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Báo cáo y học: "Effectiveness of a single-session early psychological intervention for children after road traffic accidents: a randomised controlled trial"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Effectiveness of a single-session early psychological intervention for children after road traffic accidents: a randomised controlled trial. | Zehnder et al. Child and Adolescent Psychiatry and Mental Health 2010 4 7 http www.capmh.eom content 4 1 7 CHILD ADOLESCENT PSYCHIATRY MENTAL HEALTH RESEARCH Open Access Effectiveness of a single-session early psychological intervention for children after road traffic accidents a randomised controlled trial Daniel Zehnder1 Martin Meuli2 Markus A Landolt1 Abstract Background Road traffic accidents RTAs are the leading health threat to children in Europe resulting in 355 000 injuries annually. Because children can suffer significant and long-term mental health problems following RTAs there is considerable interest in the development of early psychological interventions. To date the research in this field is scarce and currently no evidence-based recommendations can be made. Methods To evaluate the effectiveness of a single-session early psychological intervention 99 children age 7-16 were randomly assigned to an intervention or control group. The manualised intervention was provided to the child and at least one parent around 10 days after the child s involvement in an RTA. It included reconstruction of the accident using drawings and accident-related toys and psychoeducation. All of the children were interviewed at 10 days 2 months and 6 months after the accident. Parents filled in questionnaires. Standardised instruments were used to assess acute stress disorder ASD posttraumatic stress disorder PTSD depressive symptoms and behavioural problems. Results The children of the two study groups showed no significant differences concerning posttraumatic symptoms and other outcome variables at 2 or at 6 months. Interestingly analyses showed a significant intervention X age-group effect indicating that for preadolescent children the intervention was effective in decreasing depressive symptoms and behavioural problems. Conclusions This study is the first to show a beneficial effect of a single-session early psychological intervention after RTA in preadolescent children. .