Review Article

Pharmacological Prevention of Posttraumatic Stress Disorder: A Systematic Review

Table 1

Papers excluded from the current review.

Study authorsStudy populationStudy designDrug usedOutcome measureResult

(1) Sharp et al., 2010 [25]
Children with severe burns, Chart reviewPropranololDiagnosis of ASDNo effect of propranolol in preventing ASD after 1 month

(2) Schelling et al., 1999 [24]Adults surviving septic shock, (27 receiving the drug, 27 controls)Retrospective case-controlHydrocortisone 100 mg, followed by 0.18 mg/kg/hrDiagnosis of PTSD as per Posttraumatic Stress Syndrome-10 InventorySignificantly lower rates of PTSD in patients receiving hydrocortisone (5/27 versus 16/27 controls, )

(3) Kobayashi et al., 2011 [26]Adult victims of traffic accidents (; 23 receiving the drug, 232 controls)Retrospective case-controlSalbutamolPTSD symptoms as per CAPSLower CAPS scores in the salbutamol group at 6 weeks; only the re-experiencing sub-score was lower in this group after 1 year

(4) Saxe et al., 2001 [27]Hospitalized children with burns, aged 6–16 (Prospective observational studyMorphinePTSD symptoms as per Child PTSD Reaction IndexSignificant correlation between morphine dose received and 6-month decrease in PTSD symptoms

(5) Bryant et al., 2009 [28]Hospitalized patients with traumatic injuries (; 17 with PTSD, 138 without)Chart reviewMorphineAmount of morphine used in patients with and without PTSDPatients diagnosed with PTSD at 3 months received significantly less morphine

(6) Stoddard et al., 2009 [29]Hospitalized children with burns, aged 1–4 (; complete data available only for 11 children)Prospective observational studyMorphinePTSD symptoms as per CDSC-B Child Stress Disorders Checklist-Burns VersionSignificant correlation between morphine dose received and 6-month decrease in PTSD symptoms

(7) Holbrook et al., 2010 [30]Military personnel with combat trauma (; 243 with PTSD, 453 without)Chart reviewMorphineRates of morphine use in patients with and without PTSDLower morphine use in those with PTSD (61%) than those without (76%; )

CAPS, clinician-assessed PTSD scale; CDSC-B, child stress disorders checklist-burns version.