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 language | English (US) |
|---|---|
| Pages (from-to) | 114-123 |
| Number of pages | 10 |
| Journal | General Hospital Psychiatry |
| Volume | 23 |
| Issue number | 3 |
| DOIs | |
| State | Published - 2001 |
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Keywords
- Collaborative care
- Physical injury
- Posttraumatic stress disorder
- Randomized trial
- Trauma surgery
ASJC Scopus subject areas
- Psychiatry and Mental health
Cite this
Collaborative interventions for physically injured trauma survivors : A pilot randomized effectiveness trial. / Zatzick, Douglas F.; Roy-Byrne, Peter; Russo, Joan E.; Rivara, Frederick P.; Koike, Alan K; Jurkovich, Gregory; Katon, Wayne.
In: General Hospital Psychiatry, Vol. 23, No. 3, 2001, p. 114-123.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Collaborative interventions for physically injured trauma survivors
T2 - A pilot randomized effectiveness trial
AU - Zatzick, Douglas F.
AU - Roy-Byrne, Peter
AU - Russo, Joan E.
AU - Rivara, Frederick P.
AU - Koike, Alan K
AU - Jurkovich, Gregory
AU - Katon, Wayne
PY - 2001
Y1 - 2001
N2 - 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.
AB - 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.
KW - Collaborative care
KW - Physical injury
KW - Posttraumatic stress disorder
KW - Randomized trial
KW - Trauma surgery
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UR - http://www.scopus.com/inward/citedby.url?scp=0034961280&partnerID=8YFLogxK
U2 - 10.1016/S0163-8343(01)00140-2
DO - 10.1016/S0163-8343(01)00140-2
M3 - Article
C2 - 11427243
AN - SCOPUS:0034961280
VL - 23
SP - 114
EP - 123
JO - General Hospital Psychiatry
JF - General Hospital Psychiatry
SN - 0163-8343
IS - 3
ER -