Early psychological interventions for posttraumatic stress, depression and anxiety after traumatic injury: A systematic review and meta-analysis

Clinical Psychology Review
Melita J GiummarraBelinda J Gabbe

Abstract

The psychological impacts of injury have significant long-term implications on injury recovery. This review examined the effectiveness of interventions delivered within three months of injury on reducing the severity of posttraumatic stress disorder (PTSD), anxiety and depression symptoms. A systematic search of seven databases (PsycINFO, Medline, Web of Science, CINAHL, Embase, Scopus and Cochrane Library) identified 15,224 records. 212 full-text articles were retrieved, 26 studies were included in narrative synthesis, and 12 studies with lower risk of bias were included in meta-analyses. Prolonged exposure, and cognitive and behavioural interventions elicited improvements in PTSD, anxiety and depression symptoms; multidisciplinary interventions improved PTSD and depression symptoms; and education-based interventions had little impact on any psychological symptoms. Studies comprising risk stratified or stepped care methods showed markedly greater population impact through better reach, implementation and adoption. Meta-analyses revealed small-medium reductions in PTSD symptoms over the first 12 months postinjury (SMD = 0.32 to 0.49) with clinically meaningful effects in 64% of studies; reduced depression symptoms at 0-3 (small...Continue Reading

Citations

Oct 12, 2019·Science·Timothy A C GordonStephen D Simpson
Aug 31, 2019·Trauma Surgery & Acute Care Open·Sacha A McBainSara J Landes
Aug 28, 2019·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Melita J GiummarraBelinda J Gabbe
Jun 28, 2019·Current Psychiatry Reports·Patricia Watson
Jan 1, 2019·Depression and Anxiety·Timothy J GeierTerri A deRoon-Cassini
May 31, 2019·The Journal of Trauma and Acute Care Surgery·Christopher H PhamCatherine M Kuza
Dec 20, 2019·European Journal of Psychotraumatology·Neil P RobertsJonathan I Bisson
May 18, 2020·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Lisa Nicole SharwoodJesse Young
Oct 11, 2020·International Journal of Environmental Research and Public Health·Thi L NguyenMelita J Giummarra
Mar 14, 2021·Clinical Psychology Review·Matt BodenCarmen P McLean
Sep 27, 2020·International Journal of Behavioral Medicine·Irit HerutiShoshana Shiloh
May 21, 2021·The Cochrane Database of Systematic Reviews·Natalie SimonJonathan I Bisson
Mar 14, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Alison FlehrDeborah Loxton
Oct 12, 2021·Frontiers in Human Neuroscience·Karen Y L HuiChetwyn C H Chan
Nov 19, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Rebecca J MitchellMichael Dinh
Nov 27, 2021·The Australian and New Zealand Journal of Psychiatry·Shanthi AmeratungaSarah Derrett
Nov 10, 2021·Journal of Burn Care & Research : Official Publication of the American Burn Association·Olivia R StocklyJeffrey C Schneider
Oct 1, 2021·The Journal of Trauma and Acute Care Surgery·Kenneth J RuggieroAshley B Hink

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