The ABCDE psychological first aid intervention decreases early PTSD symptoms but does not prevent it: results of a randomized-controlled trial

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dc.contributor.authorFigueroa, Rodrigo Andres
dc.contributor.authorCortes, Paula Francisca
dc.contributor.authorMarin, Humberto
dc.contributor.authorVerges, Alvaro
dc.contributor.authorGillibrand, Rodrigo
dc.contributor.authorRepetto, Paula
dc.date.accessioned2023-09-29T19:26:37Z
dc.date.available2023-09-29T19:26:37Z
dc.date.issued2022
dc.description.abstractBackground Early Psychological First Aid (PFA) has been widely recommended for preventing posttraumatic stress disorder (PTSD). However, its lack of empirical evidence of safety and effectiveness has been criticized. Objectives To assess the effectiveness of PFA-ABCDE, an original PFA protocol, for preventing PTSD one month after the intervention and decreasing PTSD symptoms at one and six months of follow up. Methods We assessed the eligibility of 1,140 adult survivors of recent trauma (<= 72 hours) consulting five emergency departments in Chile. Two hundred twenty-one were randomized to receive either PFA-ABCDE (active listening, breathing retraining, categorization of needs, referral to ancillary services, and psychoeducation) or only psychoeducation. We used the Composite International Diagnostic Interview (CIDI) to assess PTSD diagnosis. The Posttraumatic Checklist (PCL), the Beck Depression Inventory-II (BDI-II), and a 0-10 points analogue visual scale were used to assess PTSD symptoms, depressive symptoms, and immediate distress relief after the intervention. Results We found no difference between the experimental and control groups in the frequency of PTSD one month after the intervention (PFA-ABCDE = 23/76 [30.3%], psychoeducation = 18/75 [24.0%], adjusted odds ratio = 1.39, 95% confidence interval = 0.63-3.07, p = .408). Immediately after the intervention, participants who received PFA-ABCDE reported greater distress relief (PFA-ABCDE mean = 9.06, psychoeducation mean = 8.55, Cohen's d = 0.30, p = .038). Fewer PTSD symptoms were reported by those who received PFA-ABCDE one month after the intervention (PFA-ABCDE mean = 36.26, psychoeducation mean = 43.62, Cohen's d = 0.42, p = .033). We found no difference in depressive symptoms at one-month follow up (p = .713) nor in PTSD symptoms six months after the intervention (p = .986). Conclusions PFA-ABCDE does not prevent PTSD diagnosis, but it provides immediate distress relief and decreases PTSD symptoms in the short term.
dc.description.funderFondo de Financiamiento de Centros de Investigacion en Areas Prioritarias (FONDAP)
dc.format.extent14 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1080/20008198.2022.2031829
dc.identifier.eissn2000-8066
dc.identifier.issn2000-8198
dc.identifier.pubmedidMEDLINE:35251529
dc.identifier.urihttps://doi.org/10.1080/20008198.2022.2031829
dc.identifier.urihttps://doi.org/10.1080/20008198.2022.2031829
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/74808
dc.identifier.wosidWOS:000762623600001
dc.information.autorucEscuela de Medicina; Figueroa, Rodrigo Andres; 0000-0002-4040-8946; 9549
dc.information.autorucEscuela de Psicología; Verges, Alvaro; 0000-0002-5138-1312; 165712
dc.information.autorucEscuela de Psicología; Repetto, Paula; S/I; 73877
dc.issue.numero1
dc.language.isoen
dc.publisherTAYLOR & FRANCIS LTD
dc.revistaEUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY
dc.subjectPTSD
dc.subjectPsychological first aid
dc.subjectEarly psychological intervention
dc.subjectPrevention
dc.subjectTrauma
dc.subjectEmergency departments
dc.subjectCrisis intervention
dc.subjectRCT
dc.subjectPFA
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleThe ABCDE psychological first aid intervention decreases early PTSD symptoms but does not prevent it: results of a randomized-controlled trial
dc.title.alternativeLa intervención de Primeros Auxilios Psicológicos ABCDE disminuye los síntomas precoces del PTSD pero no lo previene: resultados de un ensayo controlado aleatorizado
dc.title.alternativeABCDE 心理急救干预可减少早期 PTSD 症状但不能预防 PTSD:一个随机对照试验的结果
dc.typeartículo
dc.volumen13
sipa.codpersvinculados9549
sipa.codpersvinculados165712
sipa.codpersvinculados73877
sipa.indexWOS
sipa.trazabilidadWOS;18-03-2022
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