Skip to main content
×
×
Home

Randomised controlled trial of psychological debriefing for victims of acute burn trauma

  • Jonathan I. Bisson (a1), Peter L. Jenkins (a2), Julie Alexander (a2) and Carol Bannister (a2)
Abstract
Background

Psychological debriefing (PD) is widely used following major traumatic events in an attempt to reduce psychological sequelae.

Method

One hundred and thirty-three adult burn trauma victims entered the study. After initial questionnaire completion, participants were randomly allocated to an individual/couple PD group or a control group who received no intervention; 110 (83%) were interviewed by an assessor blind to PD status three and 13 months later.

Results

Sixteen (26%) of the PD group had PTSD at 13-month follow-up, compared with four (9%) of the control group. The PD group had higher initial questionnaire scores and more severe dimensions of burn trauma than the control group, both of which were associated with a poorer outcome.

Conclusions

This study seriously questions the wisdom of advocating one-off interventions post-trauma, and should stimulate research into more effective initiatives.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Randomised controlled trial of psychological debriefing for victims of acute burn trauma
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Randomised controlled trial of psychological debriefing for victims of acute burn trauma
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Randomised controlled trial of psychological debriefing for victims of acute burn trauma
      Available formats
      ×
Copyright
Corresponding author
Dr J. I. Bisson, Gabalfa Clinic, 213 North Road, Cardiff CF4 3AG. Fax: 01222 627954. e-mail: 101454.3011@compuserve.com
References
Hide All
American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM–IV). Washington, DC: APA.
Blake, D. D., Weathers, F. W. & Nagy, L. N. (1990) A clinician rating scale for assessing current and lifetime PTSD: the CAPS–1. Behaviour Therapist, 18, 187188.
Horowitz, M. J., Wilner, N. R. & Alvarez, W. (1979) Impact of event scale: a measure of subjective stress. Psychosomatic Medicine, 41, 768781.
Kilpatrick, A. G., Saunders, B. E., Amick-McMullan, A., et al (1989) Victim and crime factors associated with the development of crime related post-traumatic stress disorder. Behaviour Therapy, 20, 199214.
Lee, C., Slade, P. & Lygo, V. (1996) The influence of psychological debriefing on emotional adaptation in females following early miscarriage. British Journal of Medical Psychology, 69, 4758.
Malt, U. F. (1988) The long-term consequences of accidental injuries. British Journal of Psychiatry, 153, 810818.
Mayou, R., Bryant, B. & Duthie, R. (1993) Psychiatric consequences of road traffic accidents. British Medical Journal, 307, 647651.
Mitchell, J. T. (1903) When disaster strikes … the critical incident debriefing process. Journal of the Emergency Medical Services, 8, 3639.
Peterson, D. R., Carrigan, L., Quested, K. A., et al (1990) Post-traumatic stress disorder in hospitalised patients with burn injuries. Journal of Burn Care and Rehabilitation, 11, 181184.
Perez-Jimenez, J. P., Graell-Berna, M., Perez-Sales, P., et al (1993) Severe burn injury and post-traumatic stress disorder. American Journal of Psychiatry, 150, 1276.
Perry, S., Difede, J., Musngi, G., et al (1992) Predictors of post-traumatic stress disorder after burn injury. American Journal of Psychiatry, 149, 931935.
Pitman, R. K., Altman, B., Greenwald, E., et al (1991) Psychiatric complications during flooding therapy for posttraumatic stress disorder. Journal of Clinical Psychiatry, 52, 1720.
Raphael, B., Meldrum, L. & McFmrlane, A. C. (1995) Does debriefing after psychological trauma work? Time for randomised controlled trials. British Medical Journal, 310, 14791480.
Robinson, R. C. & Mitchell, J. T. (1993) Evaluation of psychological debriefings. Journal of Traumatic Stress, 6, 367382.
Zigmond, A. S. & Snaith, R. P. (1983) The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361370.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 62 *
Loading metrics...

Abstract views

Total abstract views: 132 *
Loading metrics...

* Views captured on Cambridge Core between 3rd January 2018 - 25th April 2018. This data will be updated every 24 hours.

Randomised controlled trial of psychological debriefing for victims of acute burn trauma

  • Jonathan I. Bisson (a1), Peter L. Jenkins (a2), Julie Alexander (a2) and Carol Bannister (a2)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *