Single session debriefing after psychological trauma: a meta-analysis
Despite conflicting research findings and uncertain efficacy, single session debriefing is standard clinical practice after traumatic events. We aimed to assess the efficacy of this intervention in prevention of chronic symptoms of post-traumatic stress disorder and other disorders after trauma. In...
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| Veröffentlicht in: | The Lancet (British edition) 2002-09, Vol.360 (9335), p.766-771 |
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| creator | van Emmerik, Arnold AP Kamphuis, Jan H Hulsbosch, Alexander M Emmelkamp, Paul MG |
| description | Despite conflicting research findings and uncertain efficacy, single session debriefing is standard clinical practice after traumatic events. We aimed to assess the efficacy of this intervention in prevention of chronic symptoms of post-traumatic stress disorder and other disorders after trauma.
In a meta-analysis, we selected appropriate studies from databases (Medline Advanced, PsychINFO, and PubMed), the Journal of Traumatic Stress, and reference lists of articles and book chapters. Inclusion criteria were that single session debriefing had been done within 1 month after trauma, symptoms were assessed with widely accepted clinical outcome measures, and data from psychological assessments that had been done before (pretest data) and after (post-test data) interventions and were essential for calculation of effect sizes had been reported. We included seven studies in final analyses, in which there were five critical incident stress debriefing (CISD) interventions, three non-CISD interventions, and six no-intervention controls.
Non-CISD interventions and no intervention improved symptoms of post-traumatic stress disorder, but CISD did not improve symptoms (weighted mean effect sizes 0·65 [95% CI 0·14–1·16], 0·47 [0·28–0·66], and 0·13 [−0·29 to 0·55], respectively). CISD did not improve natural recovery from other trauma-related disorders (0·12 [−0·22 to 0·47]).
CISD and non-CISD interventions do not improve natural recovery from psychological trauma. |
| doi_str_mv | 10.1016/S0140-6736(02)09897-5 |
| format | Article |
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In a meta-analysis, we selected appropriate studies from databases (Medline Advanced, PsychINFO, and PubMed), the Journal of Traumatic Stress, and reference lists of articles and book chapters. Inclusion criteria were that single session debriefing had been done within 1 month after trauma, symptoms were assessed with widely accepted clinical outcome measures, and data from psychological assessments that had been done before (pretest data) and after (post-test data) interventions and were essential for calculation of effect sizes had been reported. We included seven studies in final analyses, in which there were five critical incident stress debriefing (CISD) interventions, three non-CISD interventions, and six no-intervention controls.
Non-CISD interventions and no intervention improved symptoms of post-traumatic stress disorder, but CISD did not improve symptoms (weighted mean effect sizes 0·65 [95% CI 0·14–1·16], 0·47 [0·28–0·66], and 0·13 [−0·29 to 0·55], respectively). CISD did not improve natural recovery from other trauma-related disorders (0·12 [−0·22 to 0·47]).
CISD and non-CISD interventions do not improve natural recovery from psychological trauma.</description><identifier>ISSN: 0140-6736</identifier><identifier>EISSN: 1474-547X</identifier><identifier>DOI: 10.1016/S0140-6736(02)09897-5</identifier><identifier>PMID: 12241834</identifier><identifier>CODEN: LANCAO</identifier><language>eng</language><publisher>London: Elsevier Ltd</publisher><subject>Adult ; Adult and adolescent clinical studies ; Anxiety ; Anxiety disorders. Neuroses ; Biological and medical sciences ; Clinical medicine ; Clinical outcomes ; Counseling ; Crisis Intervention - methods ; Female ; Humans ; Male ; Medical sciences ; Mental disorders ; Meta-analysis ; Miscellaneous ; Post traumatic stress disorder ; Prevention ; Psychological assessment ; Psychology ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology ; Psychopathology. Psychiatry ; Recovery ; Stress Disorders, Post-Traumatic - etiology ; Stress Disorders, Post-Traumatic - psychology ; Stress Disorders, Post-Traumatic - therapy ; Systematic review ; Therapy ; Time Factors ; Trauma ; Treatments</subject><ispartof>The Lancet (British edition), 2002-09, Vol.360 (9335), p.766-771</ispartof><rights>2002 Elsevier Ltd</rights><rights>2002 INIST-CNRS</rights><rights>Copyright Lancet Ltd. Sep 7, 2002</rights><rights>Copyright Elsevier Limited Sep 7, 2002</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c498t-fa40e7608bf0a334ce646f448e88cd32db2b3830595f246b2855ec9889d078453</citedby><cites>FETCH-LOGICAL-c498t-fa40e7608bf0a334ce646f448e88cd32db2b3830595f246b2855ec9889d078453</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/199023474?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976,64364,64368,72218</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13912782$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12241834$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Emmerik, Arnold AP</creatorcontrib><creatorcontrib>Kamphuis, Jan H</creatorcontrib><creatorcontrib>Hulsbosch, Alexander M</creatorcontrib><creatorcontrib>Emmelkamp, Paul MG</creatorcontrib><title>Single session debriefing after psychological trauma: a meta-analysis</title><title>The Lancet (British edition)</title><addtitle>Lancet</addtitle><description>Despite conflicting research findings and uncertain efficacy, single session debriefing is standard clinical practice after traumatic events. We aimed to assess the efficacy of this intervention in prevention of chronic symptoms of post-traumatic stress disorder and other disorders after trauma.
In a meta-analysis, we selected appropriate studies from databases (Medline Advanced, PsychINFO, and PubMed), the Journal of Traumatic Stress, and reference lists of articles and book chapters. Inclusion criteria were that single session debriefing had been done within 1 month after trauma, symptoms were assessed with widely accepted clinical outcome measures, and data from psychological assessments that had been done before (pretest data) and after (post-test data) interventions and were essential for calculation of effect sizes had been reported. We included seven studies in final analyses, in which there were five critical incident stress debriefing (CISD) interventions, three non-CISD interventions, and six no-intervention controls.
Non-CISD interventions and no intervention improved symptoms of post-traumatic stress disorder, but CISD did not improve symptoms (weighted mean effect sizes 0·65 [95% CI 0·14–1·16], 0·47 [0·28–0·66], and 0·13 [−0·29 to 0·55], respectively). CISD did not improve natural recovery from other trauma-related disorders (0·12 [−0·22 to 0·47]).
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M</au><au>Emmelkamp, Paul MG</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Single session debriefing after psychological trauma: a meta-analysis</atitle><jtitle>The Lancet (British edition)</jtitle><addtitle>Lancet</addtitle><date>2002-09-07</date><risdate>2002</risdate><volume>360</volume><issue>9335</issue><spage>766</spage><epage>771</epage><pages>766-771</pages><issn>0140-6736</issn><eissn>1474-547X</eissn><coden>LANCAO</coden><abstract>Despite conflicting research findings and uncertain efficacy, single session debriefing is standard clinical practice after traumatic events. We aimed to assess the efficacy of this intervention in prevention of chronic symptoms of post-traumatic stress disorder and other disorders after trauma.
In a meta-analysis, we selected appropriate studies from databases (Medline Advanced, PsychINFO, and PubMed), the Journal of Traumatic Stress, and reference lists of articles and book chapters. Inclusion criteria were that single session debriefing had been done within 1 month after trauma, symptoms were assessed with widely accepted clinical outcome measures, and data from psychological assessments that had been done before (pretest data) and after (post-test data) interventions and were essential for calculation of effect sizes had been reported. We included seven studies in final analyses, in which there were five critical incident stress debriefing (CISD) interventions, three non-CISD interventions, and six no-intervention controls.
Non-CISD interventions and no intervention improved symptoms of post-traumatic stress disorder, but CISD did not improve symptoms (weighted mean effect sizes 0·65 [95% CI 0·14–1·16], 0·47 [0·28–0·66], and 0·13 [−0·29 to 0·55], respectively). CISD did not improve natural recovery from other trauma-related disorders (0·12 [−0·22 to 0·47]).
CISD and non-CISD interventions do not improve natural recovery from psychological trauma.</abstract><cop>London</cop><pub>Elsevier Ltd</pub><pmid>12241834</pmid><doi>10.1016/S0140-6736(02)09897-5</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Adult and adolescent clinical studies Anxiety Anxiety disorders. Neuroses Biological and medical sciences Clinical medicine Clinical outcomes Counseling Crisis Intervention - methods Female Humans Male Medical sciences Mental disorders Meta-analysis Miscellaneous Post traumatic stress disorder Prevention Psychological assessment Psychology Psychology. Psychoanalysis. Psychiatry Psychopathology Psychopathology. Psychiatry Recovery Stress Disorders, Post-Traumatic - etiology Stress Disorders, Post-Traumatic - psychology Stress Disorders, Post-Traumatic - therapy Systematic review Therapy Time Factors Trauma Treatments |
| title | Single session debriefing after psychological trauma: a meta-analysis |
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