Multiple session early psychological interventions for the prevention of post-traumatic stress disorder

Roberts, Neil P.; Kitchiner, Neil J; Kenardy, Justin; Robertson, Lindsay; Lewis, Catrin; Bisson, Jonathan I.

doi:10.1002/14651858.cd006869.pub3

Cited by 50 publications

(39 citation statements)

References 126 publications

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“…after cardiac surgery), and thus have significant wider public health interest. Indeed, since we also lack preventative treatments for PTSD in the general population (Roberts, Kitchiner, Kenardy, & Bisson, 2009), ECS offers trauma researchers the opportunity of a unique test platform - the traumatic event (ECS) is relatively standardised, as is the hospital setting in which a new intervention can be tested.…”

Section: Discussionmentioning

confidence: 99%

Reducing intrusive traumatic memories after emergency caesarean section: A proof-of-principle randomized controlled study

Horsch¹,

Vial²,

Favrod³

et al. 2017

Behaviour Research and Therapy

139

192

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Preventative psychological interventions to aid women after traumatic childbirth are needed. This proof-of-principle randomized controlled study evaluated whether the number of intrusive traumatic memories mothers experience after emergency caesarean section (ECS) could be reduced by a brief cognitive intervention. 56 women after ECS were randomized to one of two parallel groups in a 1:1 ratio: intervention (usual care plus cognitive task procedure) or control (usual care). The intervention group engaged in a visuospatial task (computer-game ‘Tetris’ via a handheld gaming device) for 15 min within six hours following their ECS. The primary outcome was the number of intrusive traumatic memories related to the ECS recorded in a diary for the week post-ECS. As predicted, compared with controls, the intervention group reported fewer intrusive traumatic memories (M = 4.77, SD = 10.71 vs. M = 9.22, SD = 10.69, d = 0.647 [95% CI: 0.106, 1.182]) over 1 week (intention-to-treat analyses, primary outcome). There was a trend towards reduced acute stress re-experiencing symptoms (d = 0.503 [95% CI: −0.032, 1.033]) after 1 week (intention-to-treat analyses). Times series analysis on daily intrusions data confirmed the predicted difference between groups. 72% of women rated the intervention “rather” to “extremely” acceptable. This represents a first step in the development of an early (and potentially universal) intervention to prevent postnatal posttraumatic stress symptoms that may benefit both mother and child.Clinical trial registrationClinicalTrials.gov, www.clinicaltrials.gov, NCT02502513.

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Section: Discussionmentioning

confidence: 99%

Reducing intrusive traumatic memories after emergency caesarean section: A proof-of-principle randomized controlled study

Horsch¹,

Vial²,

Favrod³

et al. 2017

Behaviour Research and Therapy

139

192

View full text Add to dashboard Cite

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“…The RCTs included in these reviews were used as the basis of the evidence to be considered for the ISTSS guidelines. Existing reviews (Bisson, Andrew, Roberts, Cooper, & Lewis, ; Hoskins et al., ; Lewis, Roberts, Bethell, & Bisson, ; NICE, ; Roberts, Kitchiner, Kenardy, & Bisson, , ; Rose, Bisson, Churchill, Wessely, ; Sijbrandij, Kleiboer, Bisson, Barbui, & Cuijpers, ) were supplemented with additional systematic searches for more recent RCTs and by asking experts in the field as well as the ISTSS membership to identify any studies that might have been omitted. New systematic reviews were undertaken for the nonpsychological and nonpharmacological scoping questions.…”

Section: Methodsmentioning

confidence: 99%

The International Society for Traumatic Stress Studies New Guidelines for the Prevention and Treatment of Posttraumatic Stress Disorder: Methodology and Development Process

Bisson

Berliner²,

Cloitre

et al. 2019

Journal of Traumatic Stress

Self Cite

212

112

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Over the last two decades, treatment guidelines have become major aids in the delivery of evidence‐based care and improvement of clinical outcomes. The International Society for Traumatic Stress Studies (ISTSS) produced the first guidelines for the prevention and treatment of posttraumatic stress disorder (PTSD) in 2000 and published its latest recommendations, along with position papers on complex PTSD (CPTSD), in November 2018. A rigorous methodology was developed and followed; scoping questions were posed, systematic reviews were undertaken, and 361 randomized controlled trials were included according to the a priori agreed inclusion criteria. In total, 208 meta‐analyses were conducted and used to generate 125 recommendations (101 for adults and 24 for children and adolescents) for specific prevention and treatment interventions, using an agreed definition of clinical importance and recommendation setting algorithm. There were eight strong, eight standard, five low effect, 26 emerging evidence, and 78 insufficient evidence to recommend recommendations. The inclusion of separate scoping questions on treatments for complex presentations of PTSD was considered but decided against due to definitional issues and the virtual absence of studies specifically designed to clearly answer possible scoping questions in this area. Narrative reviews were undertaken and position papers prepared (one for adults and one for children and adolescents) to consider the current issues around CPTSD and make recommendations to facilitate further research. This paper describes the methodology and results of the ISTSS Guideline process and considers the interpretation and implementation of the recommendations.

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“…None of these have considered couple or family therapies. Other relevant Cochrane reviews have focused on prevention of PTSD and treatment of distress immediately (i.e., one to three months) following trauma exposure (Roberts 2009;Rose 2002). The currently proposed review will thus provide the first focused examination of best quality clinical trials of couple and family therapies for PTSD in adults.…”

Section: Why It Is Important To Do This Reviewmentioning

confidence: 99%

Couple and family therapies for post-traumatic stress disorder (PTSD)

Suomi

Evans

Rodgers

et al. 2019

Cochrane Database of Systematic Reviews

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The objectives of this review will be to: 1. assess the efficacy of couple and family therapies for adult PTSD, relative to 'no treatment' conditions, 'standard care', and structured or non-specific individual psychological therapies; 2. examine the clinical characteristics of studies that influence the relative efficacy of these therapies; and 3. critically evaluate methodological features of studies that bias research findings.

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Multiple session early psychological interventions for the prevention of post-traumatic stress disorder

Abstract: Multiple session early psychological interventions for the prevention of post-traumatic stress disorder.

Cited by 50 publications

References 126 publications

Reducing intrusive traumatic memories after emergency caesarean section: A proof-of-principle randomized controlled study

Reducing intrusive traumatic memories after emergency caesarean section: A proof-of-principle randomized controlled study

The International Society for Traumatic Stress Studies New Guidelines for the Prevention and Treatment of Posttraumatic Stress Disorder: Methodology and Development Process

Couple and family therapies for post-traumatic stress disorder (PTSD)

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