Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Concerns about the effectiveness of critical incident stress debriefing in ameliorating stress reactions. | Critical Care February 2002 Vol 6 No 1 Kagee Letter Concerns about the effectiveness of critical incident stress debriefing in ameliorating stress reactions Ashraf Kagee Department of Psychology University of Stellenbosch South Africa Published online 17 January 2002 Critical Care 2002 6 88 2002 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Hammond and Brooks s enthusiasm for critical incident stress debriefing CISD 1 causes them to ignore findings suggesting inert or iatrogenic effects of this procedure. So far the data on the effectiveness of debriefing are almost overwhelmingly negative particularly at follow-up assessments. For example Carlier et al. 2 found that among police officers who responded to a civilian plane crash those who underwent debriefing exhibited significantly more disaster-related hyperarousal symptoms at an 18-month follow-up than those who did not receive the treatment. Mayou et al. 3 showed that subjects admitted to hospital after a road traffic accident who received CISD had a significantly worse outcome at 3 years in terms of general psychiatric symptoms travel anxiety and overall level of functioning. Bisson et al. 4 found that among a sample of burn trauma victims 26 of the debriefing group had PTSD at 13-month follow-up compared with 9 of the control group. Importantly the Cochrane Review of 11 clinical trials found no evidence that debriefing reduced general psychological morbidity depression or anxiety and recommended that compulsory debriefing of victims of trauma should cease 5 . By Hammond and Brooks s own admission most of the evidence supporting the use of CISD is anecdotal or can be found only in unpublished dissertations. Moreover the limited published data suggesting a positive effect have often confused respondents reports of satisfaction over their debriefing experience with objective measures of traumatic stress 6 . Such satisfaction reports most probably reflect respondents gratitude for the attention of
