The physician's role in Managing acute stress disorder

Michael G. Kavan, Gary N. Elsasser, Eugene J. Barone

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Acute Strees disorder is a psychiatric diagnosis that may occur in patients within four weeks of a traumatic event. Features include anxiety, intense fear or helplessness, dissociative symptoms, reexperiencing the event, and avoidance behaviors. Persons with this disorder are at increased risk of developing posttraumatic stress disorder. Other risk factors for posttraumatic stress disorder include current or family history of anxiety or mood disorders, a history of sexual or physical abuse, lower cognitive ability, engaging in excessive safety behaviors, and greater symptom severity one to two weeks after the trauma. Common reactions to trauma include physical, mental, and emotional symptoms. Persistent psychological distress that is severe enough to interfere with psychological or social functioning may warrant further evaluation and intervention. Patients experiencing acute stress disorder may benefit from psychological first aid, which includes ensuring the patient's safety; providing information about the event, stress reactions, and how to cope; offering practical assistance; and helping the patient to connect with social support and other services. Cognitive behavior therapy is effective in reducing symptoms and decreasing the future incidence of posttraumatic stress disorder. Critical Incident Stress Debriefing aims to mitigate emotional distress through sharing emotions about the traumatic event, providing education and tips on coping, and attempting to normalize reactions to trauma. However, this method may actually impede natural recovery by overwhelming victims. There is insufficient evidence to recommend the routine use of drugs in the treatment of acute stress disorder. Short-term pharmacologic intervention may be beneficial in relieving specific associated symptoms, such as pain, insomnia, and depression.

Original languageEnglish
Pages (from-to)643-649
Number of pages7
JournalAmerican Family Physician
Volume86
Issue number7
StatePublished - Oct 1 2012

Fingerprint

Stress Disorders, Traumatic, Acute
Physician's Role
Post-Traumatic Stress Disorders
Psychology
Wounds and Injuries
Crisis Intervention
Avoidance Learning
First Aid
Aptitude
Sex Offenses
Sleep Initiation and Maintenance Disorders
Cognitive Therapy
Patient Safety
Anxiety Disorders
Mood Disorders
Mental Disorders
Social Support
Fear
Emotions
Anxiety

All Science Journal Classification (ASJC) codes

  • Family Practice

Cite this

Kavan, M. G., Elsasser, G. N., & Barone, E. J. (2012). The physician's role in Managing acute stress disorder. American Family Physician, 86(7), 643-649.

The physician's role in Managing acute stress disorder. / Kavan, Michael G.; Elsasser, Gary N.; Barone, Eugene J.

In: American Family Physician, Vol. 86, No. 7, 01.10.2012, p. 643-649.

Research output: Contribution to journalArticle

Kavan, MG, Elsasser, GN & Barone, EJ 2012, 'The physician's role in Managing acute stress disorder', American Family Physician, vol. 86, no. 7, pp. 643-649.
Kavan, Michael G. ; Elsasser, Gary N. ; Barone, Eugene J. / The physician's role in Managing acute stress disorder. In: American Family Physician. 2012 ; Vol. 86, No. 7. pp. 643-649.
@article{9043efc95fb643edae32063a22e7d822,
title = "The physician's role in Managing acute stress disorder",
abstract = "Acute Strees disorder is a psychiatric diagnosis that may occur in patients within four weeks of a traumatic event. Features include anxiety, intense fear or helplessness, dissociative symptoms, reexperiencing the event, and avoidance behaviors. Persons with this disorder are at increased risk of developing posttraumatic stress disorder. Other risk factors for posttraumatic stress disorder include current or family history of anxiety or mood disorders, a history of sexual or physical abuse, lower cognitive ability, engaging in excessive safety behaviors, and greater symptom severity one to two weeks after the trauma. Common reactions to trauma include physical, mental, and emotional symptoms. Persistent psychological distress that is severe enough to interfere with psychological or social functioning may warrant further evaluation and intervention. Patients experiencing acute stress disorder may benefit from psychological first aid, which includes ensuring the patient's safety; providing information about the event, stress reactions, and how to cope; offering practical assistance; and helping the patient to connect with social support and other services. Cognitive behavior therapy is effective in reducing symptoms and decreasing the future incidence of posttraumatic stress disorder. Critical Incident Stress Debriefing aims to mitigate emotional distress through sharing emotions about the traumatic event, providing education and tips on coping, and attempting to normalize reactions to trauma. However, this method may actually impede natural recovery by overwhelming victims. There is insufficient evidence to recommend the routine use of drugs in the treatment of acute stress disorder. Short-term pharmacologic intervention may be beneficial in relieving specific associated symptoms, such as pain, insomnia, and depression.",
author = "Kavan, {Michael G.} and Elsasser, {Gary N.} and Barone, {Eugene J.}",
year = "2012",
month = "10",
day = "1",
language = "English",
volume = "86",
pages = "643--649",
journal = "American Family Physician",
issn = "0002-838X",
publisher = "American Academy of Family Physicians",
number = "7",

}

TY - JOUR

T1 - The physician's role in Managing acute stress disorder

AU - Kavan, Michael G.

AU - Elsasser, Gary N.

AU - Barone, Eugene J.

PY - 2012/10/1

Y1 - 2012/10/1

N2 - Acute Strees disorder is a psychiatric diagnosis that may occur in patients within four weeks of a traumatic event. Features include anxiety, intense fear or helplessness, dissociative symptoms, reexperiencing the event, and avoidance behaviors. Persons with this disorder are at increased risk of developing posttraumatic stress disorder. Other risk factors for posttraumatic stress disorder include current or family history of anxiety or mood disorders, a history of sexual or physical abuse, lower cognitive ability, engaging in excessive safety behaviors, and greater symptom severity one to two weeks after the trauma. Common reactions to trauma include physical, mental, and emotional symptoms. Persistent psychological distress that is severe enough to interfere with psychological or social functioning may warrant further evaluation and intervention. Patients experiencing acute stress disorder may benefit from psychological first aid, which includes ensuring the patient's safety; providing information about the event, stress reactions, and how to cope; offering practical assistance; and helping the patient to connect with social support and other services. Cognitive behavior therapy is effective in reducing symptoms and decreasing the future incidence of posttraumatic stress disorder. Critical Incident Stress Debriefing aims to mitigate emotional distress through sharing emotions about the traumatic event, providing education and tips on coping, and attempting to normalize reactions to trauma. However, this method may actually impede natural recovery by overwhelming victims. There is insufficient evidence to recommend the routine use of drugs in the treatment of acute stress disorder. Short-term pharmacologic intervention may be beneficial in relieving specific associated symptoms, such as pain, insomnia, and depression.

AB - Acute Strees disorder is a psychiatric diagnosis that may occur in patients within four weeks of a traumatic event. Features include anxiety, intense fear or helplessness, dissociative symptoms, reexperiencing the event, and avoidance behaviors. Persons with this disorder are at increased risk of developing posttraumatic stress disorder. Other risk factors for posttraumatic stress disorder include current or family history of anxiety or mood disorders, a history of sexual or physical abuse, lower cognitive ability, engaging in excessive safety behaviors, and greater symptom severity one to two weeks after the trauma. Common reactions to trauma include physical, mental, and emotional symptoms. Persistent psychological distress that is severe enough to interfere with psychological or social functioning may warrant further evaluation and intervention. Patients experiencing acute stress disorder may benefit from psychological first aid, which includes ensuring the patient's safety; providing information about the event, stress reactions, and how to cope; offering practical assistance; and helping the patient to connect with social support and other services. Cognitive behavior therapy is effective in reducing symptoms and decreasing the future incidence of posttraumatic stress disorder. Critical Incident Stress Debriefing aims to mitigate emotional distress through sharing emotions about the traumatic event, providing education and tips on coping, and attempting to normalize reactions to trauma. However, this method may actually impede natural recovery by overwhelming victims. There is insufficient evidence to recommend the routine use of drugs in the treatment of acute stress disorder. Short-term pharmacologic intervention may be beneficial in relieving specific associated symptoms, such as pain, insomnia, and depression.

UR - http://www.scopus.com/inward/record.url?scp=84867259523&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84867259523&partnerID=8YFLogxK

M3 - Article

C2 - 23062092

AN - SCOPUS:84867259523

VL - 86

SP - 643

EP - 649

JO - American Family Physician

JF - American Family Physician

SN - 0002-838X

IS - 7

ER -