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Therapeutics
Cognitive therapy prevented onset of chronic post-traumatic stress disorder after a motor vehicle accident

https://doi.org/10.1136/ebm.9.3.84

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    Ehlers A, Clark DM, Hackmann A, et al. A randomized controlled trial of cognitive therapy, a self-help booklet, and repeated assessments as early interventions for posttraumatic stress disorder. Arch Gen Psychiatry 2003;60:1024–32.
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 Q In patients who developed post-traumatic stress disorder (PTSD) ⩽3 months after a motor vehicle accident, is cognitive therapy (CT) or a self help booklet (SHB) more effective than repeated assessments (RA) for preventing chronic PTSD?

    Clinical impact ratings Mental health ★★★★★☆☆ Psychiatry (specialist) ★★★★★★☆

    METHODS

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    concealed.*

    Embedded ImageBlinding:

    blinded (outcome assessors).*

    Embedded ImageFollow up period:

    9 months.

    Embedded ImageSetting:

    local accident and emergency departments of 2 hospitals in the UK.

    Embedded ImagePatients:

    85 survivors of motor vehicle accidents who were 18–65 years of age, met DSM-IV criteria for PTSD in the initial months after the accident, had Posttraumatic Diagnostic Scale (PDS) scores ⩾20, and were to receive treatment ⩽6 months after the accident. Exclusion criteria included having no memory of the accident, history of psychosis, and need for an interpreter.

    Embedded ImageIntervention:

    after a 3 week self monitoring …

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    Footnotes

    • ↵* See glossary.

    • For correspondence: Dr A Ehlers, Institute of Psychiatry, London, UK. a.ehlersiop.kcl.ac.uk

    • Sources of funding: Wellcome Trust and Oxfordshire National Health Service Trust Research and Development Fund.

    Linked Articles

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      BMJ Publishing Group Ltd
      BMJ Evidence-Based Medicine 2004; 9 96-96 Published Online First: 28 May 2004. doi: 10.1136/ebm.9.3.96