Critical Incident Stress Debriefing (CISD): Efficacy in Question

Katherine Barboza

Abstract


When a person experiences a traumatic event, s/he may have a strong emotional reaction. This reaction may disrupt the person's ability to function at the scene of the incident or later, and may range from a normal stress response to the symptoms indicative of Post Traumatic Stress Disorder (PTSD). Psychological debriefing is an immediate intervention used following a traumatic experience that purportedly helps individuals manage their normal stress reactions to the incident. Critical Incident Stress Debriefing (CISD) was designed for workers in high-risk occupations, such as police officers, disaster workers, and firefighters. Critical Incident Stress Management (CISM) is a multi-component intervention system that incorporates CISD. The use of this intervention has been expanded to individuals, groups, and communities. While this intervention has been used extensively following traumatic events, its efficacy is under much debate. Currently, there is a controversy regarding the issue of whether it helps with initial distress and if it does, in fact, prevent post-traumatic symptoms. This review is limited to studies assessing emergency response workers, as critical incident stress debriefing and management was originally designed for this population.

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References


American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th ed. Text Revision). Washington, DC: American Psychiatric Association.

Bisson, J.I., Jenkins, P.L., Alexander, J., & Bannister, C. (1997). Randomised controlled trial of psychological debriefing for victims of acute burn trauma. British Journal of Psychiatry, 171, 78-81

Bledsoe, B.E. (2003). Critical incident stress management (CISM): Benefit or risk for emergency services? Prehospital Emergency Care, 7, 272-279.

Cannon, M., McKenzie, K., & Sims, A. (2003). Psychological debriefing is a waste of time. British Journal of Psychiatry, 183, 12-14.

Carlier, I.V., Voerman, A.E., & Gersons, B.P. (2000). The influence of occupational debriefing on post-traumatic stress symptomology in traumatized police officers. The British Journal of Medical Psychology, 73, 87-98.

Chemtob, C.M., Tomas, S., Law, W., & Cremniter, D. (1997). Postdisaster psychosocial intervention: A field study of the impact of debriefing on psychological distress. American Journal of Psychiatry, 154, 415-417.

Dyregrov, A. (1997). The process in psychological debriefings. Journal of Traumatic Stress, 10, 589-605.

Everly, G.S., Flannery, R.B., & Eyler, V.A. (2002). Critical incident stress management (CISM): A statistical review of the literature. Psychiatric Quarterly, 72, 171-182.

Everly, G.S., Flannery, R.B., & Mitchell, J.T. (2000). Critical incident stress management (CISM): A review of the literature. Aggression and Violent Behavior, 5, 23-40.

Everly, G.S., & Mitchell, J.T. (1999). Critical Incident Stress Management (CISM): A new era and standard of care in crisis intervention (2nd ed.). Ellicott City, MD: Chevron.

Flannery, R.B., Anderson, E., Marks, L., Uzoma, L. (2000). The Assaulted Staff Action Program and declines in rates of assaults: Mixed replicated findings. Psychiatric Quarterly, 71, 165-175.

Harris, M.B., Baloglu, M., Stacks, J.R. (2002). Mental health of trauma-exposed firefighters and critical incident stress debriefing. Journal of Loss and Trauma, 7, 223-238.

Hobbs, M., Mayou, R., Harrison, B., & Worlock, P. (1996). A randomized controlled trial of psychological debriefing for victims of road traffic accidents. British Medical Journal, 313, 1438-1439.

Hytten, K., & Hasle, A. (1989). Firefighters: Astudy of stress and coping, Acta Psychiatrica Scandinavica, 55, 50-55.

Jenkins, S.R. (1996). Social support and debriefing efficacy among emergency medical workers after a mass shooting incident, Journal of Social Behaviour and Personality, 11, 477-492.

Kershaw, K., Jolly, J., Bhabra, K., & Ford, J. (2005). Randomised controlled trial of community debriefing following operative delivery. British Journal of Obstetrics and Gynaecology, 112, 1504-1509.

Leonard, R., & Alison, L. (1999). Critical incident stress debriefing and its effects on coping strategies and anger in a sample of Australian police officers involved in shooting incidents. Work & Stress, 13, 144-161.

Linton, J.C., Kommor, M.J., & Webb, C.H. (1993). Helping the helpers: The development of a critical incident stress management team through university/community cooperation. Annals of Emergency Medicine, 22, 34-38.

Litz, B.T., Gray, M.J., Bryant, R.A., & Adler, A.B. (2002). Early intervention for trauma: Current status and future directions. Clinical Psychology: Science and Practice, 9, 112-134.

Raphael, B., Meldrum, L., & McFarlane, A.C. (1995). Does debriefing after psychological trauma work? Time for randomized controlled trials. British Medical Journal, 310, 1479-1480.

Reyes, G., & Elhai, J.D. (2004). Psychosocial interventions in the early phases of disasters. Psychotherapy: Theory, Research, Practice, Training, 41, 399-411.


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