Non pharmacological treatments for psychological and behavioural disorders following traumatic brain injury (TBI). A systematic literature review and expert opinion leading to recommendations
| Autor: | Jacques Luauté, J. Hamonet, A. Stefan, L. Wiart, D. Plantier |
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| Rok vydání: | 2015 |
| Předmět: |
Occupational therapy
Family therapy 030506 rehabilitation medicine.medical_specialty medicine.medical_treatment Poison control Guidelines Psychoanalysis Other therapies 03 medical and health sciences 0302 clinical medicine Traumatic brain injury Occupational Therapy medicine Humans Orthopedics and Sports Medicine Rehabilitation Disorders Cognitive Behavioral Therapy business.industry Mental Disorders Evidence-based medicine Psychoanalytic Therapy Cognitive behavioral therapy Behavioral disorders Psychotherapy Systematic review Brain Injuries Practice Guidelines as Topic Cognitive therapy Psychological Holistic therapy Family Therapy 0305 other medical science business 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Annals of physical and rehabilitation medicine. 59(1) |
| ISSN: | 1877-0665 |
| Popis: | Introduction The non pharmacological approach is an important issue in the treatment of psychological and behavioural disorders in traumatic brain injury (TBI) patients. It remains nevertheless insufficiently known and defined. The objective of this work was to develop precise recommendations for caregivers and relatives. Method The elaboration of these guidelines followed the procedure validated by the French health authority for good practice recommendations, close to the Prisma statement, involving a systematic, critical review of the literature and the expert opinions of the French Society of Physical Medicine and Rehabilitation (SOFMER) group. Results 458 articles were identified, among which 98 were selected for their relevance to the theme of the research. None of the studies reached the highest level of evidence. Fifteen controlled studies reached a relatively high level of evidence (level 2); other studies were case series or expert opinions, and other articles again were reviews of the literature and theoretical points of view. The holistic approach structured into programmes, cognitive-behavioural therapy, and family and systemic therapy, despite the low levels of proof, are recommended in first intention at all stages in the evolution of TBI. Relational and adaptive approaches, rehabilitation and vocational approaches, and psychoanalytical therapies may be useful, provided that therapists are familiar with and trained in traumatic brain injury. Conclusion Despite the small number of publications and a low level of proof, a number of recommendations for the non-pharmacological approach to psychological and behavioural disorders in TBI is proposed by the consensus conference of experts. Scientific research in this domain is needed to confirm and complete these first recommendations. |
| Databáze: | OpenAIRE |
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