This research was supported by a National Health and Medical Research Council Program Grant (568970), a Victorian Trauma Foundation grant (#V-11), and a National Health and Medical Research Council Australian Clinical Research Fellowship (359284).
Stepped early psychological intervention for posttraumatic stress disorder, other anxiety disorders, and depression following serious injury†
Article first published online: 20 APR 2012
Copyright © 2012 International Society for Traumatic Stress Studies
Journal of Traumatic Stress
Volume 25, Issue 2, pages 125–133, April 2012
How to Cite
O'Donnell, M. L., Lau, W., Tipping, S., Holmes, A. C. N., Ellen, S., Judson, R., Varker, T., Elliot, P., Bryant, R. A., Creamer, M. C. and Forbes, D. (2012), Stepped early psychological intervention for posttraumatic stress disorder, other anxiety disorders, and depression following serious injury. J. Traum. Stress, 25: 125–133. doi: 10.1002/jts.21677
An early version of this research was presented at the World International Congress of Psychiatry, Melbourne, Australia (30 Nov 2007).
- Issue published online: 20 APR 2012
- Article first published online: 20 APR 2012
The best approach for implementing early psychological intervention for anxiety and depressive disorders after a traumatic event has not been established. This study aimed to test the effectiveness of a stepped model of early psychological intervention following traumatic injury. A sample of 683 consecutively admitted injury patients were screened during hospitalization. High-risk patients were followed up at 4-weeks postinjury and assessed for anxiety and depression symptom levels. Patients with elevated symptoms were randomly assigned to receive 4–10 sessions of cognitive–behavioral therapy (n = 24) or usual care (n = 22). Screening in the hospital identified 89% of those who went on to develop any anxiety or affective disorder at 12 months. Relative to usual care, patients receiving early intervention had significantly improved mental health at 12 months. A stepped model can effectively identify and treat injury patients with high psychiatric symptoms within 3 months of the initial trauma.