European Child & Adolescent Psychiatry

, Volume 17, Issue 5, pp 316–325 | Cite as

Information–provision intervention for children and their parents following pediatric accidental injury

  • Justin Kenardy
  • Katie Thompson
  • Robyne Le Brocque
  • Katherine Olsson
ORIGINAL CONTRIBUTION

Abstract

Objective

This study evaluated an early intervention for children and their parents following pediatric accidental injury.

Method

Information booklets provided to participants within 72 h of the initial trauma detailed common responses to trauma, the common time course of symptoms, and suggestions for minimizing any post-trauma distress. Following admission for traumatic injuries sustained in motor vehicle accidents, falls and sporting injuries a total of 103 children (aged 7–15) and their parents were evaluated at pre-intervention, 1 month, and 6 months post-trauma. The intervention (N = 33) was delivered to one of two hospitals, the second hospital was the control (N = 70).

Results

Analyses indicated that the intervention reduced child anxiety symptoms at 1-month follow-up and parental posttraumatic intrusion symptoms and overall posttraumatic symptoms at the 6-month follow-up. No other differences between the intervention and control groups were found.

Conclusion

Overall, the information-based early intervention is simple, cost-effective method of reducing child and parent distress post-trauma.

Keywords

children injury posttraumatic stress prevention 

References

  1. 1.
    Antony MM, Bieling PJ, Cox BJ, Enns MW, Swinson RP (1998) Psychometric properties of the 42-item and 21-item versions of the depression anxiety stress scales in clinical groups and a community sample. Psychol Assess 10(2):176–181CrossRefGoogle Scholar
  2. 2.
    Bisson J (2003) Single-session early psychological interventions following traumatic events. Clin Psychol Rev 23:481–499PubMedCrossRefGoogle Scholar
  3. 3.
    Bisson J, Jenkins P, Alexander J, Bannister C (1997) Randomised controlled trial of psychological debriefing for victims of acute burn trauma. Br J Psychiatry 171:78–81PubMedCrossRefGoogle Scholar
  4. 4.
    Bisson J, Shepherd JP, Joy D, Probert R, Newcombe RG (2004) Early cognitive-behavioural therapy for post-traumatic stress symptoms after physical injury. Br J Psychiatry 184:63–69PubMedCrossRefGoogle Scholar
  5. 5.
    Brown ES, Fulton MK, Wilkeson A, Petty F (2000) The psychiatric sequelae of civilian trauma. Compr Psychiatry 41(1):19–23PubMedCrossRefGoogle Scholar
  6. 6.
    Brown TA, Chorpita BF, Korotitsch W, Barlow DH (1997) Psychometric properties of the depression anxiety stress scales (DASS) in clinical samples. Behav Res Ther 35(1):79–89PubMedCrossRefGoogle Scholar
  7. 7.
    Bryant RA, Harvey AG, Dang ST, Sackville T, Basten C (1998) Treatment of acute stress disorder: a comparison of cognitive-behavioral therapy and supportive counselling. J Consult Clin Psychol 66(5):862–866PubMedCrossRefGoogle Scholar
  8. 8.
    Bryant RA, Moulds M, Guthrie R, Nixon RDV (2005) The additive benefit of hypnosis and cognitive-behavioural therapy in treating acute stress disorder. J Consult Clin Psychol 73(2):334–340PubMedCrossRefGoogle Scholar
  9. 9.
    Corneil W, Beaton R, Murphy S, Johnson C, Pike K (1999) Exposure to traumatic incidents and prevalence of posttraumatic stress symptomatology in urban firefighters in two countries. J Occup Health Psychol 4(2):131–141PubMedCrossRefGoogle Scholar
  10. 10.
    de Vries A, Kassam-Adams N, Cnaan A, Sherman-Slate E (1999) Looking beyond the physical injury: posttraumatic stress disorder in children and parents after pediatric traffic injury. Pediatrics 104(6):1293–1299PubMedCrossRefGoogle Scholar
  11. 11.
    Di Gallo A, Barton J, Parry-Jones WL (1997) Road traffic accidents: early psychological consequences in children and adolescents. British J Psychiatry 170:358–362Google Scholar
  12. 12.
    Ehlers A, Clark DM, Hackmann A, McManus F, Fennell M, Herbert C et al (2003) A randomized controlled trial of cognitive therapy, a self-help booklet, and repeated assessments as early interventions for posttraumatic stress disorder. Arch Gen Psychiatry 60(10):1024–1032PubMedCrossRefGoogle Scholar
  13. 13.
    Ellerton M, Merriam C (1994) Preparing children and families psychologically for day surgery: an evaluation. J Adv Nurs 19:1057–1062PubMedCrossRefGoogle Scholar
  14. 14.
    Foa EB, Davidson JRT, Frances A (1999) The expert consensus guideline series: treatment of posttraumatic stress disorder. J Clin Psychiatry 60(16):1–76Google Scholar
  15. 15.
    Foa EB, Zoellner LA, Feeny NC (2006) An evaluation of three brief programs for facilitating recovery after assault. J Trauma Stress 19(1):29–43PubMedCrossRefGoogle Scholar
  16. 16.
    Gidron Y, Gal R, Freedman S, Twiser I, Lauden A, Snir Y et al (2001) Translating research findings to PTSD prevention: results of a randomized-controlled pilot study. J Trauma Stress 14(4):773–780PubMedCrossRefGoogle Scholar
  17. 17.
    Ginexi EM, Weihs K, Simmens SJ, Hoyt DR (2000) Natural disaster and depression: a prospective investigation of reactions to the 1993 Midwest floods. Am J Community Psychology 28:495–518CrossRefGoogle Scholar
  18. 18.
    Horowitz M, Wilner N, Alvarez W (1979) Impact of event scale: a measure of subjective stress. Psychosom Med 41(3):209–218PubMedGoogle Scholar
  19. 19.
    Kenardy J, Piercy J (2006) The effect of information provision on trauma symptoms following therapeutic writing. Aust Psychol 41:205–212CrossRefGoogle Scholar
  20. 20.
    Keppel-Benson JM, Ollendick TH, Benson MJ (2002) Post-traumatic stress in children following motor vehicle accidents. J Child Psychol Psychiatr 43(2):203–212CrossRefGoogle Scholar
  21. 21.
    Kolaitis G, Kotsopolous J, Haritaki S, Rigizou F, Zacharaki L, Riga E et al (2003) Posttraumatic stress reactions among children following the Athens earthquake of September 1999. Eur Child Adolesc Psychiatry 12:273–280PubMedCrossRefGoogle Scholar
  22. 22.
    Litz BT, Gray M, Bryant RA, Adler A (2002) Early intervention for trauma: current status and future directions. Clin Psychol Sci Pract 9(2):112–134CrossRefGoogle Scholar
  23. 23.
    Lovibond PF, Lovibond SH (1995a) The structure of negative emotional states: comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behav Res Ther 33(3):335–343PubMedCrossRefGoogle Scholar
  24. 24.
    Lovibond SH, Lovibond PF (1995b) Manual for the depression anxiety stress scales, 2nd edn. The Psychology Foundation of Australia, SydneyGoogle Scholar
  25. 25.
    Margolis J, Ginsberg B, Dear G, Ross A, Goral J, Bailey A (1998) Paediatric preoperative teaching: effects at induction and postoperatively. Paediatr Anasthesia 8:17–23CrossRefGoogle Scholar
  26. 26.
    McFarlane AC (1987) Posttraumatic phenomena in a longitudinal study of children following a natural disaster. J Am Acad Child Adolesc Psychiatry 26(5):764–769PubMedCrossRefGoogle Scholar
  27. 27.
    Osterman JE, Chemtob CM (1999) Emergency intervention for acute traumatic stress. Psychiatr Serv 50(6):739–740PubMedGoogle Scholar
  28. 28.
    Ponsford J, Willmott C, Rothwell A, Cameron P, Ayton G, Nelms R et al (2001) Impact of early intervention on outcome after mild traumatic brain injury in children. Pediatrics 108(6):1297–1303PubMedCrossRefGoogle Scholar
  29. 29.
    Raphael B (2000) Debriefing-science, belief, and wisdom. In: Raphael B, Wilson J (eds) Psychological debriefing: theory, practice and evidence. Cambridge Press, CambridgeGoogle Scholar
  30. 30.
    Robertson C, Klein S, Bullen H, Alexander DA (2002) An evaluation of patient satisfaction with an information leaflet for trauma survivors. Journal of Traumatic Stress 15(4):329–332PubMedCrossRefGoogle Scholar
  31. 31.
    Rose S, Bisson J, Wessely S (2003) A systematic review of single-session psychological interventions (‘debriefing’) following trauma. Psychother Psychosom 72(4):176–184PubMedCrossRefGoogle Scholar
  32. 32.
    Rose S, Bisson J, Wessely S (2004) Psychological debriefing for preventing post traumatic stress disorder (PTSD) (Cochrane Review), vol issue 1. Wiley, ChichesterGoogle Scholar
  33. 33.
    Silverman WK, Albano AM (1996) Anxiety disorders interview schedule for DSM-IV; Child version. Clinician Manual. Psychological Corporation, San AntonioGoogle Scholar
  34. 34.
    Smith P, Perrin S, Dyregrov A, Yule W (2003) Principal components analysis of the impact of event scale with children in war. Pers Individ Dif 34(2):315–322CrossRefGoogle Scholar
  35. 35.
    Spence SH (1998) A measure of anxiety symptoms among children. Behav Res Ther 36:545–566PubMedCrossRefGoogle Scholar
  36. 36.
    Stallard P, Velleman R, Baldwin S (1999) Psychological screening of children for post-traumatic stress disorder. J Child Psychol Psychiatry 40(7):1075–1082PubMedCrossRefGoogle Scholar
  37. 37.
    Stancin T, Kaugars AS, Thompson GH, Taylor HG, Yeates KO, Wade SL et al (2001) Child and family functioning 6 and 12 months after a serious pediatric fracture. J Trauma Injury Infect Crit Care 51(1):69–76CrossRefGoogle Scholar
  38. 38.
    Turpin G, Downs M, Mason S (2005) Effectivness of providing self-help information following acute traumatic injury: randomised control trial. Br J Psychiatry 187:76–82PubMedCrossRefGoogle Scholar
  39. 39.
    UNICEF (2001) A league table of child deaths by injury in rich nations [Electronic Version]. Innocenti report card, 1–30 from http://www.unicef-icdc.org
  40. 40.
    Winje D, Ulvik A (1998) Long-term outcome of trauma in children: the psychological consequences of a bus accident. J Child Psychol Psychiatry 39(5):635–642PubMedCrossRefGoogle Scholar
  41. 41.
    Wraith R (ed) (2000) Psychological debriefing: theory, practice and evidence. Cambridge University, CambridgeGoogle Scholar
  42. 42.
    Yule W (1998) Anxiety, depression, and post traumatic stress disorder in children. In: Sclare I (ed) The NFER child portfolio. NFER-Nelson, WindsorGoogle Scholar
  43. 43.
    Zilberg NJ, Weiss DS, Horowitz MJ (1982) Impact of event scale: a cross validation study and some empirical evidence supporting a conceptual model of stress response syndromes. J Consult Clin Psychol 50(3):407–414PubMedCrossRefGoogle Scholar

Copyright information

© Steinkopff Verlag 2008

Authors and Affiliations

  • Justin Kenardy
    • 1
    • 2
  • Katie Thompson
    • 1
  • Robyne Le Brocque
    • 2
  • Katherine Olsson
    • 2
  1. 1.School of PsychologyThe University of QueenslandBrisbaneAustralia
  2. 2.Centre of National Research on Disability and Rehabilitation Medicine (CONROD), Mayne School of MedicineUniversity of QueenslandHerston, BrisbaneAustralia

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