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. 2010 Aug;11(3):274-8.

Feasibility of identifying eligible trauma patients for posttraumatic stress disorder intervention

Emily Malcoun  1 , Debra Houry, Cathrine Arndt-Jordan, Megan C Kearns, Lindsey Zimmerman, Michelle Hammond-Susten, Barbara O Rothbaum
Affiliations

Feasibility of identifying eligible trauma patients for posttraumatic stress disorder intervention

Emily Malcoun et al. West J Emerg Med. 2010 Aug.

Abstract

Objective: This research report examines the feasibility of identifying eligible trauma patients for a study providing an early therapeutic intervention for the prevention of posttraumatic stress disorder (PTSD), and identifies reasons around participation.

Methods: This prospective observational study used a convenience sample of acute trauma victims presenting to a university-affiliated Level One trauma center in a large southeastern city. Patients eligible to participate in the early intervention study were adults (18- 65) who experienced a traumatic event within 72 hours of presentation, feared that they might be killed or seriously injured during the event, and were able to return for follow-up appointments. Patients were excluded if they were non-English speaking; experienced a loss of consciousness greater than five minutes; had a history of a serious mental illness or were currently suicidal; or endorsed current substance dependence. Descriptive statistics were conducted to determine differences in ineligible, eligible, and consenting trauma patients who enrolled in the intervention study.

Results: Over a six-month period, n =1961 patients presented for treatment of a traumatic injury during study hours. Results showed that eligible patients were significantly younger than ineligible patients. Survivors of assaults (physical and sexual), younger patients, and women were generally more likely to participate in a study offering a psychological intervention in the immediate aftermath of a traumatic event.

Conclusion: Fourteen percent of trauma patients were eligible and entered a study offering an early psychological intervention for the prevention of PTSD. Trauma type, age and gender may play a role in determining preference for receiving psychological services immediately after experiencing a traumatic event.

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Figures

Figure 1.
Figure 1.
Screened Trauma to Enrolled Trauma Note. Other types of traumatic events included animal attacks, sports injuries and bicycle accidents.
Figure 2.
Figure 2.
Screening Group by Trauma Type
See this image and copyright information in PMC

References

    1. American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Washington, DC: American Psychiatric Association; 2000.
    1. Kessler RC, Sonnega A, Bromet E, et al. Posttraumatic stress disorder in the national comorbidity survey. Arch Gen Psychiatry. 1995:1048–60. - PubMed
    1. Norris FH. Epidemiology of trauma: Frequency and impact of different potentially traumatic events on different demographic groups. J Consulting and Clinical Psychology. 1992;60:409–18. - PubMed
    1. National Center for Health Statistics Data on Injuries. 2009. Available at: www.cdc.gov/nchs/faststats/injury.htm.
    1. O’Donnell ML, Creamer M, Holmes ACN, et al. Posttraumatic stress disorder after injury: Does admission to intensive care unit increase risk? The Journal of TRAUMA Injury, Infection and Critical Care. 2010;10:1–6. - PubMed