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Q Does cognitive-behavioural therapy shortly after physical injury reduce symptoms of post-traumatic stress?
Randomised controlled trial.
Assessors blinded to treatment.
Follow up period:
Hospital Accident and Emergency unit, Wales; recruitment March 1997 to February 1998.
152 people (aged between 16 and 70 years; 43% male) physically injured, mainly by motor vehicle accident or assault, and with acute psychological distress (DSM-IV, PTSD symptom criteria from PTSD Diagnostic Scale, Hospital Anxiety and Depression Scale (HADS) score >15 or Impact of Event Scale (IES) score >35). Exclusions: psychiatric disorder, physical disability, illness, or cognitive deficit.
Cognitive behaviour therapy (CBT) involving weekly 1 hour counselling sessions with a trained psychologist for 4 weeks. Counselling started 5–10 weeks …
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