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

Douglas F. Zatzick, Peter Roy-Byrne, Joan E. Russo, Frederick P. Rivara, Alan K Koike, Gregory Jurkovich, Wayne Katon

Research output: Contribution to journalArticle

57 Scopus citations

Abstract

Posttraumatic behavioral and emotional disturbances occur frequently among physically injured hospitalized trauma survivors. This investigation was a pilot randomized effectiveness trial of a 4-month collaborative care intervention for injured motor vehicle crash and assault victims. As surgical inpatients, intervention subjects (N=16) were assigned to a trauma support specialist who provided counseling, consulted with surgical and primary care providers, and attempted postdischarge care coordination. Control subjects (N=18) received usual posttraumatic care. For all participants, posttraumatic stress disorder (PTSD) and depressive symptoms, episodic alcohol intoxication, and functional limitations were evaluated during the hospitalization and 1 and 4 months postinjury. Study logs and field notes revealed that over 75% of intervention activity occurred in the first month after the trauma. One-month post-trauma intervention subjects when compared to controls demonstrated statistically significant decreases in PTSD symptoms as well as a reduction in depressive symptoms. However, at the 4-month assessment, intervention subjects evidenced no significant improvements in PTSD and depressive symptoms, episodic alcohol intoxication, or functional limitations. Future larger scale trials of stepped collaborative care interventions for physically injured trauma survivors are recommended.

Original languageEnglish (US)
Pages (from-to)114-123
Number of pages10
JournalGeneral Hospital Psychiatry
Volume23
Issue number3
DOIs
StatePublished - 2001

Keywords

  • Collaborative care
  • Physical injury
  • Posttraumatic stress disorder
  • Randomized trial
  • Trauma surgery

ASJC Scopus subject areas

  • Psychiatry and Mental health

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