The Efficacy of Cognitive Behavior Therapy in the Treatment of Emotional Distress After Acquired Brain Injury

被引:79
作者
Bradbury, Cheryl [1 ]
Christensen, Bruce K. [2 ]
Lau, Mark A. [3 ,4 ]
Ruttan, Lesley A. [1 ]
Arundine, April L. [1 ,5 ]
Green, Robin E. [1 ,5 ]
机构
[1] Toronto Rehabil Inst, Toronto, ON M4G 3V9, Canada
[2] McMaster Univ, St Josephs Hlth Ctr, Dept Psychiat & Behav Neurosci, Hamilton, ON, Canada
[3] BC Mental Hlth & Addict Serv, Coquitlam, BC, Canada
[4] Univ British Columbia, Fac Med, Dept Psychiat, Vancouver, BC, Canada
[5] Univ Toronto, Grad Dept Rehabil Sci, Toronto, ON, Canada
来源
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2008年 / 89卷 / 12期
关键词
Anxiety; Brain injuries; Depression; Psychotherapy; Rehabilitation;
D O I
10.1016/j.apmr.2008.08.210
中图分类号
R49 [康复医学];
学科分类号
100215 [康复医学与理疗学];
摘要
Objective: To evaluate the efficacy of cognitive behavior therapy (CBT), adapted to meet the unique needs of individuals with acquired brain injury (ABI), and modified for both group and telephone delivery. Design: Matched-controlled trial, with multiple measurements across participants, including pretreatment baseline assessment plus posttreatment and 1-month follow-up. Setting: Outpatient community brain injury center. Participants: Participants (N=20) with chronic ABI. Ten were assigned to the CBT treatment group and 10 to education control. All were experiencing significant emotional distress at the onset of the study. Intervention: Eleven sessions of CBT (or education control), including 1 introductory individual session plus 10 further sessions administered in either group format or by telephone. The CBT was designed to decrease psychologic distress and improve coping. Specific adaptations were made to the CBT in order to better accommodate individuals with cognitive difficulties. Main Outcome Measures: Primary outcome measures included the Symptom Checklist-90-Revised (SCL-90-R) and the Depression Anxiety Stress Scales (DASS-21). Secondary outcome measures included the Community Integration Questionnaire (CIQ) and the Ways of Coping Scale, Revised. Results: Significant CBT treatment effects (in both group and telephone formats) were observed on the SCL-90-R and the DASS-21, whereas no significant effects were observed in the education control group. No significant effects of treatment were observed on the CIQ or Ways of Coping Scale, Revised. Conclusions: Results suggest that adapted CBT-administered by telephone or in a face-to-face group setting-can significantly improve emotional well-being in chronic ABI.
引用
收藏
页码:S61 / S68
页数:8
相关论文
共 45 条
[1]
[Anonymous], 1996, British Journal of Occupational Therapy
[2]
[Anonymous], INT J EVID BASED HEA
[3]
Evaluation of a coping skills group following traumatic brain injury [J].
Anson, K ;
Ponsford, J .
BRAIN INJURY, 2006, 20 (02) :167-178
[4]
Coping and emotional adjustment following traumatic brain injury [J].
Anson, Katie ;
Ponsford, Jennie .
JOURNAL OF HEAD TRAUMA REHABILITATION, 2006, 21 (03) :248-259
[5]
Beck J. S., 2020, Cognitive Behavior Therapy: Basics and Beyond
[6]
Burg JS, 2000, BRAIN INJURY, V14, P513
[7]
Remote psychotherapy for terminally ill cancer patients [J].
Cluver, JS ;
Schuyler, D ;
Frueh, BC ;
Brescia, F ;
Arana, GW .
JOURNAL OF TELEMEDICINE AND TELECARE, 2005, 11 (03) :157-159
[8]
DEROGATIS LR, 1975, SCL90R J HOPK U SCH
[9]
Dijkers M., 2000, COMMUNITY INTEGRATIO
[10]
Edelman S, 1999, PSYCHO-ONCOL, V8, P474, DOI 10.1002/(SICI)1099-1611(199911/12)8:6<474::AID-PON427>3.0.CO