Early intervention for trauma-related problems following mass trauma

Patricia J. Watson

doi:10.1017/CBO9780511544415.007

6 - Early intervention for trauma-related problems following mass trauma

from Part III - Clinical care and interventions

Published online by Cambridge University Press: 09 August 2009

Edited by

Lars Weisaeth and

Patricia J. Watson: Affiliation:
National Center for PTSD VA Medical
Robert J. Ursano: Affiliation:
Uniformed Services University of the Health Sciences, Maryland
Carol S. Fullerton: Affiliation:
Uniformed Services University of the Health Sciences, Maryland
Lars Weisaeth: Affiliation:
Universitetet i Oslo
Beverley Raphael: Affiliation:
University of Western Sydney

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Summary

Over the last decade, the field of post-traumatic early intervention has made a concerted effort to evaluate and recommend interventions that have the potential to attenuate suffering and/or facilitate recovery trajectories following mass traumatic events. Progress in this field has been beset by difficulties in obtaining empirical support, as well as lack of a conceptual framework in which to organize clinical, consensus, and research recommendations. Interventions in the immediate aftermath of mass traumatic events have received very little solid research support, and, in the absence of a theoretically derived organizing framework, interventionists often perceive two contradictory recommendations from “experts”: an “intervention for all” (e.g., group debriefing) strategy, and a “wait and see” strategy (i.e., do nothing before the passage of time reveals those in need of formal treatment from those who recover on their own). There are no comparative studies of the two different intervention strategies at this time, and limited data to support either strategy.

While other chapters in the volume have focused on long-term intervention strategies following disaster, this chapter addresses public mental health interventions in the immediate phase following disasters and mass violence. In most literature related to mass violence interventions (Shalev & Ursano, 2004), the immediate phase has been identified as 0–14 days postincident; intermediate phase, 14 days to 3 months; and the later phase, 3 months onward.

Keywords

chronic stressors cognitive-behavioral therapy mental health interventions post-traumatic stress disorder social support socioeconomic status

Type: Chapter
Information: Textbook of Disaster Psychiatry , pp. 121 - 139

DOI: https://doi.org/10.1017/CBO9780511544415.007 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2007

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References

Bandura, A. (1997). Self-Efficacy: The Exercise of Control. New York: Freeman.

Bandura, A. (2001). Social cognitive theory: an agentive perspective. Annual Review of Psychology, 52, 1–26.Google Scholar

Basoglu, M., Salcioglu, E., Livanou, M., Kalender, D. & Acar, G. (2005). Single-session behavioral treatment of earthquake-related posttraumatic stress disorder: a randomized waiting list controlled trial. Journal of Traumatic Stress, 18, 1–11.Google Scholar

Benight, C. C. (2004). Collective efficacy following a series of natural disasters. Anxiety Stress and Coping, 17, 401–420.Google Scholar

Benight, C. C. & Bandura, A. (2004). Social cognitive theory of posttraumatic recovery: the role of perceived self-efficacy. Behaviour Research and Therapy, 42, 1129–1148.Google Scholar

Benight, C. C., Swift, E., Sanger, J., Smith, A. & Zeppelin, D. (l999). Coping self-efficacy as a prime mediator of distress following a natural disaster. Journal of Applied Social Psychology, 29, 2443–2464.Google Scholar

Bisson, J. I. (2003). Early interventions following traumatic events. Psychiatric Annals, 33, 37–44.Google Scholar

Bisson, J. I., Shepherd, J. P., Joy, D., Probert, R. & Newcombe, R. G. (2004). Early cognitive-behavioural therapy for post-traumatic stress symptoms after physical injury: Randomised controlled trial. British Journal Psychiatry, 184, 63–69.Google Scholar

Bonanno, G. A. (2004). Loss, trauma and human resilience: have we underestimated the human capacity to thrive after extremely adverse events?American Psychologist, 59, 20–28.Google Scholar

Boscarino, J. A., Galea, S., Ahern, J., Resnick, H. & Vlahov, D. (2002). Utilization of mental health services following the September 11th terrorist attacks in Manhattan, New York City. International Journal of Emergency Mental Health, 4, 143–155.Google Scholar

Brewin, C. R. (2001). A cognitive neuroscience account of posttraumatic stress disorder and its treatment. Behaviour Research and Theraphy, 39, 373–393.Google Scholar

Brewin, C. R. & Holmes, E. A. (2003). Psychological theories of posttraumatic stress disorder. Clinical Psychology Review, 23, 339–376.Google Scholar

Brewin, C. R. & Saunders, J. (2001). The effect of dissociation at encoding on intrusive memories for a stressful film. British Journal of Medical Psychology, 74, 467–472.Google Scholar

Brewin, C. R., Dalgleish, T. & Joseph, S. (1996). A dual representation theory of posttraumatic stress disorder. Archives of General Psychiatry, 50, 294–305.Google Scholar

Brewin, C., Rose, S. & Andrews, B. (2002). Screening to identify individuals at risk after exposure to trauma. In Early Intervention for Psychological Trauma, ed. Schneider, U.. Oxford: Oxford University Press.

Bryant, R. A. & Harvey, A. G. (2000). Acute Stress Disorder: A Handbook of Theory, Assessment, and Treatment. Washington, D.C.: American Psychological Association.

Bryant, R. A., Harvey, A. G., Dang, S. T., Sackville, T. & Basten, C. (1998). Treatment of acute stress disorder: a comparison of cognitive-behavioral therapy and supportive counseling. Journal of Consulting and Clinical Psychology, 66, 862–866.Google Scholar

Bryant, R. A., Sackville, T., Dang, S. T., Moulds, M. & Guthrie, R. (1999). Treating acute stress disorder: an evaluation of cognitive behavioral therapy and supportive counseling techniques. American Journal of Psychiatry, 156, 1780–1786.Google Scholar

Bryant, R. A., Moulds, M. L. & Nixon, R. V. (2003). Cognitive behaviour therapy of acute stress disorder: a four-year follow-up. Behaviour Research and Therapy, 41, 489–494.Google Scholar

Cassel, J. (1976). The contribution of the social environment to host resistance. American Journal of Epidemiology, 104, 107–123.Google Scholar

Dalgleish, T. (2004). Cognitive approaches to posttraumatic stress disorder: the evolution of multirepresentational theorizing. Psychological Bulletin, 130, 228.Google Scholar

DeLisi, L. E., Maurizio, A., Yost, M.et al. (2003). A survey of New Yorkers after the Sept. 11, 2001, terrorist attacks. American Journal of Psychiatry, 160, 780–783.Google Scholar

Dunmore, E., Clark, D. M. & Ehlers, A. (2001). A prospective investigation of the role of cognitive factors in persistent posttraumatic stress disorder (PTSD) after physical or sexual assault. Behaviour Research and Therapy, 39, 1063–1084.Google Scholar

Ehlers, A. & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38, 319–345.Google Scholar

Ehlers, A., Clark, D. M., Hackmann, A.et al. (2003). A randomized controlled trial of cognitive therapy, a self-help booklet, and repeated assessments as early interventions for posttraumatic stress disorder. Archives of General Psychiatry, 60, 1024–1032.Google Scholar

Galea, S., Ahern, J., Resnick, H.et al. (2002). Psychological sequelae of the September 11 terrorist attacks in New York City. New England Journal of Medicine, 346, 982–987.Google Scholar

Gega, L., Marks, I. & Mataix-Cols, D. (2004). Computer-aided CBT self-help for anxiety and depressive disorders: experience of a London clinic and future directions. Journal of Clinical Psychology, 60, 147–157.Google Scholar

Gidron, Y., Gal, R., Freedman, S. A.et al. (2001). Translating research findings to PTSD prevention: results of a randomized-controlled pilot study. Journal of Traumatic Stress, 14, 773–780.Google Scholar

Gould, R. A. & Clum, G. A. (1995). Self-help plus minimal therapist contact in the treatment of panic disorder: A replication and extension. Behavior Therapy, 26, 533–546.Google Scholar

Gray, M. J., Maguen, S. & Litz, B. T. (2004). Acute psychological impact of disaster and large scale trauma: limitations of traditional interventions and future practice recommendations. Prehospital and Disaster Medicine, 19, 64–72.Google Scholar

Greene, G. J., Lee, M. Y., Trask, R. & Rheinscheld, J. (2000). How to work with clients' strengths in crisis intervention. In Crisis Intervention Handbook: Assessment, Treatment, and Research, ed. Roberts, A.. Oxford: Oxford University Press.

Greist, J. H., Osgood-Hynes, D. J., Baer, L. & Marks, I. M. (2000). Technology-based advances in the management of depression: focus on the COPE program. Disease Management and Health Outcomes, 4, 193–200.Google Scholar

Halligan, S. L., Michael, T., Clark, D. M. & Ehlers, A. (2003). Posttraumatic stress disorder following assault: the role of cognitive processing, trauma memory, and appraisals. Journal of Consulting and Clinical Psychology, 71, 419–431.Google Scholar

Hobfoll, S. E. (1989). Conservation of resources. A new attempt at conceptualizing stress. American Psychologist, 44, 513–524.Google Scholar

Kaniasty, K. & Norris, F. H. (1993). A test of the social support deterioration model in the context of natural disaster. Journal of Personality and Social Psychology, 64, 395–408.Google Scholar

Lidren, D. M., Watkins, P. L., Gould, R. A., Clum, G. A., Asterino, M. & Tulloch, H. L. (1994). A comparison of bibliotherapy and group therapy in the treatment of panic disorder. Journal of Consulting and Clinical Psychology, 62, 865–869.Google Scholar

Litz, B. Implications for screening following mass trauma. Expert panel. Unpublished manuscript.

Litz, B. T., Gray, M. J., Bryant, R. A. & Adler, A. B. (2002). Early Intervention for Trauma: Current Status and Future Directions. Clinical Psychology: Science and Practice, 9, 112–134.Google Scholar

Litz, B. T., Gray, M. J., Bryant, R. A. & Adler, A. B. (2004a). Early intervention for trauma: current status and future directions. Clinical Psychology: Science and Practice.

Litz, B. T., Williams, L., Wang, J., Bryant, R. & Engel, C. C. jr. (2004b). A therapist-assisted Internet Self-Help Program for Traumatic Stress. Professional Psychology: Research and Practice, 35, 628–634.Google Scholar

Luce, A., Firth-Cozens, J., Midgley, S. & Burges, C. (2002). After the Omagh bomb: posttraumatic stress disorder in health service staff. Journal of Traumatic Stress, 25, 27–30.Google Scholar

Macy, R. D., Behar, L., Paulson, R., Delman, J., Schmid, L. & Smith, S. F. (2004). Community-based, acute posttraumatic stress management: a description and evaluation of a psychosocial-intervention continuum. Harvard Review of Psychiatry, 12, 217–228.Google Scholar

McNally, R. J., Bryant, R. A. & Ehlers, A. (2003). Does early psychological intervention promote recovery from posttraumatic stress?Psychological Science in the Public Interest, 4, 45–79.Google Scholar

Mohr, D. C., Likosky, W., Bertagnolli, A.et al. (2000). Telephone-administered cognitive-behavioral therapy for the treatment of depressive symptoms in multiple sclerosis. Journal of Consulting and Clinical Psychology, 68, 356–361.Google Scholar

National Institutes of Mental Health (2002). Mental Health and Mass Violence – Evidence Based Early Psychological Intervention for Victims/Survivors of Mass Violence: A Workshop to Reach Consensus on Best Practices. U.S. Department of Defense; U.S. Department of health and Human Services, the National Institute of Mental Health, the Substance Abuse and mental health Services Administration, Center for Mental Health Services; U.S. Department of Justice, Office for Victims of Crime; U.S. Department of Veterans Affairs, National Center for PTSD; and the American Red Cross. NIMH Report.

Neill, J. T. & Dias, K. L. (2001). Adventure education and resilience: the double-edged sword. Journal of Adventure Education and Outdoor Learning, 1, 35–42.Google Scholar

Norris, F. H. & Elrod, C. L. (2006). Phychosocial consequences of disasters: A review of past research. In Methods for Disaster Mental Health Research, eds. Norris, F. H., Galea, S., Friedman, M. J. & Watson, P. J.. New York, NY: Guilford Press.

Norris, F. H. & Murrell, S. A. (1984). Protective function of resources related to life events, global stress, and depression in older adults. Journal of Health and Social Behavior, 25, 424–437.Google Scholar

Norris, F. H., Friedman, M. & Watson, P. J.et al. (2002a). 60,000 disaster victims speak. Part II: Summary and implications of the disaster mental health research. Psychiatry, 65, 240–260.Google Scholar

Norris, F. H., Friedman, M. J., Watson, P. J. (2002b). 60,000 disaster victims speak. Part I: An empirical review of the empirical literature, 1981–2001. Psychiatry, 65, 207–239.Google Scholar

Norris, F., Kaniasty, K., Conrad, M. L., Inman, G. L. & Murphy, A. D. (2002c). Placing age differences in cultural context: a comparison of the effects of age on PTSD after disasters in the United States, Mexico, and Poland. Journal of Clinical Geropsychology, 8, 153–173.Google Scholar

North, C. S. & Pfefferbaum, B. (2002). Research on the mental health effects of terrorism. Journal of the American Medical Association, 288, 633–636.Google Scholar

Ozer, E., Best, S., Lipse, T. L. & Weiss, D. S. (2003). Predictors for posttraumatic stress disorder and symptoms in adults: a metaanalysis. Psychological Bulletin, 129, 52–73.Google Scholar

Pearlin, L. I. & Schooler, C. (1978). The structure of coping. Journal of Health and Social Behavior, 22, 337–356.Google Scholar

Pitman, R. K., Sanders, K. M., Zusman, R. M.et al. (2002). Pilot study of secondary prevention of post-traumatic stress disorder with propranolol. Biological Psychiatry, 51, 189–192.Google Scholar

Raphael, B. & Wilson, J. P. (2000). Psychological Debriefing: Theory, Practice, and Evidence. Cambridge: Cambridge University Press.

Raphael, B., Wilson, J., Meldrum, L. & McFarlane, A. C. (1996). Acute preventive intervations. In Traumatic Stress: The Effects of Overwhelming Experience on Mind, Body and Society, ed. Kolk, B. A., McFarlane, A. C. & Weisaeth, L. pp. 463–447. New York: Guilford Press.

Robert, R., Blakeney, P. E., Villarreal, C., Rosenberg, L. & Meyer, W. J. (1999). Imipramine treatment in pediatric burn patients with symptoms of acute stress disorder: a pilot study. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 873–882.Google Scholar

Rose, S., Bisson, J. & Wesseley, S. (2001). Psychological debriefing for preventing posttraumatic stress disorder. Cochrane Library; Issue 3. Oxford, England: Update software; 2001.

Schlenger, W. E., Caddell, J. M., Ebert, L.et al. (2002). Psychological reactions to terrorist attacks: findings from the National Study of Americans' Reactions to September 11. Journal of the American Medical Association, 288, 581–588.Google Scholar

Shalev, A. Y. Psycho-biological Perspectives on Early Reactions to Traumatic Events. Unpublished manuscript supported by a PHS research grant # NH-50379.

Shalev, A. Y. (2002). Treating survivors in the immediate aftermath of traumatic events. In Treating Trauma Survivors with PTSD: Bridging the Gap Between Intervention Research and Practice, ed. Yehuda, R.. Washington, D.C.: American Psychiatric Press.

Shalev, A. Y. & Ursano, R. J. (1998). Mapping the multidimensional picture of acute responses to traumatic stress. In Early Intervention for Psychological Trauma, ed. Schneider, U.. Oxford: Oxford University Press.

Simon, A. & Gorman, J. (2004). Psychopharmacological possibilities in the acute disaster setting. Psychiatric Clinics of North America, 27, 425–458.Google Scholar

Somer, E., Tamir, E., Maguen, S. & Litz, B. T. (2005). Brief cognitive-behavioral phone-based intervention targeting anxiety about the threat of attack: a pilot study. Behaviour Research and Therapy, 43, 669–679.Google Scholar

Valentiner, D. P., Foa, E. B., Riggs, D. S. & Gershuny, B. S. (1996). Coping strategies and posttraumatic stress disorder in female victims of sexual and nonsexual assault. Journal of Abnormal Psychology, 105, 455–458.Google Scholar

Watson, P. (2004). Mental health interventions following mass violence. Stresspoints, 12, 4–5.Google Scholar

Watson, P. J. & Shalev, A. Y. (2005). Assessment and treatment of adult acute responses to traumatic stress following mass traumatic events. CNS Spectrums, 10, 123–131.Google Scholar

Watson, P. J., Friedman, M. J., Ruzek, J. I. & Norris, F. (2002). Managing acute stress response to major trauma. Current Psychiatry Reports, 4, 247–253.Google Scholar

Zatzick, D. (2003). Posttraumatic stress, functional impairment, and service utilization after injury: a public health approach. Seminars in Clinical Neuropsychiatry, 8, 149–157.Google Scholar

Zatzick, D. F., Roy-Byrne, P. P., Russo, J. E.et al. (2004). A randomized effectiveness trial of stepped collaborative care for acutely injured trauma survivors. Archives of General Psychiatry, 61, 498–506.Google Scholar

Zatzick, D. F., Russo, J., Pitman, R. K., Rivara, F., Jurkovich, G. & Roy-Byrne, P. (2005). Reevaluating the association between emergency department heart rate and the development of posttraumatic stress disorder: a public health approach. Biological Psychiatry, 57, 91–95.Google Scholar

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6 - Early intervention for trauma-related problems following mass trauma

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