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Cited by 201Posttraumatic Stress Disorder ResearchPsychotherapy Techniques and ApplicationsPsychoanalysis and Psychopathology Research

The DOI matches its Crossref record; 98 of the 99 references it cites were found in a registry or an index.

Early psychological intervention following recent trauma: A systematic review and meta-analysis

Open access
Roberts, Neil P., Kitchiner, Neil J., Kenardy, Justin, Lewis, Catrin E., Bisson, Jonathan I.·2019·European Journal of Psychotraumatology
DOI 10.1080/20008198.2019.1695486PMC PMC6913678
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Abstract

Background: Post-traumatic stress disorder (PTSD) is a common and debilitating disorder which has a significant impact on the lives of sufferers. A number of early psychological interventions have been developed to try to prevent chronic difficulties. Objective: The objective of this study was to establish the current evidence for the effectiveness of multiple session early psychological interventions aimed at preventing or treating traumatic stress symptoms beginning within three months of trauma exposure. Methods: Randomized controlled trials of early multiple session psychological interventions aimed at preventing or reducing traumatic stress symptoms of individuals exposed to a traumatic event, fulfiling trauma criteria for an ICD or DSM diagnosis of PTSD were identified through a search of the Cochrane Common Mental Disorders Group Clinical Trials Registers database, the Cochrane Central Register of Controlled Trials, MEDLINE, Embase, PsycINFO and PILOTS. Two authors independently extracted study details and data and completed risk of bias assessments. Analyses were undertaken using Review Manager software. Quality of findings were rated according to ‘Grades of Recommendation, Assessment, Development, and Evaluation’ (GRADE) and appraised for clinical importance. Results: Sixty-one studies evaluating a variety of interventions were identified. For individuals exposed to a trauma who were not pre-screened for traumatic stress symptoms there were no clinically important differences between any intervention and usual care. For individuals reporting traumatic stress symptoms we found clinically important evidence of benefits for trauma-focused cognitive-behavioural therapy (CBT-T), cognitive therapy without exposure and eye movement desensitization and reprocessing (EMDR). Differences were greatest for those diagnosed with acute stress disorder (ASD) and PTSD. Conclusions: There is evidence for the effectiveness of several early psychological interventions for individuals with traumatic stress symptoms following trauma exposure, especially for those meeting the diagnostic threshold for ASD or PTSD. Evidence is strongest for trauma-focused CBT.

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  1. Andre C., 1997, L’Encephale, 23, 65
  2. Bastos M. H., 2015, Cochrane Database of Systematic Reviews, 10, CD007194
  3. Freedman, S. (in press). Early telephone cognitive behavioral therapy (ET-CBT) for the prevention of PTSD. European Journal of Psychotraumatology .
  4. Higgins J. P. T., 2011, Cochrane handbook for systematic reviews of interventions version 5.1.0
  5. Review Manager (RevMan) [Computer program]. (2014). Version 5.3. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration.
  6. Taghizadeh Z., 2008, Hayat: Faculty of Nursing & Midwifery Quarterly, 13, 23
  7. Wang X., 2015, International Journal of Clinical and Experimental Medicine, 8, 13585

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Metadata

Authors
Roberts, N. P., Kitchiner, N. J., Kenardy, J., Lewis, C. E., & Bisson, J. I.
Affiliations
  • Cardiff and Vale University Health Board (GB)
  • The University of Queensland (AU)
  • Cardiff University (GB)
Corresponding author
Roberts, Neil P.
ORCID
Venue
European Journal of Psychotraumatology
Publisher
Informa UK Limited
Published
2019-12-06
Volume
10
Issue
1
Pages
1695486-1695486
ISSN
2000-8066 (ISSN-L)
DOI
10.1080/20008198.2019.1695486
PMC
PMC6913678
OpenAlex
W2992254139
Cited by
200
References
99
Citations by year
2026: 37 · 2025: 28 · 2024: 36 · 2023: 22 · 2022: 31 · 2021: 33 · 2020: 12 · 2019: 1
FWCI
3.05
Type
journal article
Language
en
Open access
Licence
Locations
  • European Journal of Psychotraumatology (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • ORCA Online Research @Cardiff (Cardiff University) (acceptedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
International Society for Traumatic Stress Studies
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
post-traumatic stress disorder, acute stress disorder, early psychological intervention, trauma-focused cognitive behavioral therapy, EMDR, cognitive therapy, traumatic stress symptoms, trauma exposure

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