Screening and Promoting Recovery after Injury by Treating Early

Not Applicable

Recruiting

• Conditions: Anxiety; Depression; Posttraumatic Stress Disorder; Injuries; Mental Health - Other mental health disorders; Mental Health - Depression; Mental Health - Anxiety

• Registration Number: ACTRN12614000823673
• Lead Sponsor: The University of Melbourne

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

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

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 1650

Inclusion Criteria

SCREENING

a)A patient with traumatic physical injury that requires an admission of at least 24 hours to the trauma service.
b)No brain injury or only mild Traumatic Brain Injury
c)Age between 18 and 70 years.
d)A reasonable comprehension of English (defined by proficiency to read and understand the participant information sheet and consent form)

TREATMENT

a)All inclusion criteria as stated overall in the study, plus:
b)Depression, Anxiety or PTSD MINI scores that exceed the symptom threshold.
c)Participant accepts invitation for therapy

Exclusion Criteria

a)Death
b)Age at or > 70
c)Age < 18
d)Non traumatic injury – defined as patients with an injury that is minor and caused by a non-traumatic event. This includes minor injury sustained by the following mechanisms of injury:
- Falling from a non-height (e.g., tripping, slipping, fainting)
- Domestic accidents (accidents that occur around the home)
- Contact sport
e)Non direct admission (e.g., secondary admission for injuries subsequent to initial injury)
f)Satellite admission – in some cases patients are kept in wards for observation, usually because their injuries are relatively minor. Those in observation wards are not included in the study.
g)Brain injury is greater than mild (ie. moderate or severe TBI)
h)Actively suicidal or injury is a result of deliberate self harm
i)Substance dependence
j)History of or a current psychotic disorder
k)Other non traumatic event
l)Non English speaker
m)Non Victorian/Non permanent resident or visitor to Victoria (e.g., tourist)
n)Homelessness/Itinerant
o)Admission <24 hours
p)On hospital ward at or > 28 days.
q)Cognitive impairment
r)Under police guard
s)Weekend discharges – patients discharged over the weekend who could not be admitted to the study.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Presence of major depression, an anxiety disorder or posttraumatic stress disorder as assessed using the MINI international neuropsychiatric interview. A dichotomous variable indicating the presence or absence of any emotional disorder will be created and serve as the primary outcome measure. [Pre-treatment, Mid-treatment, Post treatment and at 6 month follow up];Severity of emotional disorder as measured by the Posttraumatic Stress Disorder Checklist, the Beck Anxiety Inventory, and the Beck Depression Inventory[Pre-treatment, Mid- treatment, Post treatment and at 6 month follow up]

Secondary Outcome Measures

Name	Time	Method
Perceived control over emotional experiences will be assessed using the Anxiety Control Questionnaire -Revised.[Pre-treatment, Mid-treatment, Post-treatment and 6 month follow up.];Use of strategies to avoid unpleasant emotions (experiential avoidance) as measured by the Brief Multi-dimensional Experiential Avoidance Questionnaire.[Pre-treatment, Mid-treatment, Post-treatment and 6 month follow up.];Disability as assessed by the World Health Organisation Disability Assessment Scale.[Pre-treatment, Mid-treatment, Post-treatment and 6 month follow up.];Quality of life as assessed using the Assessment of Quality of Life Questionnaire - 6D. [Pre-treatment, Mid-treatment, Post-treatment and 6 month follow up.]