Deahl M P, Srinivasan M, Jones N, Neblett C, Jolly A
St Bartholomew's and the Royal London School of Medicine and Dentistry, Queen Mary and Westfield College, University of London.
J Trauma Stress. 2001 Jul;14(3):527-9. doi: 10.1023/A:1011160606866.
The efficacy of critical incident stress debriefing (CISD) and psychological debriefing (PD) following potentially traumatising events has recently been challenged after a number of recent randomised controlled trials (RCTs) failed to demonstrate that CISD or PD prevents or reduces the incidence of posttraumatic stress disorder (PTSD). These studies have used measures of PTSD as the principal outcome and have generally not measured comorbid psychopathology, behavioral or social dysfunction. In a recent RCT of group debriefing amongst British soldiers returning from peacekeeping operations in Bosnia, PD had a significant effect in reducing a worrying level of alcohol misuse in the sample. The findings of this study suggest that that it is premature to conclude that debriefing is ineffective and that a broader range of outcome measures should be employed in future trials of debriefing.
在最近一些随机对照试验（RCT）未能证明重大事件应激晤谈（CISD）或心理晤谈（PD）可预防或降低创伤后应激障碍（PTSD）的发病率之后，潜在创伤性事件后进行CISD和PD的疗效最近受到了质疑。这些研究将PTSD的测量作为主要结果，并且通常没有测量共病精神病理学、行为或社会功能障碍。在最近一项对从波斯尼亚维和行动归来的英国士兵进行团体晤谈的RCT中，PD对降低样本中令人担忧的酒精滥用水平有显著效果。这项研究的结果表明，得出晤谈无效的结论还为时过早，并且在未来的晤谈试验中应采用更广泛的结果测量方法。
