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Evidence-Based Medicine 2009;14:107; doi:10.1136/ebm.14.4.107
Copyright © 2009 by the BMJ Publishing Group Ltd.

THERAPEUTICS

Review: multiple-session trauma-focused CBT within 3 months of event reduces symptoms in acute stress disorder and PTSD

The first 150 words of the full text of this article appear below.


QUESTION

Are multiple-session psychological interventions within 3 months of a traumatic event effective for preventing and treating stress symptoms?


REVIEW SCOPE

Included studies were randomised controlled trials (RCTs) that evaluated >=1 psychological intervention (>1 session) within 3 months of a traumatic event in adults. Outcomes were rates and severity of post-traumatic stress disorder (PTSD).


REVIEW METHODS

10 electronic databases (all to Jul 2007); websites; and reference lists were searched for RCTs. 2 journals were hand searched, and key researchers were contacted. 25 RCTs met the inclusion criteria.


MAIN RESULTS

Interventions for preventing PTSD after exposure to traumatic event. Pooled analysis (6 RCTs) showed that brief psychosocial interventions within 1 month of trauma did not prevent PTSD more than treatment as usual (table). Interventions for people who have traumatic stress symptoms within 3 months after event. 9 RCTs individually showed a benefit for trauma-focused cognitive–behavioural therapy (CBT), but pooled analysis (7 RCTs) showed no difference (table). . . . [Full text of this article]

Charles C Engel

Uniformed Services University, Bethesda, Maryland, USA


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