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Title: | Randomized controlled trial of a brief intervention for delayed psychological effects in snake bite victims |
Authors: | Wijesinghe, C.A. |
Keywords: | Snake Bites |
Issue Date: | 2016 |
Publisher: | Faculty of Medicine, University of Kelaniya, Sri Lanka |
Citation: | Proceedings of the 25th Anniversary International Scientific Conference. Faculty of Medicine, University of Kelaniya; 2016: 44 |
Abstract: | Snake bite results in delayed psychological morbidity and negative psycho-social impact. However, psychological support is rarely provided to victims. The aim of this study was to assess the effectiveness of a brief intervention which can be provided by non-specialist doctors, and aimed at reducing psychological morbidity following snake bite envenoming. In a single blind, randomized controlled trial, 225 snake bite victims with systemic envenoming were randomized into three arms. One arm received no intervention (Group A, n=68); the second received psychological first aid and psychoeducation at discharge from hospital (Group B, n = 65); while the third received psychological first aid and psychoeducation at discharge and a second intervention one month later (Group C, n = 69). All patients were assessed six months after hospital discharge for the presence of psychological symptoms and level of functioning. A statistically significant decreasing trend in the proportion of patients positive for psychiatric symptoms of depression and anxiety was observed at six month follow up, from Group A through Group B to Group C, mainly due to a decreasing trend for symptoms of anxiety. There was also significant decreasing trend in the overall prevalence of disability from Group A through Group B to Group C, predominantly in relation to disability in family life and social life. |
Description: | Symposium C (SYM C): Snakebite - 25th Anniversary International Scientific Conference, 6-8 April 2016, Faculty of Medicine,University of Kelaniya, Sri Lanka |
URI: | http://repository.kln.ac.lk/handle/123456789/12789 |
Appears in Collections: | 25th Anniversary International Scientific Conference-2016 |
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