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Detrimental Effects of Post-Incident Debriefing on Memory and Psychological Responses

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Abstract

Emergency service personnel, such as police officers, firefighters and paramedics, often take part in Critical Incident Stress Debriefing (CISD; Mitchell, 1983) following exposure to traumatic events. However, there is evidence that these group debriefing sessions may actually increase the risk of PTSD and permanently distort the participants' memories for the events. This study compared the impact of two different elements of CISD on recall for an event and psychological well-being. In pairs, undergraduate students unknowingly viewed slightly different versions of a stressful video. Participants were then randomly allocated to one of three conditions: emotion-focused debriefing, fact-focused debriefing, or no debriefing. Participants who received fact-focused debriefing incorporated more misinformation into memory and also reported more intrusive thoughts about the video than the controls. Participants who received emotion-focused debriefing reported more confabulated items than participants in the control condition and reported more intrusive thoughts. These findings suggest that some aspects of CISD may be problematic. Therefore, it may be important to work toward the development of new, more effective post-trauma interventions.

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References

  • Berger W, Coutinho ESF, Figueira I, Marques-Portella C, Luz MP, Neylan TC, Mendlowicz MV (2012) Rescuers at risk: a systematic review and meta-regression analysis of the worldwide current prevalence and correlates of PTSD in rescue workers. Social psychiatry and psychiatric epidemiology 47:1001–1011

    Article  PubMed Central  PubMed  Google Scholar 

  • Berntsen D, Willert O, Rubin DC (2003) Splintered Memories or Vivid Landmarks? Qualities and Organization of Traumatic Memories with and Without PTSD. Applied Cognitive Psychology 17:675–693

    Article  Google Scholar 

  • Bisson JI, Jenkins PL, Alexander J, Bannister C (1997) Randomised controlled trial of psychological debriefing for victims of acute burn trauma. British Journal of Psychiatry 171:78–81

    Article  PubMed  Google Scholar 

  • Brewin CR, Andrews B, Rose S, Kirk M (1999) Acute Stress Disorder and Posttraumatic Stress Disorder in Victims of Violent Crime. American Journal of Psychiatry 156(3):360–366

    PubMed  Google Scholar 

  • Devilly GJ, Gist R, Cotton P (2006) Ready! Fire! Aim! The Status of Psychological Debriefing and Therapeutic Interventions: In the Work Place and After Disasters. Review of General Psychology 10(4):318–345

    Article  Google Scholar 

  • Devilly GJ, Varker T (2008) The effect of stressor severity on outcome following group debriefing. Behaviour Research and Therapy 46(1):130–136

    Article  PubMed  Google Scholar 

  • Devilly GJ, Varker T, Hansen K, Gist R (2007) An analogue study of the effects of Psychological Debriefing on eyewitness memory. Behaviour Research and Therapy 45:1245–1254

    Article  PubMed  Google Scholar 

  • Everly GS, Mitchell JT (1995) Prevention of work-related posttraumatic stress: The critical incident stress debriefing process. In: Murphy LR, Hurrell JJ Jr, Sauter SL, Keita GP (eds) Job stress interventions. American Psychological Association, Washington DC, pp 173–183

    Chapter  Google Scholar 

  • Foa EB, Kozak MJ (1986) Emotional processing of fear: Exposure to corrective information. Psychological Bulletin 99:20–35

    Article  PubMed  Google Scholar 

  • Gabbert F, Memon A, Allan K, Wright D (2004) Say it to my face: Examining the effects of socially encountered misinformation. Legal and Criminological Psychology 9(2):215–228

    Article  Google Scholar 

  • Gabbert F, Memon A, Allan K (2003) Memory Conformity: Can Eyewitnesses Influence Each Other’s Memories for an Event? Applied Cognitive Psychology 17:533–543

    Article  Google Scholar 

  • Gabbert F, Hope L (2013) Suggestibility and memory conformity. In: Ridley AM, Gabbert F, La Rooy DJ (eds) Suggestibility in Legal Contexts: Psychological Research and Forensic Implications. Wiley-Blackwell, London, pp 63–84

    Google Scholar 

  • Graaugard PK, Holgerson K, Eide H, Finset A (2005) Changes in physician-patient communication from initial to return visits: a prospective study in a haematology outpatient clinic. Patient Education and Counselling 57:22–29

    Article  Google Scholar 

  • Granhag A, Memon A, Gabbert F, Allwood CM (2004) Contagious contacts: How police trainees influence each other's memories for a criminal event. Paper presented at the 14th European Conference on Psychology and Law, Krakow, Poland

    Google Scholar 

  • Harris CB, Paterson HM, Kemp RI (2008) Collaborative recall and collective memory: What happens when we remember together? Memory 16:213–230

    Article  PubMed  Google Scholar 

  • Horowitz MJ, Wilner NR, Alvarez W (1979) Impact of Event Scale: a measure of subjective stress. Psychosomatic Medicine 41:768–781

    Article  Google Scholar 

  • Litz BT, Gray MT, Bryant RA, Adler AB (2002) Early Interventions for trauma: Current Status and Future directions. Clinical Psychology: Science and Practice 9(2):112–134

    Google Scholar 

  • Loftus EF (2005) Planting misinformation in the human mind: A 30-year investigation of the malleability of memory. Learning & Memory 12:361–366

    Article  Google Scholar 

  • Loftus EF, Donders K, Hoffman HG, Schooler JW (1989) Creating new memories that are quickly accessed and confidently held. Memory & Cognition 17:607–616

    Article  Google Scholar 

  • Mayou RA, Ehlers A, Hobbs M (2000) Psychological debriefing for road traffic accident victims: Three-year follow-up of a randomised controlled trial. British Journal of Psychiatry 176:589–593

    Article  PubMed  Google Scholar 

  • McNally RJ, Bryant RA, Ehlers A (2003) Does early psychological intervention promote recovery for post traumatic stress? Psychological Science in the Public Interest 4(2):45–79

    Google Scholar 

  • Miller L (2006) Practical police psychology. Charles C. Thomas, Publisher, Springfield, IL

    Google Scholar 

  • Mitchell JT (1983) When disaster strikes: The critical incident stress debriefing process. Journal of Emergency Medical Services 8:36–39

    PubMed  Google Scholar 

  • Monds LA, Paterson HM, Whittle K (2013) Can warnings decrease the misinformation effect in post-event debriefing? International Journal of Emergency Services 2:49–59

    Article  Google Scholar 

  • NICE (2005) Post-traumatic stress disorder (PTSD): The management of PTSD in adults and children in primary and secondary care. (Full Clinical Guideline 26 Developed by the National Collaborating Centre for Mental Health). National Institute for Health and Clinical Excellence, London

    Google Scholar 

  • Ost J, Green E, Cherryman J (2004) Are three heads better than one? Police officers' and students' reports of a video-presented criminal event. Poster session presented at the 14th European Conference on Psychology and Law, Krakow, Poland

    Google Scholar 

  • Paterson HM, Kemp RI (2005) Co-witness discussion: A survey of police officers' attitudes, knowledge, and behaviour. Psychiatry, Psychology and Law 12(2):424–434

    Article  Google Scholar 

  • Paterson HM, Kemp RI (2006) Comparing Methods of Encountering Post-Event Information: The Power of Co-Witness Suggestion. Applied Cognitive Psychology 20(8):1083–1099

    Article  Google Scholar 

  • Paterson HM, Kemp R, McIntyre S (2011a) Can a witness report hearsay evidence unintentionally? The effects of discussion on eyewitness memory. Psychology, Crime and Law. doi:10.1080/1068316X.2010.510117, First published on: 28 February 2011 (iFirst)

    Google Scholar 

  • Paterson H, Kemp R, Ng J (2011b) Combating co-witness contamination: Attempting to decrease the negative effects of discussion on eyewitness memory. Applied Cognitive Psychology 25:43–52

    Article  Google Scholar 

  • Rose S, Bisson J, Wessely S (2003) A Systematic Review of Single-Session Psychological Interventions (‘Debriefing’) following Trauma. Psychotherapy and Psychosomatics 72(4):176–184

    Article  PubMed  Google Scholar 

  • Rose S, Bisson J, Churchill R, Wessely S (2006) Psychological debriefing for preventing post traumatic stress disorder (PTSD). In: Cochrane Review (ed) The Cochrane Library, Issue 3, 2006. Update Software, Oxford

    Google Scholar 

  • Seaman MA, Levin JR, Serlin RC (1991) New developments in pairwise multiple comparisons: Some powerful and practicable procedures. Psychological Bulletin 3:577–586

    Article  Google Scholar 

  • Spielberger CD (1984) State-Trait Anxiety Inventory: A comprehensive bibliography. Consulting Psychologists Press, Palo Alto, CA

    Google Scholar 

  • Sundin EC, Horowitz MJ (2002) Impact of Event Scale: psychometric properties. British Journal of Psychiatry 180:205–209

    Article  PubMed  Google Scholar 

  • Wells GL, Malpass RS, Lindsay RCL, Fisher RP, Turtle JW, Fulero SM (2000) From the lab to the police station: A successful application of eyewitness research. American Psychologist 55:581–598

    Article  PubMed  Google Scholar 

  • Williams HL, Conway MA, Cohen G (2008) Autobiographical memory. In: Cohen G, Conway MA (eds) Memory in the Real World, 3rd edn. Psychology Press, Hove, UK, pp 21–90

    Google Scholar 

  • Wright DB, Self G, Justice C (2000) Memory conformity: Exploring misinformation effects when presented by another person. British Journal of Psychology 91:189–202

    Article  PubMed  Google Scholar 

  • Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica 67:361–370

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

A special thanks to Michelle Moulds for her helpful and insightful comments on our manuscript. This research was supported by an Australian Research Council Linkage Grant (LP0989719).

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Correspondence to Helen M. Paterson.

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Paterson, H.M., Whittle, K. & Kemp, R.I. Detrimental Effects of Post-Incident Debriefing on Memory and Psychological Responses. J Police Crim Psych 30, 27–37 (2015). https://doi.org/10.1007/s11896-014-9141-6

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  • DOI: https://doi.org/10.1007/s11896-014-9141-6

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