Randomised controlled trial of psychological debriefing for victims of acute burn trauma

Bisson, Jonathan I.; Jenkins, Peter; Alexander, Julie; Bannister, Carol

doi:10.1192/bjp.171.1.78

Cited by 414 publications

(322 citation statements)

References 10 publications

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“…However, several studies showed a worsening in the debriefing groups when compared to a control group (Bisson et al 1997;Deahl et al 2000;Hobbs et al 1996;Mayou et al 2000), while two studies did not show a difference (Conlon et al 1999;Rose et al 1999). Also, a metaanalysis of debriefing showed that it does not improve natural recovery from trauma-related disorders (van Emmerik et al 2002).…”

Section: Prevention Of Ptsdmentioning

confidence: 99%

World Federation of Societies of Biological Psychiatry (WFSBP) Guidelines for the Pharmacological Treatment of Anxiety, Obsessive-Compulsive and Post-Traumatic Stress Disorders – First Revision

Bandelow

Zohar

Hollander

et al. 2008

The World Journal of Biological Psychiatry

718

410

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In this report, which is an update of a guideline published in 2002 (Bandelow et al. 2002, recommendations for the pharmacological treatment of anxiety disorder, obsessive-compulsive disorder (OCD) and post-traumatic stress disorder (PTSD) are presented. Since the publication of the first version of this guideline, a substantial number of new randomized controlled studies of anxiolytics have been published. In particular, more relapse prevention studies are now available that show sustained efficacy of anxiolytic drugs. The recommendations, developed by the World Federation of Societies of Biological Psychiatry (WFSBP) Task Force for the Pharmacological Treatment of Anxiety, Obsessive-Compulsive and Post-Traumatic Stress Disorders, a consensus panel of 30 international experts, are now based on 510 published randomized, placebo-or comparator-controlled clinical studies (RCTs) and 130 open studies and case reports. First-line treatments for these disorders are selective serotonin reuptake inhibitors (SSRIs), serotonin-noradrenaline reuptake inhibitors (SNRIs) and the calcium channel modulator pregabalin. Tricyclic antidepressants (TCAs) are equally effective for some disorders, but many are less well tolerated than the SSRIs/ SNRIs. In treatment-resistant cases, benzodiazepines may be used when the patient does not have a history of substance abuse disorders. Potential treatment options for patients unresponsive to standard treatments are described in this overview. Although these guidelines focus on medications, non-pharmacological were also considered. Cognitive behavioural therapy (CBT) and other variants of behaviour therapy have been sufficiently investigated in controlled studies in patients with anxiety disorders, OCD, and PTSD to support them being recommended either alone or in combination with the above medicines.

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Section: Prevention Of Ptsdmentioning

confidence: 99%

World Federation of Societies of Biological Psychiatry (WFSBP) Guidelines for the Pharmacological Treatment of Anxiety, Obsessive-Compulsive and Post-Traumatic Stress Disorders – First Revision

Bandelow

Zohar

Hollander

et al. 2008

The World Journal of Biological Psychiatry

718

410

View full text Add to dashboard Cite

show abstract

“…A systematic review of the extensive literature on posttraumatic debriefing concluded that individuals exposed to psychological debriefing programs are just as likely to develop PTSD as individuals who do not participate (Rose et al, 2002). In fact, two rigorous evaluations found that debriefing was associated with an increased risk of PTSD (Bisson et al, 1997;Hobbs et al, 1996). At this date, researchers and clinical practice guidelines recommend that civilian-style debriefing programs not be offered to trauma survivors (U.S. Department of Veterans Affairs and U.S. Department of Defense, 2010;McNally, Bryant, and Ehlers, 2003;Nash and Watson, 2011;Rose et al, 2002).…”

Section: Key Findings Lessons From Similar Programsmentioning

confidence: 99%

“…Individuals exposed to a trauma who received a debriefing intervention were just as likely to develop PTSD as individuals who received either no intervention or an educational intervention. In fact, two studies reported that debriefing was associated with an increased risk of PTSD (Bisson et al, 1997;Hobbs et al, 1996). At this date, the recommendation in the scientific literature is not to conduct such interventions (McNally, Bryant, and Ehlers, 2003;Nash and Watson, 2011;Rose et al, 2002).…”

Section: Psychological Debriefingmentioning

confidence: 99%

The Air Force Deployment Transition Center: Assessment of Program Structure, Process, and Outcomes

Schell¹,

Farris²,

Miles³

et al. 2016

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“…Bisson et al (1997) randomly assigned recently hospitalized burn victims to either debriefing or to an assessment only control condition. Although there were no significant differences between groups at the 3-month evaluation, at the 13-month evaluation, the rate of PTSD was significantly higher among debriefed patients than among control patients (26 vs 9%) and debriefed participants had significantly higher scores on self-report measures of PTSD, anxiety, and depression.…”

Section: Psychological Debriefingmentioning

confidence: 99%

Social, Psychological, and Psychiatric Interventions Following Terrorist Attacks: Recommendations for Practice and Research

Foa

Cahill

Boscarino

et al. 2005

Neuropsychopharmacol

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The terrorist attacks of September 11, 2001, and the constant threat of imminent terrorist activity have brought into the forefront the urgent need to prepare for the consequences of such attacks. Such preparation entails utilization of existing knowledge, identification of crucial gaps in our scientific knowledge, and taking steps to acquire this knowledge. At present, there is little empirical knowledge about interventions following terrorism and absolutely no available empirical knowledge about interventions following bioterrorism. Therefore, this paper reviews knowledge about (1) reactions following the September 11 terrorist attacks in New York City and other places, (2) the practical experiences accumulated in recent years in countries (eg, Israel) that have had to cope with the threat of bioterrorism and the reality of terrorism, and (3) interventions for acute and chronic stress reactions following other types of traumatic events (eg, rape, war, accidents). Our review found several treatments efficacious in treating individuals for acute and chronic post-traumatic stress disorder (PTSD) related to other traumatic events that will likely be efficacious in treating PTSD related to terrorist attacks. However, there were significant gaps in our knowledge about how to prepare populations and individuals for the possibility of a terrorist attack and what interventions to apply in the immediate aftermath of such an attack. Accordingly, we conclude the paper with several questions designed to guide future research.

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Randomised controlled trial of psychological debriefing for victims of acute burn trauma

Abstract: This study seriously questions the wisdom of advocating one-off interventions post-trauma, and should stimulate research into more effective initiatives.

Cited by 414 publications

References 10 publications

World Federation of Societies of Biological Psychiatry (WFSBP) Guidelines for the Pharmacological Treatment of Anxiety, Obsessive-Compulsive and Post-Traumatic Stress Disorders – First Revision

World Federation of Societies of Biological Psychiatry (WFSBP) Guidelines for the Pharmacological Treatment of Anxiety, Obsessive-Compulsive and Post-Traumatic Stress Disorders – First Revision

The Air Force Deployment Transition Center: Assessment of Program Structure, Process, and Outcomes

Social, Psychological, and Psychiatric Interventions Following Terrorist Attacks: Recommendations for Practice and Research

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