Treatment of Acute Stress Disorder: A Comparison of Cognitive-Behavioral Therapy and Supportive Counseling

Acute stress disorder (ASD) is a precursor of chronic posttraumatic stress disorder (PTSD). Twenty-four participants with ASD following civilian trauma were given 5 sessions of either cognitive-behavioral therapy (CBT) or supportive counseling (SC) within 2 weeks of their trauma. Fewer participants...

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Bibliographic Details
Published in:Journal of consulting and clinical psychology 1998-10, Vol.66 (5), p.862-866
Main Authors: Bryant, Richard A, Harvey, Allison G, Dang, Suzanne T, Sackville, Tanya, Basten, Chris
Format: Article
Language:English
Subjects:
Accidents - psychology
Acute
Acute Disease
Acute Stress Disorder
Adult
Analysis of Variance
Biological and medical sciences
Chi-Square Distribution
Civilians
Cognitive Behavioral Therapy - standards
Cognitive behaviour therapy
Cognitive Therapy
Comparison
Counseling
Counseling - standards
Counselling
Female
Human
Humans
Life Change Events
Longitudinal Studies
Male
Medical sciences
Middle Aged
Miscellaneous
Outcomes
Posttraumatic Stress Disorder
Posttreatment Followup
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Social Support
Stress
Stress Disorders, Post-Traumatic - prevention & control
Stress, Psychological - therapy
Survivors - psychology
Therapy
Traumatic stress
Treatment
Treatment Outcome
Treatments
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Description
Summary:Acute stress disorder (ASD) is a precursor of chronic posttraumatic stress disorder (PTSD). Twenty-four participants with ASD following civilian trauma were given 5 sessions of either cognitive-behavioral therapy (CBT) or supportive counseling (SC) within 2 weeks of their trauma. Fewer participants in CBT (8%) than in SC (83%) met criteria for PTSD at posttreatment. There were also fewer cases of PTSD in the CBT condition (17%) than in the SC condition (67%) 6 months posttrauma. There were greater statistically and clinically significant reductions in intrusive, avoidance, and depressive symptomatology among the CBT participants than among the SC participants. This study represents the 1st demonstration of successful treatment of ASD with CBT and its efficacy in preventing chronic PTSD.
ISSN:0022-006X
1939-2117
DOI:10.1037/0022-006X.66.5.862