Management of Acute Stress, PTSD, and Bereavement: WHO Recommendations
Abstract
In 2010, the World Health Organization (WHO) launched the Mental Health Gap Action Program (mhGAP) Intervention Guide for nonspecialized health settings (ie, for general health staff in first- and second-level health facilities, including primary care and district hospital settings) to address the wide treatment gap for mental disorders in low- and middle-income countries. Several priority mental disorders, including depression and substance use, have been addressed in previous mhGAP modules and related guidelines.
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CBT with a trauma focus, EMDR and stress management interventions are generally recommended in the general population of adults with PTSD.
“CBT with a trauma focus, EMDR and stress management interventions are generally recommended in the general population of adults with PTSD”
From Efficacy and acceptability of psychosocial interventions in asylum seekers and refugees: Systematic review and meta-analysis (2019) · cites this paper as Tol et al., 2013
The WHO guidelines include recommendations not to offer benzodiazepines for acute traumatic stress symptoms and not to offer structured psychological interventions for bereavement reactions in the absence of frank mental disorder.
“These include, for example, recommendations not to offer benzodiazepines for acute traumatic stress symptoms, nor to offer structured psychological interventions for bereavement reactions in the absence of frank mental disorder.”
From World Health Organization guidelines for management of acute stress, PTSD, and bereavement: key challenges on the road ahead (2014) · cites this paper as [4]
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References 4 · Cited by 115
- Authors
- Tol, W. A., Barbui, C., & van Ommeren, M.
- Affiliations
- Johns Hopkins University (US)
- University of Verona (IT)
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2013-08-07
- Volume
- 310
- Issue
- 5
- Pages
- 477
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W2093927095
- Cited by
- 115
- References
- 4
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 2 · 2023: 3 · 2022: 8 · 2021: 4 · 2020: 11 · 2019: 12 · 2018: 8 · 2017: 14 · 2016: 11 · 2015: 14 · 2014: 15 · 2013: 1
- FWCI
- 15.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- acute stress, post-traumatic stress disorder, bereavement, Mental Health Gap Action Programme, primary care, treatment gap, low- and middle-income countries, mental health services
- MeSH terms
- Acute Disease, Adolescent, Adult, Bereavement, Child, Developing Countries, Humans, Stress Disorders, Post-Traumatic, Stress, Psychological, World Health Organization, Practice Guidelines as Topic
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