Revisiting the debriefing debate: does psychological debriefing reduce PTSD symptomology following work-related trauma? A meta-analysis

Psychological debriefing is an early post-trauma intervention which aims to prevent the development of PTSD and accelerate normal recovery through discussing, validating, and normalising group members responses to trauma. While originally designed in the 1980s for groups of emergency service personn...

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Main Authors: Harry M. Stileman, Christopher A. Jones
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1248924/full
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author Harry M. Stileman
Harry M. Stileman
Christopher A. Jones
author_facet Harry M. Stileman
Harry M. Stileman
Christopher A. Jones
author_sort Harry M. Stileman
collection DOAJ
description Psychological debriefing is an early post-trauma intervention which aims to prevent the development of PTSD and accelerate normal recovery through discussing, validating, and normalising group members responses to trauma. While originally designed in the 1980s for groups of emergency service personnel, the scope of psychological debriefing extended to individual primary victims of trauma. A Cochrane review in 2002 concluded that psychological debriefing was ineffective, yet some authors have argued that many of the studies that informed the Cochrane review did not adhere to key elements of psychological debriefing. This meta-analysis sought to re-examine the effectiveness of psychological debriefing in preventing or reducing PTSD symptoms following work-related trauma. Appropriate studies were selected from three databases (MEDLINE, Embase and PsycINFO). Inclusion criteria was intentionally broad so that features of psychological debriefing that may determine its effectiveness could be explored through a series of subgroup analyses. The overall synthesis did not find consistent evidence that psychological debriefing helps to prevent or reduce PTSD symptoms following work-related trauma. Shortcomings in the methodology and reporting of many of the studies meant that several important subgroup analyses could not be conducted. Further well-designed studies in this field are warranted to ensure that employees exposed to potentially traumatic events receive the effective support they need and deserve.
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spelling doaj.art-3fe5eb8b52f94266a5cf62161ff972232023-12-27T17:47:18ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-12-011410.3389/fpsyg.2023.12489241248924Revisiting the debriefing debate: does psychological debriefing reduce PTSD symptomology following work-related trauma? A meta-analysisHarry M. Stileman0Harry M. Stileman1Christopher A. Jones2Centre of Applied Psychology, University of Birmingham, Birmingham, United KingdomBirmingham and Solihull Mental Health NHS Foundation Trust, Birmingham, United KingdomCentre of Applied Psychology, University of Birmingham, Birmingham, United KingdomPsychological debriefing is an early post-trauma intervention which aims to prevent the development of PTSD and accelerate normal recovery through discussing, validating, and normalising group members responses to trauma. While originally designed in the 1980s for groups of emergency service personnel, the scope of psychological debriefing extended to individual primary victims of trauma. A Cochrane review in 2002 concluded that psychological debriefing was ineffective, yet some authors have argued that many of the studies that informed the Cochrane review did not adhere to key elements of psychological debriefing. This meta-analysis sought to re-examine the effectiveness of psychological debriefing in preventing or reducing PTSD symptoms following work-related trauma. Appropriate studies were selected from three databases (MEDLINE, Embase and PsycINFO). Inclusion criteria was intentionally broad so that features of psychological debriefing that may determine its effectiveness could be explored through a series of subgroup analyses. The overall synthesis did not find consistent evidence that psychological debriefing helps to prevent or reduce PTSD symptoms following work-related trauma. Shortcomings in the methodology and reporting of many of the studies meant that several important subgroup analyses could not be conducted. Further well-designed studies in this field are warranted to ensure that employees exposed to potentially traumatic events receive the effective support they need and deserve.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1248924/fullpsychological debriefingcritical incident stress debriefingearly interventiontraumaPTSDwork
spellingShingle Harry M. Stileman
Harry M. Stileman
Christopher A. Jones
Revisiting the debriefing debate: does psychological debriefing reduce PTSD symptomology following work-related trauma? A meta-analysis
Frontiers in Psychology
psychological debriefing
critical incident stress debriefing
early intervention
trauma
PTSD
work
title Revisiting the debriefing debate: does psychological debriefing reduce PTSD symptomology following work-related trauma? A meta-analysis
title_full Revisiting the debriefing debate: does psychological debriefing reduce PTSD symptomology following work-related trauma? A meta-analysis
title_fullStr Revisiting the debriefing debate: does psychological debriefing reduce PTSD symptomology following work-related trauma? A meta-analysis
title_full_unstemmed Revisiting the debriefing debate: does psychological debriefing reduce PTSD symptomology following work-related trauma? A meta-analysis
title_short Revisiting the debriefing debate: does psychological debriefing reduce PTSD symptomology following work-related trauma? A meta-analysis
title_sort revisiting the debriefing debate does psychological debriefing reduce ptsd symptomology following work related trauma a meta analysis
topic psychological debriefing
critical incident stress debriefing
early intervention
trauma
PTSD
work
url https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1248924/full
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