Indiscriminate trauma preventions may discriminate: A randomised controlled trial of group psychological first aid.
Grant James Devilly, Dean Bestmann, Jessica Giliam et al.
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In 30 seconds
This randomized controlled trial evaluated the effectiveness of Psychological First Aid (PFA) in reducing psychological distress after trauma in 84 participants. Results indicated that the control group experienced greater stress reduction compared to the PFA group, with a medium effect size. At two-week follow-up, no significant differences in distress measures were observed between groups.
Key findings
- The control group showed greater stress reduction compared to the PFA group, with a medium effect size.
- At two-week follow-up, no differences in distress measures were found between PFA and control groups.
- Participants with higher initial distress had significantly greater trauma symptoms at follow-up if they received PFA.
Why it matters
The findings raise concerns about the efficacy of PFA as a universal intervention for trauma, suggesting it may not be beneficial for all individuals, particularly those with high initial distress. This challenges current practices and emphasizes the need for individualized approaches in post-trauma care.