Description of an early cognitive behavioral intervention (UPFRONT-intervention) following mild traumatic brain injury to prevent persistent complaints and facilitate return to work

Autor: Annemarie C. Visser-Keizer, Myrthe E. Scheenen, Jacoba M. Spikman, Joukje van der Naalt
Přispěvatelé: Clinical Neuropsychology, Molecular Neuroscience and Ageing Research (MOLAR), Movement Disorder (MD)
Rok vydání: 2017
Předmět:
Male
medicine.medical_specialty
Coping (psychology)
Traumatic brain injury
medicine.medical_treatment
Physical Therapy
Sports Therapy and Rehabilitation
Return to work
Risk Assessment
FATIGUE
POSTCONCUSSION SYNDROME
THERAPY
PSYCHOGENESIS
law.invention
03 medical and health sciences
Injury Severity Score
Return to Work
0302 clinical medicine
Randomized controlled trial
law
Adaptation
Psychological
Early Intervention
Educational
medicine
Humans
PHYSIOGENESIS
030212 general & internal medicine
Intensive care medicine
Psychiatry
Brain Concussion
Netherlands
Cognitive Behavioral Therapy
Postconcussion syndrome
Rehabilitation
Head injury
HEAD-INJURY
Cognition
Recovery of Function
Middle Aged
RANDOMIZED CONTROLLED-TRIAL
medicine.disease
Cognitive behavioral therapy
Treatment Outcome
POST-CONCUSSION SYMPTOMS
Quality of Life
POSTTRAUMATIC COMPLAINTS
Female
EARLY PREDICTORS
Psychology
030217 neurology & neurosurgery
Zdroj: Clinical Rehabilitation, 31(8), 1019-1029. SAGE Publications Inc.
ISSN: 1477-0873
0269-2155
DOI: 10.1177/0269215516687101
Popis: Purpose: Many patients with mild traumatic brain injury do not fully return to work owing to persistent posttraumatic complaints. Research suggests that preventing chronic complaints might be prevented by giving cognitive behavioral therapy early after injury. Therefore, a new cognitive behavioral intervention (UPFRONT-intervention) was developed to not only prevent chronic complaints but to also establish a more successful return to work. The intervention is currently being evaluated in a multicenter randomized controlled trial design (trial number ISRCTN86191894) in mild traumatic brain injury patients who are at-risk of negative outcomes (patients with high numbers of early complaints). Two case examples are presented to demonstrate the application of the intervention. Rationale: Psychological factors, like cognitive appraisal and coping, play an important role in the persistence of posttraumatic complaints. Some patients are less able to adapt and thus to cope with the injury and its initial consequences than others. Dealing with the injury in a passive, avoidant way, focusing on negative feelings, will hamper recovery and is therefore a valuable target for an intervention. Theory into practice: The UPFRONT intervention is a short cognitive behavioral therapy intervention for patients that are at-risk of developing persistent posttraumatic complaints. Patients will undergo five sessions of cognitive behavioral therapy within 4–10 weeks after trauma. The intervention aims to enhance patients’ feeling of competency of dealing with the consequences of mild traumatic brain injury by providing psycho-education, identifying and challenging unrealistic illness perceptions and improving coping style (decreasing maladaptive coping and enhancing adaptive coping).
Databáze: OpenAIRE
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