Effect of timing of critical incident stress debriefing (CISD) on posttraumatic symptoms

Effect of timing of critical incident stress debriefing (CISD) on posttraumatic symptoms
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DOI:
10.1023/a:1011117018705
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发表时间:
2001-04-01
影响因子:
3.3
通讯作者:
Hills, AM
Hills, AM
中科院分区:
医学3区
文献类型:
--
作者:
Campfield, KM;Hills, AM

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77名被抢劫的文职雇员被随机分配到一个即时(< 10小时)或延迟(> 48小时)的任务组,使用J.Mitchell(1983)CISD协议。在4个时间间隔获得创伤后应激诊断量表的评分:汇报后2天和4天以及麻醉后2周。症状的数量和严重程度在汇报时没有差异,但在随后的每个时间间隔,立即组低于延迟组。症状的数量和严重程度随时间间隔下降:然而,尽管这种减少对于立即组是明显的,但是对于延迟组是最小的。结果支持使用这种类型的事件和受害者的立即汇报。
Seventy-seven civilian employees who were victims of robbery were randomly as signed to either an immediate (< 10 hr) or delayed (> 48 hr) debriefing group, using the J. Mitchell (1983) CISD protocol. Scores on the Posttraumatic Stress Diagnostic Scale were obtained at 4 time intervals: debrief 2 and 4 days post-debrief and 2 weeks postrobbery. The number and severity of symptoms did not differ at debrief bur were lower for the immediate than for the delayed group at each subsequent time interval. The number and severity of symptoms declined across time intervals: however, although this reduction was pronounced for the immediate group it,was minimal for the delayed group. The results supported use of immediate debriefing with this type of incident and victim.