaluation of a brief cognitive-behavioral program for the prevention of chronic PTSD in recent assault victims. J Consult Clin Psychol. 1995;63:948–955.CrossRefGoogle ScholarPubMed
28.Bryant, RA, Harvey, AG, Dang, ST, Sackville, T, Basten, C. Treatment of acute stress disorder: a comparison of cognitive-behavioral therapy and supportive counseling. J Consult Clin Psychol. 1998;66:862–866.CrossRefGoogle ScholarPubMed
29.Bryant, RA, Sackville, T, Dang, ST, Moulds, M, Guthrie, R. Treating acute stress disorder: an evaluation of cognitive behavior therapy and counseling techniques. Am J Psychiatry. 1999;156:1780–1786.CrossRefGoogle ScholarPubMed
30.Foa, EB, Rothbaum, BO, Riggs, DS, Murdock, TB. Treatment of posttraumatic stress disorder in rape victims: a comparison between cognitive-behavioral procedures and counseling. J Consult Clin Psychol. 1991;59:715–723.CrossRefGoogle ScholarPubMed
31.Tarrier, N, Pilgrim, H, Sommerfield, C. A randomized trial of cognitive therapy and imaginal exposure in the treatment of chronic posttraumatic stress disorder. J Consult Clin Psychol. 1999;67:13–18.CrossRefGoogle ScholarPubMed
32.Bryant, RA, Moulds, M, Guthrie, RM. Acute Stress Disorder Scale; a self-report measure of acute stress disorder. Psychol Assess. 2000;12:61–68.CrossRefGoogle Scholar
33.Cardeña, E, Koopman, C, Classen, C, Waelde, LC, Spiegel, D. Psychometric properties of the Stanford Acute Stress Reaction Questionnaire (SASRQ): a valid and reliable measure of acute stress. J Trauma Stress. 2000;13:719–734.CrossRefGoogle ScholarPubMed
34.Calea, S, Ahern, J, Resnick, H, et al.Psychological sequelae of the September 11 terrorist attacks in New York City. New Eng J Med. 2002;346:982–987.Google Scholar
35.Foa, EB, Cahill, SP, Hembree, E. Effectiveness of prolonged exposure with and without cognitive restructuring for PTSD in community and expert clinics. Paper presented at: the Annual Meeting of the Association for Advancement of Behavior Therapy; November 15-18, 2001; Philadelphia, Pa.Google Scholar
36.Marks, I, Shaw, S, Parkin, R. Computer-aided treatments of mental health problems. Clinical Psychology: Science and Practice. 1998;5:151–170.Google Scholar
37.Gould, RA, Clum, GA. Self-help plus minimal therapist contact in the treatment of panic disorder: a replication and extension. Behav Ther. 1996;26:533–546.CrossRefGoogle Scholar
38.Lindren, DM, Watkins, PL, Gould, RA, Clum, GA. A comparison of bibliotherapy and group therapy in the treatment of panic disorder. J Consul Clin Psychol. 1995;62:865–869.CrossRefGoogle Scholar
39.Lange, A, Schrieken, B, van de Ven, JP, et al.“Interapy”: The effects of a short protocol led treatment of posttraumatic stress and pathological grief through the Internet. Behavioural and Cognitive Psychotherapy. 2001;28:175–192.CrossRefGoogle Scholar
40.Calbring, P, Westling, BE, Ljungstrand, P, Ekselius, L, Andersson, G. Treatment of panic disorder via the internet: A randomized trial of a self-help program. Behav Ther. 2001;32:751–764.CrossRefGoogle Scholar
41.Resnick, H, Acierno, R, Holmes, M, Kilpatrick, DG, Jager, N. Prevention of post-rape psychopathology: preliminary findings of a controlled acute rape treatment study. J Anxiety Disord. 1999;13:359–370.CrossRefGoogle ScholarPubMed
42.Bryant, RA, Harvey, AG. Acute Stress Disorder: A Handbook of Therapy, Assessment, and Treatment. Washington, DC: American Psychological Association; 2000.CrossRefGoogle Scholar
43.Breslau, N, Davis, GC, Andreski, P, Peterson, E. Traumatic events and posttraumatic stress disorder in an urban population of young adults. Arch Gen Psychiatry. 1991;48:216–222.CrossRefGoogle Scholar
44.Roemer, L, Orsillo, SM. Expanding our conceptualization of and treatment for generalized anxiety disorder: integrating mindfulness/acceptance-based approaches with existing cognitive-behavioral models. Clinical Psychology: Science and Practice. 2002;9:54–68.Google Scholar