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Child Debriefing: A Review of the Evidence Base

Published online by Cambridge University Press:  14 April 2015

Betty Pfefferbaum ,
Anne K. Jacobs ,
Pascal Nitiéma  and
George S. Everly Jr.
Betty Pfefferbaum*
Affiliation:
Terrorism and Disaster Center, Department of Psychiatry and Behavioral Sciences, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma USA
Anne K. Jacobs
Affiliation:
Terrorism and Disaster Center, Department of Psychiatry and Behavioral Sciences, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma USA
Pascal Nitiéma
Affiliation:
Terrorism and Disaster Center, Department of Psychiatry and Behavioral Sciences, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma USA
George S. Everly Jr.
Affiliation:
Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland USA Department of Psychology, Loyola University Maryland, Baltimore, Maryland USA
*
Correspondence: Betty Pfefferbaum, MD, JD Department of Psychiatry and Behavioral Sciences College of Medicine University of Oklahoma Health Sciences Center P.O. Box 26901, WP 3417 Oklahoma City, Oklahoma 73126-0901 USA E-mail: [email protected]
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Abstract

Introduction

Debriefing, a controversial crisis intervention delivered in the early aftermath of a disaster, has not been well evaluated for use with children and adolescents. This report constitutes a review of the child debriefing evidence base.

Methods

A systematic search of selected bibliographic databases (EBM Reviews, EMBASE, ERIC, Medline, Ovid, PILOTS, PubMed, and PsycINFO) was conducted in the spring of 2014 using search terms related to psychological debriefing. The search was limited to English language sources and studies of youth, aged 0 to 18 years. No time limit was placed on date of publication. The search yielded 713 references. Titles and abstracts were reviewed to select publications describing scientific studies and clinical reports. Reference sections of these publications, and of other literature known to the authors that was not generated by the search, were used to locate additional materials. Review of these materials generated 187 publications for more thorough examination; this assessment yielded a total of 91 references on debriefing in children and adolescents. Only 15 publications on debriefing in children and adolescents described empirical studies. Due to a lack of statistical analysis of effectiveness data with youth, and some articles describing the same study, only seven empirical studies described in nine papers were identified for analysis for this review. These studies were evaluated using criteria for assessment of methodological rigor in debriefing studies.

Results

Children and adolescents included in the seven empirical debriefing studies were survivors of motor-vehicle accidents, a maritime disaster, hostage taking, war, or peer suicides. The nine papers describing the seven studies were characterized by inconsistency in describing the interventions and populations and by a lack of information on intervention fidelity. Few of the studies used randomized design or blinded assessment. The results described in the reviewed studies were mixed in regard to debriefing’s effect on posttraumatic stress, depression, anxiety, and other outcomes. Even in studies in which debriefing appeared promising, the research was compromised by potentially confounding interventions.

Conclusion

The results highlight the small empirical evidence base for drawing conclusions about the use of debriefing with children and adolescents, and they call for further dialogue regarding challenges in evaluating debriefing and other crisis interventions in children.

PfefferbaumB , JacobsAK , NitiémaP , EverlyGSJr. Child Debriefing: A Review of the Evidence Base. Prehosp Disaster Med. 2015;30(3):1 10.

Keywords

childrencrisis interventiondebriefingdisasterdisaster response
Type
Comprehensive Review
Information
Prehospital and Disaster Medicine , Volume 30 , Issue 3 , June 2015 , pp. 306 - 315
Copyright
© World Association for Disaster and Emergency Medicine 2015 

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