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Journal Article

Citation

O'donnell ML, Lau W, Tipping S, Holmes ACN, Ellen S, Judson R, Varker T, Elliot P, Bryant RA, Creamer MC, Forbes D. J. Trauma. Stress 2012; 25(2): 125-133.

Affiliation

Australian Centre for Posttraumatic Mental Health, East Melbourne Victoria, Australia; Department of Psychiatry, University of Melbourne, Parkville Victoria, Australia. mod@unimelb.edu.au.

Copyright

(Copyright © 2012, International Society for Traumatic Stress Studies, Publisher John Wiley and Sons)

DOI

10.1002/jts.21677

PMID

22522725

Abstract

The best approach for implementing early psychological intervention for anxiety and depressive disorders after a traumatic event has not been established. This study aimed to test the effectiveness of a stepped model of early psychological intervention following traumatic injury. A sample of 683 consecutively admitted injury patients were screened during hospitalization. High-risk patients were followed up at 4-weeks postinjury and assessed for anxiety and depression symptom levels. Patients with elevated symptoms were randomly assigned to receive 4-10 sessions of cognitive-behavioral therapy (n = 24) or usual care (n = 22). Screening in the hospital identified 89% of those who went on to develop any anxiety or affective disorder at 12 months. Relative to usual care, patients receiving early intervention had significantly improved mental health at 12 months. A stepped model can effectively identify and treat injury patients with high psychiatric symptoms within 3 months of the initial trauma.


Language: en

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