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Cognitive-behavioural therapy modestly reduces post-traumatic stress symptoms resulting from physical injury

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Q Does cognitive-behavioural therapy shortly after physical injury reduce symptoms of post-traumatic stress?


Embedded ImageDesign:

Randomised controlled trial.

Embedded ImageAllocation:


Embedded ImageBlinding:

Assessors blinded to treatment.

Embedded ImageFollow up period:

Thirteen months.

Embedded ImageSetting:

Hospital Accident and Emergency unit, Wales; recruitment March 1997 to February 1998.

Embedded ImagePatients:

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.

Embedded ImageIntervention:

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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