OBJECTIVE: The purpose of the present study was to determine if interpersonal counselling (IPC) was effective in reducing psychological morbidityafter major physical trauma. METHODS:One hundred and seventeen subjects were recruited from two major trauma centres and randomized to treatment as usual or IPC in the first 3 months following trauma. Measures of depressive, anxiety and post-traumatic symptoms were taken at baseline, 3 months and 6 months. The Structured Clinical Interview for DSM IV diagnoses was conducted at baseline and at 6 months to assess for psychiatric disorder. RESULTS:Fifty-eight patients completed the study. Only half the patients randomized to IPC completed the therapy. At 6 months the level of depressive, anxiety and post-traumatic symptoms and the prevalence of psychiatric disorder did not differ significantly between the intervention and treatment-as-usual groups. Subjects with a past history of major depression who receivedIPC had significantly higher levels of depressive symptoms at 6 months. CONCLUSION:IPC was not effective as a universal intervention to reduce psychiatric morbidityafter major physical trauma and may increase morbidity in vulnerable individuals. Patient dropout is likely to be a major problem in universal multi-session preventative interventions.
RCT Entities:
OBJECTIVE: The purpose of the present study was to determine if interpersonal counselling (IPC) was effective in reducing psychological morbidity after major physical trauma. METHODS: One hundred and seventeen subjects were recruited from two major trauma centres and randomized to treatment as usual or IPC in the first 3 months following trauma. Measures of depressive, anxiety and post-traumatic symptoms were taken at baseline, 3 months and 6 months. The Structured Clinical Interview for DSM IV diagnoses was conducted at baseline and at 6 months to assess for psychiatric disorder. RESULTS: Fifty-eight patients completed the study. Only half the patients randomized to IPC completed the therapy. At 6 months the level of depressive, anxiety and post-traumatic symptoms and the prevalence of psychiatric disorder did not differ significantly between the intervention and treatment-as-usual groups. Subjects with a past history of major depression who received IPC had significantly higher levels of depressive symptoms at 6 months. CONCLUSION: IPC was not effective as a universal intervention to reduce psychiatric morbidity after major physical trauma and may increase morbidity in vulnerable individuals. Patient dropout is likely to be a major problem in universal multi-session preventative interventions.
Authors: Neil P Roberts; Neil J Kitchiner; Justin Kenardy; Lindsay Robertson; Catrin Lewis; Jonathan I Bisson Journal: Cochrane Database Syst Rev Date: 2019-08-08
Authors: Tiffany H Taft; Alyse Bedell; Meredith R Craven; Livia Guadagnoli; Sarah Quinton; Stephen B Hanauer Journal: Inflamm Bowel Dis Date: 2019-08-20 Impact factor: 5.325
Authors: Myrna M Weissman; Sidney H Hankerson; Pamela Scorza; Mark Olfson; Helena Verdeli; Steven Shea; Rafael Lantigua; Milton Wainberg Journal: Am J Psychother Date: 2014
Authors: Camila T Matsuzaka; Milton Wainberg; Andrea Norcini Pala; Elis V Hoffmann; Bruno M Coimbra; Rosaly F Braga; Annika C Sweetland; Marcelo F Mello Journal: BMC Psychiatry Date: 2017-06-21 Impact factor: 3.630
Authors: Oliver J Schofield-Robinson; Sharon R Lewis; Andrew F Smith; Joanne McPeake; Phil Alderson Journal: Cochrane Database Syst Rev Date: 2018-11-02