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DC Field | Value | Language |
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dc.contributor.author | Wijesinghe, C.A. | en_US |
dc.contributor.author | Williams, S.S. | en_US |
dc.contributor.author | Kasturiratne, A. | en_US |
dc.contributor.author | Dolawaththa, N. | en_US |
dc.contributor.author | Wimalaratne, P. | en_US |
dc.contributor.author | Wijewickrema, B. | en_US |
dc.contributor.author | Jayamanne, S.F. | en_US |
dc.contributor.author | Isbister, G.K. | en_US |
dc.contributor.author | Dawson, A.H. | en_US |
dc.contributor.author | Lalloo, D.G. | en_US |
dc.contributor.author | de Silva, H.J. | en_US |
dc.date.accessioned | 2015-08-25T09:43:57Z | en_US |
dc.date.available | 2015-08-25T09:43:57Z | en_US |
dc.date.issued | 2015 | en_US |
dc.identifier.citation | PLoS Neglected Tropical Diseases. 2015;9(8):e0003989 | en_US |
dc.identifier.issn | 1935-2735 (Electronic) | en_US |
dc.identifier.issn | 1935-2727 (Print) | en_US |
dc.identifier.uri | http://repository.kln.ac.lk/handle/123456789/9289 | en_US |
dc.description | Indexed in MEDLINE | en_US |
dc.description.abstract | BACKGROUND: Snakebite results in delayed psychological morbidity and negative psycho-social impact. However, psychological support is rarely provided to victims. AIM: To assess the effectiveness of a brief intervention which can be provided by non-specialist doctors aimed at reducing psychological morbidity following snakebite envenoming. METHOD: In a single blind, randomized controlled trial, snakebite victims with systemic envenoming [n = 225, 168 males, mean age 42.1 (SD 12.4) years] were randomized into three arms. One arm received no intervention (n = 68, Group A), the second received psychological first aid and psychoeducation (dispelling prevalent cultural beliefs related to snakebite which promote development of a sick role) at discharge from hospital (n = 65, Group B), while the third received psychological first aid and psychoeducation at discharge and a second intervention one month later based on cognitive behavioural principles (n = 69, Group C). All patients were assessed six months after hospital discharge for the presence of psychological symptoms and level of functioning using standardized tools. RESULTS: At six months, there was a decreasing trend in the proportion of patients who were positive for psychiatric symptoms of depression and anxiety from Group A through Group B to Group C (Chi square test for trend = 7.901, p = 0.005). This was mainly due to a decreasing trend for symptoms of anxiety (chi-square for trend = 11.256, p = 0.001). There was also decreasing trend in the overall prevalence of disability from Group A through Group B to Group C (chi square for trend = 7.551, p = 0.006), predominantly in relation to disability in family life (p = 0.006) and social life (p = 0.005). However, there was no difference in the proportion of patients diagnosed with depression between the three groups (chi square for trend = 0.391, p = 0.532), and the intervention also had no effect on post-traumatic stress disorder. CONCLUSIONS: A brief psychological intervention, which included psychological first aid and psychoeducation plus cognitive behavioural therapy that can be provided by non-specialist doctors appeared to reduce psychiatric symptoms and disability after snakebite envenoming, but not depression or post-traumatic stress disorder. TRIAL REGISTRATION: Sri Lanka Clinical Trials Registry: SLCTR/2011/003. | en_US |
dc.language.iso | en_US | en_US |
dc.publisher | Public Library of Science | en_US |
dc.subject | Snake Bites | en |
dc.subject | Snake Bites-psychology | en |
dc.subject | Snake Bites-therapy | en |
dc.subject | Psychotherapy-methods | en |
dc.subject | Stress Disorders, Post-Traumatic | en |
dc.subject | Stress Disorders, Post-Traumatic-therapy | en |
dc.subject | Treatment Outcome | en |
dc.subject | Cognitive Behavioral Therapy | en |
dc.subject | Depressive Disorder-therapy | en |
dc.subject | Randomized Controlled Trial | en |
dc.title | A Randomized Controlled Trial of a brief Intervention for delayed psychological effects in snakebite victims | en_US |
dc.type | Article | en_US |
Appears in Collections: | Journal/Magazine Articles |
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wijesinghe.2015.pdf | 270.03 kB | Adobe PDF | View/Open |
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