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Psychiatry · Trauma: psychological debriefing
Sample itemAfter a bus accident, survivors are offered single-session compulsory psychological debriefing to prevent PTSD. What does the evidence show?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. It does not reduce PTSD and may be harmful, so it is not recommended
Systematic reviews show that single-session debriefing does not prevent PTSD and may increase symptoms in some. Psychological first aid, practical support and monitoring are recommended, with trauma-focused CBT for those who develop persistent symptoms. Debriefing is therefore not routinely advised.
Option by option
A. It does not reduce PTSD and may be harmful, so it is not recommended (correct)
Correct. Debriefing is not effective and may harm.
B. It is the preferred intervention for all survivors
It is not recommended for all survivors.
C. It reduces PTSD by half
No reduction of PTSD by half has been shown.
D. It replaces the need for trauma-focused CBT
Trauma-focused CBT remains the treatment for established PTSD.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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