None listed
Conditions
Brief summary
The aim of this study is to develop and test a model of service delivery that will screen patients in the acute stages post traumatic injury and then monitor and treat patients identified as at risk for mental health problems, particularly PTSD, depression and anxiety, following traumatic injury, using a trauma focused cognitive behavioural intervention.
Interventions
The intervention trialled in this study is trauma focused cognitive behavioural therapy (TF-CBT). Participants in this group are offered this treatment 4-6 weeks post injury (early intervention condition). This intervention is delivered on a session basis (one to two sessions per week) for a period of 6-10 sessions. Each session has a duration of 90 minutes. The intervention in this study, TF-CBT, involves psychoeducation around psychological symptoms and trauma, anxiety management, exposure
The intervention trialled in this study is trauma focused cognitive behavioural therapy (TF-CBT). Participants in this group are offered this treatment 4-6 weeks post injury (early intervention condition). This intervention is delivered on a session basis (one to two sessions per week) for a period of 6-10 sessions. Each session has a duration of 90 minutes. The intervention in this study, TF-CBT, involves psychoeducation around psychological symptoms and trauma, anxiety management, exposure to feared thoughts and situations, cognitive therapy for identifying and challenging maladaptive thought processes around trauma, activity and positive event scheduling and relapse prevention. The administration of these modules in the therapy are tailored for the particular presentation of symptoms. For example, if the presentation is primarily comprised of depressive symptoms, an emphasis on activity and positive events is made. Likewise if the presentation comprises primarliy of PTSD symptoms, an emphasis on prolongued exposure is made.
Sponsors
Australian Centre for Posttraumatic Mental Health (ACPMH), Dpt of Psychiatry, University of Melbourne
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)
Eligibility
Sex/Gender
All
Age
16 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Inclusion- a) A patient with physical injury that requires an admission of at least 24 hours to the trauma service. b) No brain injury or Mild Traumatic Brain Injury.c) Age between 16 and 65 years (parental consent for <18).d) A reasonable comprehension of English (defined by proficiency to read and understand the participant information sheet and consent form).
Exclusion criteria
Exclusion:a) Non traumatic injury – defined as patients with an injury that is minor and caused by a non-traumatic event. This includes minor injury sustained by the following mechanisms of injury:• Falling from a non-height (e.g., tripping, slipping, fainting)• Domestic accidents (accidents that occur around the home)• Sporting injuries b) Deathc) Age >65 or <16d) Satellite admission – in some cases patients are kept in wards for observation, usually because their injuries are relatively minor. Those in observation wards are not included in the study.e) Brain injury is greater than mild f) The injury is a result of deliberate self-harm g) The individual has a history of or current psychotic disorderh) A temporary Australian visitor (e.g., tourist)i) Non English speakerj) Admission <24 hoursk) Actively suicidall) Cognitive impairmentm) Under police guardn) Missed patients
Outcome results
None listed