Treatment of acute stress disorder: A comparison of cognitive-behavioral therapy and supportive counseling.
Abstract
Acute stress disorder (ASD) is a precursor of chronic posttraumatic stress disorder (PTSD). Twenty-four participants with ASD following civilian trauma were given 5 sessions of either cognitive-behavioral therapy (CBT) or supportive counseling (SC) within 2 weeks of their trauma. Fewer participants in CBT (8%) than in SC (83%) met criteria for PTSD at posttreatment. There were also fewer cases of PTSD in the CBT condition (17%) than in the SC condition (67%) 6 months posttrauma. There were greater statistically and clinically significant reductions in intrusive, avoidance, and depressive symptomatology among the CBT participants than among the SC participants. This study represents the 1st demonstration of successful treatment of ASD with CBT and its efficacy in preventing chronic PTSD.
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A protocol for supportive counseling was developed based on protocols used by Bryant and colleagues (1998) and Boelen and colleagues (2007), to match session duration in the EMDR therapy condition and other non-specific treatment effects.
“A protocol was developed based on the protocols used by Bryant and colleagues (1998) [50] and Boelen and colleagues (2007) [62], to match session duration in the EMDR therapy condition and other non-specific treatment effects, such as therapeutic alliance, time and contact with a therapist [63].”
To control for nonspecific factors, the study will use an active, nonspecific and nondirective intervention aimed at offering support (supportive counseling).
“To control for nonspecific factors, we will use an active, nonspecific and nondirective intervention aimed at offering support (supportive counseling) [50].”
Abridged versions of TF-CBT (usually 5-6 sessions) for early intervention in people at high risk for PTSD were typically more efficacious than control conditions.
“These programs evaluated abridged versions of TF-CBT (usually 5-6 sessions), and typically found that they were more efficacious than control conditions 128-132 .”
From Post‐traumatic stress disorder: a state‐of‐the‐art review of evidence and challenges (2019) · cites this paper as [128]
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Preventing Psychological Disorders in Service Members and Their Families: An Assessment of Programs
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Self-citation
- Authors
- Bryant, R. A., Harvey, A. G., Dang, S. T., Sackville, T., & Basten, C.
- Affiliations
- UNSW Sydney (AU)
- Westmead Hospital (AU)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 1998-10
- Volume
- 66
- Issue
- 5
- Pages
- 862-866
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2027411701
- Cited by
- 471
- References
- 17
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 4 · 2023: 12 · 2022: 9 · 2021: 14 · 2020: 13 · 2019: 12 · 2018: 12 · 2017: 14 · 2016: 13 · 2015: 9 · 2014: 13 · 2013: 23 · 2012: 21
- FWCI
- 14.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- acute stress disorder, cognitive behavioral therapy, supportive counseling, civilian trauma, intrusion symptoms, avoidance symptoms, depressive symptoms, early intervention
- MeSH terms
- Accidents, Acute Disease, Adult, Analysis of Variance, Counseling, Female, Humans, Life Change Events, Longitudinal Studies, Male, Middle Aged, Social Support, Stress Disorders, Post-Traumatic, Stress, Psychological, Cognitive Behavioral Therapy, Chi-Square Distribution, Treatment Outcome, Survivors
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