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Collaborative interventions for physically injured trauma survivors: a pilot randomized effectiveness trial.

D F Zatzick1, P Roy-Byrne, J E Russo

  • 1Department of Psychiatry and Behavioral Science, University of Washington School of Medicine, Box 359911, 98104, Seattle, WA, USA. dzatzick@u.washington.edu

General Hospital Psychiatry
|June 28, 2001
PubMed
Summary

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A collaborative care intervention for trauma survivors showed initial improvements in posttraumatic stress disorder (PTSD) and depression symptoms one month after injury. However, these benefits did not persist at four months, suggesting a need for further research.

Area of Science:

  • Trauma Surgery
  • Psychiatry
  • Public Health

Background:

  • Posttraumatic behavioral and emotional disturbances are common in physically injured trauma survivors.
  • Early intervention may mitigate long-term psychological distress and functional limitations.

Purpose of the Study:

  • To pilot a 4-month collaborative care intervention for injured motor vehicle crash and assault victims.
  • To evaluate the effectiveness of the intervention on posttraumatic stress disorder (PTSD), depressive symptoms, alcohol intoxication, and functional limitations.

Main Methods:

  • Pilot randomized effectiveness trial involving 34 surgical inpatients (16 intervention, 18 control).
  • Intervention group received support from a trauma support specialist, including counseling and care coordination.

Related Experiment Videos

  • Assessments for PTSD, depression, alcohol intoxication, and functional limitations were conducted during hospitalization and at 1 and 4 months post-injury.

    • Main Results:

    • Intervention subjects showed statistically significant decreases in PTSD and depressive symptoms at 1 month post-trauma compared to controls.
    • Over 75% of intervention activities occurred within the first month after trauma.
    • No significant improvements in PTSD, depressive symptoms, alcohol intoxication, or functional limitations were observed at the 4-month assessment.

    Conclusions:

    • The collaborative care intervention demonstrated short-term benefits for PTSD and depressive symptoms in trauma survivors.
    • The observed benefits were not sustained at the 4-month follow-up.
    • Larger-scale trials of stepped collaborative care interventions are recommended for physically injured trauma survivors.