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Am J Psychiatry 1997; 154:415-417
Copyright © 1997 by American Psychiatric Association
Postdisaster psychosocial intervention: a field study of the impact of debriefing on psychological distress
CM Chemtob, S Tomas, W Law and D Cremniter
University of Hawaii at Manoa, HI, USA.
OBJECTIVE: Following a catastrophic natural disaster, the authors evaluated
whether brief psychological intervention (debriefing 6 months later)
reduced disaster-related psychological distress as measured by the Impact
of Event Scale. METHOD: Two groups of subjects who had been exposed to
Hurricane Iniki in Hawaii were assessed before and after participating in a
multihour debriefing group. The intervention aimed to provide ventilation
of feelings, normalization of responses, and education about normal
psychological reactions to the disaster in a context of group support. To
provide a partial control for the passage of time, the pretreatment
assessment of the second group was concurrent with the posttreatment
assessment of the first group. RESULTS: A repeated measures analysis of
variance indicated that Impact of Event Scale scores were reduced in both
groups after the treatment. CONCLUSIONS: There is preliminary empirical
support for the effectiveness of postdisaster psychological intervention
and for the feasibility of treatment research in postdisaster environments.
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