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Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]. York (UK): Centre for Reviews and Dissemination (UK); 1995-.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet].

Effects of medical crisis intervention on anxiety, depression, and posttraumatic stress symptoms: a meta-analysis

Review published: 2006.

Bibliographic details: Stapleton A B, Lating J, Kirkhart M, Everly G S.  Effects of medical crisis intervention on anxiety, depression, and posttraumatic stress symptoms: a meta-analysis. Psychiatric Quarterly 2006; 77(3): 231-238. [PubMed: 16955369]

Quality assessment

This review assessed the effectiveness of medical crisis interventions in patients experiencing psychological symptoms following a traumatic event. The authors support the delivery of multi-session interventions by highly trained delivery agents in patients experiencing post-traumatic symptoms. Given concerns about the review methodology and the absence of any formal assessment of study validity, the reliability of the authors? conclusions is unclear. Full critical summary

Abstract

A meta-analysis of 11 studies (N=2124) investigating the impact of individual crisis intervention with medical patients yielded a significant, overall moderate effect size, d=0.44. The strongest effect of individual crisis intervention was on posttraumatic stress symptoms (d=0.57) and anxiety symptoms (d=0.52). Specific moderating factors, such as single versus multiple sessions, single versus multiple components of intervention, and level of interventionists' training, were also analyzed. In sum, the results support highly trained interventionists continuing to provide multi-session interventions in order to mitigate posttraumatic symptomatology following traumatic events.

CRD has determined that this article meets the DARE scientific quality criteria for a systematic review.

Copyright © 2013 University of York.

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