Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 926-933 |
| Number of pages | 8 |
| Journal | Australian and New Zealand Journal of Psychiatry |
| Volume | 41 |
| Issue number | 11 |
| DOIs | |
| Publication status | Published - Nov 2007 |
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Trial of interpersonal counselling after major physical trauma. / Holmes, Alex; Hodgins, Gene; Adey, Sarah; Menzel, Shelly; Danne, Peter; Kossmann, Thomas; Judd, Fiona.
In: Australian and New Zealand Journal of Psychiatry, Vol. 41, No. 11, 11.2007, p. 926-933.Research output: Contribution to journal › Article
TY - JOUR
T1 - Trial of interpersonal counselling after major physical trauma
AU - Holmes, Alex
AU - Hodgins, Gene
AU - Adey, Sarah
AU - Menzel, Shelly
AU - Danne, Peter
AU - Kossmann, Thomas
AU - Judd, Fiona
N1 - Imported on 12 Apr 2017 - DigiTool details were: month (773h) = November; Journal title (773t) = Australian and New Zealand Journal of Psychiatry. ISSNs: 0004-8674;
PY - 2007/11
Y1 - 2007/11
N2 - 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.
AB - 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.
KW - Interpersonal counselling
KW - Physical trauma
KW - Randomised control trial
U2 - 10.1080/00048670701634945
DO - 10.1080/00048670701634945
M3 - Article
VL - 41
SP - 926
EP - 933
JO - Australian and New Zealand Journal of Psychiatry
JF - Australian and New Zealand Journal of Psychiatry
SN - 0004-8674
IS - 11
ER -