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Are psychosocial interventions effective in preventing physical, mental and social disability after a traumatic physical injury?
Primary: extent of physical disability, mental health status, quality of life and physical and social functioning, and measured using validated instruments. Secondary: social functioning such as social participation, employment status and healthcare utilisation.
The Cochrane Injuries Group Specialised Register, CENTRAL, MEDLINE (including PUBMED), EMBASE, PsycINFO, SSCI and the Controlled Trials metaRegister were searched up to January or February 2008. Reference lists of the selected papers were also searched, and there were no restrictions by date, language or publication status.
Study selection and analysis:
Two reviewers independently selected potentially relevant studies. Inclusion criteria were randomised controlled trails (RCTs) of any design evaluating psychosocial interventions in people who had suffered a traumatic physical injury. Psychosocial interventions included therapies such as cognitive-behavioural therapy (CBT) or counselling and social interventions such as befriending or mentoring. Comparators were usual care, pharmacological treatments or physical interventions alone or in combination. Trials that involved the following types of subjects were excluded: people with traumatic brain injury who needed a physical, economic or complex …
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