Brief psychological interventions ("debriefing") for trauma-related symptoms and the prevention of post traumatic stress disorder.
Brief psychological interventions ("debriefing") for trauma-related symptoms and the prevention of post traumatic stress disorder.
复制标题
针对创伤相关症状和预防创伤后应激障碍的简短心理干预（“汇报”）。
DOI：
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发表时间：
2000
影响因子：
8.4
通讯作者：
J. Bisson
中科院分区：
文献类型：
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作者：
S. Wessely;Sherri Rose;J. Bisson
目标
评估简短的心理报告对创伤后心理困扰的管理和预防创伤后应激障碍的有效性。
搜索策略
电子检索MEDLINE、EMBASE、PsychLit、PILOTS、Biosis、Pascal、Occ.Safety and Health、CDSR和抑郁症、焦虑症和神经症组的试验注册。创伤性压力杂志Journal of Traumatic Stress与领先的研究人员联系。
选择标准
所有随机研究的入选标准是，他们应该关注最近（一个月或更短时间）暴露于创伤事件的人，应该只包括一个单一的会话，干预涉及某种形式的情绪处理/通气，通过鼓励回忆/重塑创伤事件，伴随着对事件的情绪反应的正常化。
数据收集和分析
8项试验符合纳入标准。质量普遍较差。两项试验的数据无法综合。
主要结果
单次个别汇报并没有减少心理困扰，也没有预防创伤后应激障碍（PTSD）的发生。接受干预的患者在短期内（3-5个月）没有明显的PTSD风险（合并优势比1.0，95%CI 0.6-1.8）。一年后，一项试验报告说，接受报告的人患创伤后应激障碍的风险显著增加（比值比2.9，95%CI 1.1-7.5）。两项随访试验的合并比值比仅包括1（比值比2.0，95% CI 0.9-4.5）。也没有证据表明，汇报减少一般心理发病率，抑郁或焦虑。
评论者结论
目前还没有证据表明，心理汇报是一个有用的治疗，以防止创伤后应激障碍后的创伤事件。应停止强制性地向创伤受害者汇报情况。
OBJECTIVES
To assess the effectiveness of brief psychological debriefing for the management of psychological distress after trauma, and the prevention of post traumatic stress disorder.
SEARCH STRATEGY
Electronic searching of MEDLINE, EMBASE, PsychLit, PILOTS, Biosis, Pascal, Occ.Safety and Health, CDSR and the Trials Register of the Depression, Anxiety and Neurosis group. Hand search of Journal of Traumatic Stress. Contact with leading researchers.
SELECTION CRITERIA
The inclusion criteria for all randomized studies was that they should focus on persons recently (one month or less) exposed to a traumatic event, should consist of a single session only, and that the intervention involve some form of emotional processing/ventilation by encouraging recollection/reworking of the traumatic event accompanied by normalisation of emotional reaction to the event.
DATA COLLECTION AND ANALYSIS
8 trials fulfilled the inclusion criteria. Quality was generally poor. Data from two trials could not be synthesised.
MAIN RESULTS
Single session individual debriefing did not reduce psychological distress nor prevent the onset of post traumatic stress disorder (PTSD). Those who received the intervention showed no significant short term (3-5 months) in the risk of PTSD (pooled odds ratio 1.0, 95% ci 0.6-1.8). At one year one trial reported that there was a significantly increased risk of PTSD in those receiving debriefing (odds ratio 2.9, 95% ci 1.1-7.5). The pooled odds ratio for the two trials with follow ups just included unity (odds ratio 2.0, 95% ci 0.9-4.5). There was also no evidence that debriefing reduced general psychological morbidity, depression or anxiety.
REVIEWER'S CONCLUSIONS
There is no current evidence that psychological debriefing is a useful treatment for the prevention of post traumatic stress disorder after traumatic incidents. Compulsory debriefing of victims of trauma should cease.