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Rationale:
- Although crisis debriefing interventions are now popular for individuals who have experienced a traumatic stress, they do
not reduce acute symptoms, nor do they prevent the development of PTSD.
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Evidence:
- A recent meta-analysis found a statistically nonsignificant increase in PTSD rates after debriefing (RR, 1.33 [CI, 0.75 to
2.37]) (5).
- An expert panel recently reviewed all data on the efficacy of crisis debriefing interventions. Interventions that include single-session
recounting of the event seemed to do more harm than good (i.e., they increased symptoms) (6).
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Comments:
- Concepts of acute interventions developed in the 1990s have failed to show benefits in recent studies.
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Jeffrey P. Staab, MD, MS, is a consultant for Eli Lilly, Forest Laboratories, received honorarium from Abbott Laboratories, received grants from GlaxoSmithKline,
Pfizer. Michael Roy, MD, editorial consultant, received honorarium from PFizer.
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The information included herein should never be used as a substitute
for clinical judgment and does not represent an official position of
ACP. Because all PIER modules are updated regularly, printed web pages
or PDFs may rapidly become obsolete. Therefore, PIER users should
compare the date of the last update on the website with any printout
to ensure that the information being referred to is the most current
available.
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PIER is copyrighted (c) 2008 by the American College of Physicians,
190 N. Independence Mall West, Philadelphia, PA 19106-1572, USA.
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Posttraumatic Stress Disorder
> Prevention
