TY  - JOUR
PY  - 2004//
TI  - Early cognitive-behavioural therapy for post-traumatic stress symptoms after physical injury. Randomised controlled trial
JO  - British journal of psychiatry
A1  - Bisson, Jonathan I.
A1  - Shepherd, Jonathan P.
A1  - Joy, Deborah
A1  - Probert, Rachel
A1  - Newcombe, Robert G.
SP  - 63
EP  - 69
VL  - 184
IS  - 
N2  - 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.<p /> <p>Language: en</p>
LA  - en
SN  - 0007-1250
UR  - http://dx.doi.org/
ID  - ref1
ER  -