Early Psychological Interventions for Post Traumatic Stress post Burn Injury

• Conditions: Post Traumatic Stress Disorder (PTSD); Depression; Anxiety; Adjustment and quality of life; Burn Injury; Mental Health - Anxiety; Mental Health - Depression; Injuries and Accidents - Burns

• Registration Number: ACTRN12614000872639
• Lead Sponsor: Royal North Shore Hospital

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2014-08-14
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

All burns patients admitted to the Severe Burns Injury Unit at Royal Nortrh Shore Hospital, Sydney will be eligible to participate in the first (screening) phase of this study. Of these patients, those with moderate to high levels of uncomplicated post-traumatic stress symptoms at 2-4 weeks post injury will be offered participation in the second/treatment phase of this study. Moderate to high levels of post-traumatic stress symptoms will be defined as an Impact of Event Scale Revised (IES-R) score equal or greater than 26.

Exclusion Criteria

1.Patients younger than 18 years of age.
2.Medical or psychiatric issue that impairs the ability of the participant to give informed consent.
3.Patients with high levels of dissociation (DES score >40)
4.Patients suffering from acute grief reactions
5.Patients at risk of self-harm who cannot assure their safety.
6.Patients who remain in an unsafe environment/current abusive relationship.
7.Patients with complex chronic trauma histories that are unresolved (discernible signs of ongoing traumatic disorganization of reasoning, discourse and behaviour)
8.Patients that are required to give evidence or statements to the police or in a court of law.
9. Patients with self-inflicted burns

Patients younger than 18 years of age and those with issues that impair the ability to give informed consent will be excluded as their capacity for informed consent will be affected.

Patients with current and ongoing severe substance abuse, high levels of dissociation (DES score >40), those suffering from an acute grief reaction as well as patients with complex chronic trauma histories that are unresolved (discernible signs of ongoing traumatic disorganization of reasoning, discourse and behaviour) will also be excluded as this would require longer term support and stabilisation before being able to address the current (burn related) trauma safely.

Also patients at risk of self-harm who cannot assure their safety, those who remain in an unsafe environment/current abusive relationship and patients with a previous PTSD diagnosis will be excluded as these are contraindications for early EMDR intervention

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Diagnosis of PTSD<br>The Clinician Administered PTSD Scale (CAPS), which is the gold standard for diagnosing PTSD will be administered to all participants.<br><br>The Impact of Event Scale -Revised (IES-R), which measures post traumatic symptoms will also be used.[The CAPS will be administered 3 months post injury and the IES-R before and after each intervention as well as at the 3 month mark.];Depression<br>The Depression Anxiety and Stress Schedule (DASS), a valid and reliable measure for symptoms of depression, anxiety and stress will be used to assess this outcome.[3 months post injury ];Anxiety<br>The Depression Anxiety and Stress Schedule (DASS), a valid and reliable measure for symptoms of depression, anxiety and stress will be used to assess this outcome.[3 months post injury ]

Secondary Outcome Measures

Name	Time	Method
Adjustment and quality of life<br>The Burns Specific Health Scale Brief (BSHS-B) measures quality of life post burn injury[The BSHS-B will be administered 12 months post injury to allow time for rehabilitation and some adjustment before measuring quality of life. ]