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Published in: European Child & Adolescent Psychiatry 5/2008

01-08-2008 | ORIGINAL CONTRIBUTION

Information–provision intervention for children and their parents following pediatric accidental injury

Authors: Justin Kenardy, PhD, Katie Thompson, D Clin Psych, Robyne Le Brocque, PhD, Katherine Olsson, B Psych Sc (Hons)

Published in: European Child & Adolescent Psychiatry | Issue 5/2008

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Abstract

Objective

This study evaluated an early intervention for children and their parents following pediatric accidental injury.

Method

Information booklets provided to participants within 72 h of the initial trauma detailed common responses to trauma, the common time course of symptoms, and suggestions for minimizing any post-trauma distress. Following admission for traumatic injuries sustained in motor vehicle accidents, falls and sporting injuries a total of 103 children (aged 7–15) and their parents were evaluated at pre-intervention, 1 month, and 6 months post-trauma. The intervention (N = 33) was delivered to one of two hospitals, the second hospital was the control (N = 70).

Results

Analyses indicated that the intervention reduced child anxiety symptoms at 1-month follow-up and parental posttraumatic intrusion symptoms and overall posttraumatic symptoms at the 6-month follow-up. No other differences between the intervention and control groups were found.

Conclusion

Overall, the information-based early intervention is simple, cost-effective method of reducing child and parent distress post-trauma.
Literature
1.
go back to reference Antony MM, Bieling PJ, Cox BJ, Enns MW, Swinson RP (1998) Psychometric properties of the 42-item and 21-item versions of the depression anxiety stress scales in clinical groups and a community sample. Psychol Assess 10(2):176–181CrossRef Antony MM, Bieling PJ, Cox BJ, Enns MW, Swinson RP (1998) Psychometric properties of the 42-item and 21-item versions of the depression anxiety stress scales in clinical groups and a community sample. Psychol Assess 10(2):176–181CrossRef
2.
go back to reference Bisson J (2003) Single-session early psychological interventions following traumatic events. Clin Psychol Rev 23:481–499PubMedCrossRef Bisson J (2003) Single-session early psychological interventions following traumatic events. Clin Psychol Rev 23:481–499PubMedCrossRef
3.
go back to reference Bisson J, Jenkins P, Alexander J, Bannister C (1997) Randomised controlled trial of psychological debriefing for victims of acute burn trauma. Br J Psychiatry 171:78–81PubMedCrossRef Bisson J, Jenkins P, Alexander J, Bannister C (1997) Randomised controlled trial of psychological debriefing for victims of acute burn trauma. Br J Psychiatry 171:78–81PubMedCrossRef
4.
go back to reference Bisson J, Shepherd JP, Joy D, Probert R, Newcombe RG (2004) Early cognitive-behavioural therapy for post-traumatic stress symptoms after physical injury. Br J Psychiatry 184:63–69PubMedCrossRef Bisson J, Shepherd JP, Joy D, Probert R, Newcombe RG (2004) Early cognitive-behavioural therapy for post-traumatic stress symptoms after physical injury. Br J Psychiatry 184:63–69PubMedCrossRef
5.
go back to reference Brown ES, Fulton MK, Wilkeson A, Petty F (2000) The psychiatric sequelae of civilian trauma. Compr Psychiatry 41(1):19–23PubMedCrossRef Brown ES, Fulton MK, Wilkeson A, Petty F (2000) The psychiatric sequelae of civilian trauma. Compr Psychiatry 41(1):19–23PubMedCrossRef
6.
go back to reference Brown TA, Chorpita BF, Korotitsch W, Barlow DH (1997) Psychometric properties of the depression anxiety stress scales (DASS) in clinical samples. Behav Res Ther 35(1):79–89PubMedCrossRef Brown TA, Chorpita BF, Korotitsch W, Barlow DH (1997) Psychometric properties of the depression anxiety stress scales (DASS) in clinical samples. Behav Res Ther 35(1):79–89PubMedCrossRef
7.
go back to reference Bryant RA, Harvey AG, Dang ST, Sackville T, Basten C (1998) Treatment of acute stress disorder: a comparison of cognitive-behavioral therapy and supportive counselling. J Consult Clin Psychol 66(5):862–866PubMedCrossRef Bryant RA, Harvey AG, Dang ST, Sackville T, Basten C (1998) Treatment of acute stress disorder: a comparison of cognitive-behavioral therapy and supportive counselling. J Consult Clin Psychol 66(5):862–866PubMedCrossRef
8.
go back to reference Bryant RA, Moulds M, Guthrie R, Nixon RDV (2005) The additive benefit of hypnosis and cognitive-behavioural therapy in treating acute stress disorder. J Consult Clin Psychol 73(2):334–340PubMedCrossRef Bryant RA, Moulds M, Guthrie R, Nixon RDV (2005) The additive benefit of hypnosis and cognitive-behavioural therapy in treating acute stress disorder. J Consult Clin Psychol 73(2):334–340PubMedCrossRef
9.
go back to reference Corneil W, Beaton R, Murphy S, Johnson C, Pike K (1999) Exposure to traumatic incidents and prevalence of posttraumatic stress symptomatology in urban firefighters in two countries. J Occup Health Psychol 4(2):131–141PubMedCrossRef Corneil W, Beaton R, Murphy S, Johnson C, Pike K (1999) Exposure to traumatic incidents and prevalence of posttraumatic stress symptomatology in urban firefighters in two countries. J Occup Health Psychol 4(2):131–141PubMedCrossRef
10.
go back to reference de Vries A, Kassam-Adams N, Cnaan A, Sherman-Slate E (1999) Looking beyond the physical injury: posttraumatic stress disorder in children and parents after pediatric traffic injury. Pediatrics 104(6):1293–1299PubMedCrossRef de Vries A, Kassam-Adams N, Cnaan A, Sherman-Slate E (1999) Looking beyond the physical injury: posttraumatic stress disorder in children and parents after pediatric traffic injury. Pediatrics 104(6):1293–1299PubMedCrossRef
11.
go back to reference Di Gallo A, Barton J, Parry-Jones WL (1997) Road traffic accidents: early psychological consequences in children and adolescents. British J Psychiatry 170:358–362 Di Gallo A, Barton J, Parry-Jones WL (1997) Road traffic accidents: early psychological consequences in children and adolescents. British J Psychiatry 170:358–362
12.
go back to reference Ehlers A, Clark DM, Hackmann A, McManus F, Fennell M, Herbert C et al (2003) A randomized controlled trial of cognitive therapy, a self-help booklet, and repeated assessments as early interventions for posttraumatic stress disorder. Arch Gen Psychiatry 60(10):1024–1032PubMedCrossRef Ehlers A, Clark DM, Hackmann A, McManus F, Fennell M, Herbert C et al (2003) A randomized controlled trial of cognitive therapy, a self-help booklet, and repeated assessments as early interventions for posttraumatic stress disorder. Arch Gen Psychiatry 60(10):1024–1032PubMedCrossRef
13.
go back to reference Ellerton M, Merriam C (1994) Preparing children and families psychologically for day surgery: an evaluation. J Adv Nurs 19:1057–1062PubMedCrossRef Ellerton M, Merriam C (1994) Preparing children and families psychologically for day surgery: an evaluation. J Adv Nurs 19:1057–1062PubMedCrossRef
14.
go back to reference Foa EB, Davidson JRT, Frances A (1999) The expert consensus guideline series: treatment of posttraumatic stress disorder. J Clin Psychiatry 60(16):1–76 Foa EB, Davidson JRT, Frances A (1999) The expert consensus guideline series: treatment of posttraumatic stress disorder. J Clin Psychiatry 60(16):1–76
15.
go back to reference Foa EB, Zoellner LA, Feeny NC (2006) An evaluation of three brief programs for facilitating recovery after assault. J Trauma Stress 19(1):29–43PubMedCrossRef Foa EB, Zoellner LA, Feeny NC (2006) An evaluation of three brief programs for facilitating recovery after assault. J Trauma Stress 19(1):29–43PubMedCrossRef
16.
go back to reference Gidron Y, Gal R, Freedman S, Twiser I, Lauden A, Snir Y et al (2001) Translating research findings to PTSD prevention: results of a randomized-controlled pilot study. J Trauma Stress 14(4):773–780PubMedCrossRef Gidron Y, Gal R, Freedman S, Twiser I, Lauden A, Snir Y et al (2001) Translating research findings to PTSD prevention: results of a randomized-controlled pilot study. J Trauma Stress 14(4):773–780PubMedCrossRef
17.
go back to reference Ginexi EM, Weihs K, Simmens SJ, Hoyt DR (2000) Natural disaster and depression: a prospective investigation of reactions to the 1993 Midwest floods. Am J Community Psychology 28:495–518CrossRef Ginexi EM, Weihs K, Simmens SJ, Hoyt DR (2000) Natural disaster and depression: a prospective investigation of reactions to the 1993 Midwest floods. Am J Community Psychology 28:495–518CrossRef
18.
go back to reference Horowitz M, Wilner N, Alvarez W (1979) Impact of event scale: a measure of subjective stress. Psychosom Med 41(3):209–218PubMed Horowitz M, Wilner N, Alvarez W (1979) Impact of event scale: a measure of subjective stress. Psychosom Med 41(3):209–218PubMed
19.
go back to reference Kenardy J, Piercy J (2006) The effect of information provision on trauma symptoms following therapeutic writing. Aust Psychol 41:205–212CrossRef Kenardy J, Piercy J (2006) The effect of information provision on trauma symptoms following therapeutic writing. Aust Psychol 41:205–212CrossRef
20.
go back to reference Keppel-Benson JM, Ollendick TH, Benson MJ (2002) Post-traumatic stress in children following motor vehicle accidents. J Child Psychol Psychiatr 43(2):203–212CrossRef Keppel-Benson JM, Ollendick TH, Benson MJ (2002) Post-traumatic stress in children following motor vehicle accidents. J Child Psychol Psychiatr 43(2):203–212CrossRef
21.
go back to reference Kolaitis G, Kotsopolous J, Haritaki S, Rigizou F, Zacharaki L, Riga E et al (2003) Posttraumatic stress reactions among children following the Athens earthquake of September 1999. Eur Child Adolesc Psychiatry 12:273–280PubMedCrossRef Kolaitis G, Kotsopolous J, Haritaki S, Rigizou F, Zacharaki L, Riga E et al (2003) Posttraumatic stress reactions among children following the Athens earthquake of September 1999. Eur Child Adolesc Psychiatry 12:273–280PubMedCrossRef
22.
go back to reference Litz BT, Gray M, Bryant RA, Adler A (2002) Early intervention for trauma: current status and future directions. Clin Psychol Sci Pract 9(2):112–134CrossRef Litz BT, Gray M, Bryant RA, Adler A (2002) Early intervention for trauma: current status and future directions. Clin Psychol Sci Pract 9(2):112–134CrossRef
23.
go back to reference Lovibond PF, Lovibond SH (1995a) The structure of negative emotional states: comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behav Res Ther 33(3):335–343PubMedCrossRef Lovibond PF, Lovibond SH (1995a) The structure of negative emotional states: comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behav Res Ther 33(3):335–343PubMedCrossRef
24.
go back to reference Lovibond SH, Lovibond PF (1995b) Manual for the depression anxiety stress scales, 2nd edn. The Psychology Foundation of Australia, Sydney Lovibond SH, Lovibond PF (1995b) Manual for the depression anxiety stress scales, 2nd edn. The Psychology Foundation of Australia, Sydney
25.
go back to reference Margolis J, Ginsberg B, Dear G, Ross A, Goral J, Bailey A (1998) Paediatric preoperative teaching: effects at induction and postoperatively. Paediatr Anasthesia 8:17–23CrossRef Margolis J, Ginsberg B, Dear G, Ross A, Goral J, Bailey A (1998) Paediatric preoperative teaching: effects at induction and postoperatively. Paediatr Anasthesia 8:17–23CrossRef
26.
go back to reference McFarlane AC (1987) Posttraumatic phenomena in a longitudinal study of children following a natural disaster. J Am Acad Child Adolesc Psychiatry 26(5):764–769PubMedCrossRef McFarlane AC (1987) Posttraumatic phenomena in a longitudinal study of children following a natural disaster. J Am Acad Child Adolesc Psychiatry 26(5):764–769PubMedCrossRef
27.
go back to reference Osterman JE, Chemtob CM (1999) Emergency intervention for acute traumatic stress. Psychiatr Serv 50(6):739–740PubMed Osterman JE, Chemtob CM (1999) Emergency intervention for acute traumatic stress. Psychiatr Serv 50(6):739–740PubMed
28.
go back to reference Ponsford J, Willmott C, Rothwell A, Cameron P, Ayton G, Nelms R et al (2001) Impact of early intervention on outcome after mild traumatic brain injury in children. Pediatrics 108(6):1297–1303PubMedCrossRef Ponsford J, Willmott C, Rothwell A, Cameron P, Ayton G, Nelms R et al (2001) Impact of early intervention on outcome after mild traumatic brain injury in children. Pediatrics 108(6):1297–1303PubMedCrossRef
29.
go back to reference Raphael B (2000) Debriefing-science, belief, and wisdom. In: Raphael B, Wilson J (eds) Psychological debriefing: theory, practice and evidence. Cambridge Press, Cambridge Raphael B (2000) Debriefing-science, belief, and wisdom. In: Raphael B, Wilson J (eds) Psychological debriefing: theory, practice and evidence. Cambridge Press, Cambridge
30.
go back to reference Robertson C, Klein S, Bullen H, Alexander DA (2002) An evaluation of patient satisfaction with an information leaflet for trauma survivors. Journal of Traumatic Stress 15(4):329–332PubMedCrossRef Robertson C, Klein S, Bullen H, Alexander DA (2002) An evaluation of patient satisfaction with an information leaflet for trauma survivors. Journal of Traumatic Stress 15(4):329–332PubMedCrossRef
31.
go back to reference Rose S, Bisson J, Wessely S (2003) A systematic review of single-session psychological interventions (‘debriefing’) following trauma. Psychother Psychosom 72(4):176–184PubMedCrossRef Rose S, Bisson J, Wessely S (2003) A systematic review of single-session psychological interventions (‘debriefing’) following trauma. Psychother Psychosom 72(4):176–184PubMedCrossRef
32.
go back to reference Rose S, Bisson J, Wessely S (2004) Psychological debriefing for preventing post traumatic stress disorder (PTSD) (Cochrane Review), vol issue 1. Wiley, Chichester Rose S, Bisson J, Wessely S (2004) Psychological debriefing for preventing post traumatic stress disorder (PTSD) (Cochrane Review), vol issue 1. Wiley, Chichester
33.
go back to reference Silverman WK, Albano AM (1996) Anxiety disorders interview schedule for DSM-IV; Child version. Clinician Manual. Psychological Corporation, San Antonio Silverman WK, Albano AM (1996) Anxiety disorders interview schedule for DSM-IV; Child version. Clinician Manual. Psychological Corporation, San Antonio
34.
go back to reference Smith P, Perrin S, Dyregrov A, Yule W (2003) Principal components analysis of the impact of event scale with children in war. Pers Individ Dif 34(2):315–322CrossRef Smith P, Perrin S, Dyregrov A, Yule W (2003) Principal components analysis of the impact of event scale with children in war. Pers Individ Dif 34(2):315–322CrossRef
35.
36.
go back to reference Stallard P, Velleman R, Baldwin S (1999) Psychological screening of children for post-traumatic stress disorder. J Child Psychol Psychiatry 40(7):1075–1082PubMedCrossRef Stallard P, Velleman R, Baldwin S (1999) Psychological screening of children for post-traumatic stress disorder. J Child Psychol Psychiatry 40(7):1075–1082PubMedCrossRef
37.
go back to reference Stancin T, Kaugars AS, Thompson GH, Taylor HG, Yeates KO, Wade SL et al (2001) Child and family functioning 6 and 12 months after a serious pediatric fracture. J Trauma Injury Infect Crit Care 51(1):69–76CrossRef Stancin T, Kaugars AS, Thompson GH, Taylor HG, Yeates KO, Wade SL et al (2001) Child and family functioning 6 and 12 months after a serious pediatric fracture. J Trauma Injury Infect Crit Care 51(1):69–76CrossRef
38.
go back to reference Turpin G, Downs M, Mason S (2005) Effectivness of providing self-help information following acute traumatic injury: randomised control trial. Br J Psychiatry 187:76–82PubMedCrossRef Turpin G, Downs M, Mason S (2005) Effectivness of providing self-help information following acute traumatic injury: randomised control trial. Br J Psychiatry 187:76–82PubMedCrossRef
40.
go back to reference Winje D, Ulvik A (1998) Long-term outcome of trauma in children: the psychological consequences of a bus accident. J Child Psychol Psychiatry 39(5):635–642PubMedCrossRef Winje D, Ulvik A (1998) Long-term outcome of trauma in children: the psychological consequences of a bus accident. J Child Psychol Psychiatry 39(5):635–642PubMedCrossRef
41.
go back to reference Wraith R (ed) (2000) Psychological debriefing: theory, practice and evidence. Cambridge University, Cambridge Wraith R (ed) (2000) Psychological debriefing: theory, practice and evidence. Cambridge University, Cambridge
42.
go back to reference Yule W (1998) Anxiety, depression, and post traumatic stress disorder in children. In: Sclare I (ed) The NFER child portfolio. NFER-Nelson, Windsor Yule W (1998) Anxiety, depression, and post traumatic stress disorder in children. In: Sclare I (ed) The NFER child portfolio. NFER-Nelson, Windsor
43.
go back to reference Zilberg NJ, Weiss DS, Horowitz MJ (1982) Impact of event scale: a cross validation study and some empirical evidence supporting a conceptual model of stress response syndromes. J Consult Clin Psychol 50(3):407–414PubMedCrossRef Zilberg NJ, Weiss DS, Horowitz MJ (1982) Impact of event scale: a cross validation study and some empirical evidence supporting a conceptual model of stress response syndromes. J Consult Clin Psychol 50(3):407–414PubMedCrossRef
Metadata
Title
Information–provision intervention for children and their parents following pediatric accidental injury
Authors
Justin Kenardy, PhD
Katie Thompson, D Clin Psych
Robyne Le Brocque, PhD
Katherine Olsson, B Psych Sc (Hons)
Publication date
01-08-2008
Publisher
D. Steinkopff-Verlag
Published in
European Child & Adolescent Psychiatry / Issue 5/2008
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI
https://doi.org/10.1007/s00787-007-0673-5

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