EARLY INTERVENTIONS FOR PTSD: A REVIEW
The high prevalence of trauma exposure and subsequent negative consequences for both survivors and society as a whole emphasize the need for secondary prevention of posttraumatic stress disorder. However, clinicians and relief workers remain limited in their ability to intervene effectively in the a...
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| Published in | Depression and anxiety Vol. 29; no. 10; pp. 833 - 842 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Blackwell Publishing Ltd
01.10.2012
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| Online Access | Get full text |
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| Abstract | The high prevalence of trauma exposure and subsequent negative consequences for both survivors and society as a whole emphasize the need for secondary prevention of posttraumatic stress disorder. However, clinicians and relief workers remain limited in their ability to intervene effectively in the aftermath of trauma and alleviate traumatic stress reactions that can lead to chronic PTSD. The scientific literature on early intervention for PTSD is reviewed, including early studies on psychological debriefing, pharmacological, and psychosocial interventions aimed at preventing chronic PTSD. Studies on fear extinction and memory consolidation are discussed in relation to PTSD prevention and the potential importance of immediate versus delayed intervention approaches and genetic predictors are briefly reviewed. Preliminary results from a modified prolonged exposure intervention applied within hours of trauma exposure in an emergency room setting are discussed, along with considerations related to intervention reach and overall population impact. Suggestions for future research are included. Prevention of PTSD, although currently not yet a reality, remains an exciting and hopeful possibility with current research approaches translating work from the laboratory to the clinic. |
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| AbstractList | The high prevalence of trauma exposure and subsequent negative consequences for both survivors and society as a whole emphasize the need for secondary prevention of posttraumatic stress disorder. However, clinicians and relief workers remain limited in their ability to intervene effectively in the aftermath of trauma and alleviate traumatic stress reactions that can lead to chronic PTSD. The scientific literature on early intervention for PTSD is reviewed, including early studies on psychological debriefing, pharmacological, and psychosocial interventions aimed at preventing chronic PTSD. Studies on fear extinction and memory consolidation are discussed in relation to PTSD prevention and the potential importance of immediate versus delayed intervention approaches and genetic predictors are briefly reviewed. Preliminary results from a modified prolonged exposure intervention applied within hours of trauma exposure in an emergency room setting are discussed, along with considerations related to intervention reach and overall population impact. Suggestions for future research are included. Prevention of PTSD, although currently not yet a reality, remains an exciting and hopeful possibility with current research approaches translating work from the laboratory to the clinic.The high prevalence of trauma exposure and subsequent negative consequences for both survivors and society as a whole emphasize the need for secondary prevention of posttraumatic stress disorder. However, clinicians and relief workers remain limited in their ability to intervene effectively in the aftermath of trauma and alleviate traumatic stress reactions that can lead to chronic PTSD. The scientific literature on early intervention for PTSD is reviewed, including early studies on psychological debriefing, pharmacological, and psychosocial interventions aimed at preventing chronic PTSD. Studies on fear extinction and memory consolidation are discussed in relation to PTSD prevention and the potential importance of immediate versus delayed intervention approaches and genetic predictors are briefly reviewed. Preliminary results from a modified prolonged exposure intervention applied within hours of trauma exposure in an emergency room setting are discussed, along with considerations related to intervention reach and overall population impact. Suggestions for future research are included. Prevention of PTSD, although currently not yet a reality, remains an exciting and hopeful possibility with current research approaches translating work from the laboratory to the clinic. The high prevalence of trauma exposure and subsequent negative consequences for both survivors and society as a whole emphasize the need for secondary prevention of posttraumatic stress disorder. However, clinicians and relief workers remain limited in their ability to intervene effectively in the aftermath of trauma and alleviate traumatic stress reactions that can lead to chronic PTSD. The scientific literature on early intervention for PTSD is reviewed, including early studies on psychological debriefing, pharmacological, and psychosocial interventions aimed at preventing chronic PTSD. Studies on fear extinction and memory consolidation are discussed in relation to PTSD prevention and the potential importance of immediate versus delayed intervention approaches and genetic predictors are briefly reviewed. Preliminary results from a modified prolonged exposure intervention applied within hours of trauma exposure in an emergency room setting are discussed, along with considerations related to intervention reach and overall population impact. Suggestions for future research are included. Prevention of PTSD, although currently not yet a reality, remains an exciting and hopeful possibility with current research approaches translating work from the laboratory to the clinic. |
| Author | Rothbaum, Barbara Olasov Kearns, Megan C. Ressler, Kerry J. Zatzick, Doug |
| AuthorAffiliation | 1 Emory University School of Medicine, Atlanta, Georgia 2 University of Washington School of Medicine, Seattle, Washington |
| AuthorAffiliation_xml | – name: 1 Emory University School of Medicine, Atlanta, Georgia – name: 2 University of Washington School of Medicine, Seattle, Washington |
| Author_xml | – sequence: 1 givenname: Megan C. surname: Kearns fullname: Kearns, Megan C. organization: Emory University School of Medicine, Georgia, Atlanta – sequence: 2 givenname: Kerry J. surname: Ressler fullname: Ressler, Kerry J. organization: Emory University School of Medicine, Georgia, Atlanta – sequence: 3 givenname: Doug surname: Zatzick fullname: Zatzick, Doug organization: University of Washington School of Medicine, Washington, Seattle – sequence: 4 givenname: Barbara Olasov surname: Rothbaum fullname: Rothbaum, Barbara Olasov email: brothba@emory.edu organization: Emory University School of Medicine, Georgia, Atlanta |
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| SubjectTerms | Adrenergic beta-Agonists - therapeutic use Analgesics - therapeutic use Anti-Inflammatory Agents - therapeutic use ASD Cognitive Therapy - methods early intervention Glucocorticoids - therapeutic use Humans Psychotherapy, Brief - methods PTSD secondary prevention Stress Disorders, Post-Traumatic - prevention & control Stress Disorders, Post-Traumatic - therapy |
| Title | EARLY INTERVENTIONS FOR PTSD: A REVIEW |
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