Cited by 471Posttraumatic Stress Disorder ResearchPsychotherapy Techniques and ApplicationsPsychoanalysis and Psychopathology Research

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Treatment of acute stress disorder: A comparison of cognitive-behavioral therapy and supportive counseling.

Bryant, Richard A., Harvey, Allison G., Dang, Suzanne T., Sackville, Tanya, Basten, Chris·1998·Journal of Consulting and Clinical Psychology

DOI 10.1037/0022-006x.66.5.862

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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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BackgroundInfluential

Authors: Bryant, R. A., Harvey, A. G., Dang, S. T., Sackville, T., & Basten, C.
Affiliations: UNSW Sydney (AU)
Westmead Hospital (AU)
ORCID: Bryant, Richard A.
Harvey, Allison G.
Venue: Journal of Consulting and Clinical Psychology
Publisher: American Psychological Association (APA)
Published: 1998-10
Volume: 66
Issue: 5
Pages: 862-866
ISSN: 0022-006X (ISSN-L)
1939-2117
DOI: 10.1037/0022-006x.66.5.862
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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Treatment of acute stress disorder: A comparison of cognitive-behavioral therapy and supportive counseling.

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