Brain injury coping skills group: a preventative intervention for patients with brain injury and their caregivers
| Autor: | Samantha Backhaus, Daniel Klyce, Summer Ibarra, Lance E. Trexler, James F. Malec |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Coping (psychology) Adolescent Traumatic brain injury medicine.medical_treatment Poison control Physical Therapy Sports Therapy and Rehabilitation Pilot Projects law.invention Randomized controlled trial law Injury prevention Adaptation Psychological Psychoeducation medicine Humans Survivors Health Education Analysis of Variance Rehabilitation Cognitive Behavioral Therapy business.industry Social Support Middle Aged medicine.disease Distress Caregivers Brain Injuries Physical therapy Female business Clinical psychology |
| Zdroj: | Archives of physical medicine and rehabilitation. 91(6) |
| ISSN: | 1532-821X |
| Popis: | Backhaus SL, Ibarra SL, Klyce D, Trexler LE, Malec JF. Brain Injury Coping Skills Group: a preventative intervention for patients with brain injury and their caregivers. Objective To determine whether training in coping strategies will improve psychologic functioning and self-efficacy in survivors of brain injury (BI) and caregivers. Design Randomized controlled pilot study with measurements at baseline, postintervention, and 3-month follow-up. Setting Postacute rehabilitation clinic. Participants Survivors of BI (n=20) and caregivers (n=20). Interventions The Brain Injury Coping Skills Group is a 12-session, manualized, cognitive-behavioral treatment (CBT) group providing psychoeducation, support, and coping skills training. Effects of this preventative intervention were examined on emotional functioning and perceived self-efficacy (PSE). Main Outcome Measures Brief Symptom Inventory-18 (BSI-18) and Brain Injury Coping Skills Questionnaire. Results Analyses revealed that the Brain Injury Coping Skills group showed significantly improved PSE compared with the control group immediately posttreatment (F=14.16; P =.001) and maintained this over time. PSE assessed posttreatment predicted global distress at 3-month follow-up across groups (ρ=–.46). No differences between treatment and control groups were apparent on the BSI-18 posttreatment. However, the control group showed increased emotional distress at 3-month follow-up while the Brain Injury Coping Skills group remained stable over time. Conclusions Few CBT studies have included survivors of BI and caregivers together in group treatment or included a control group. No prior studies have examined the role of PSE specifically. Prior intervention studies show inconsistent effects on emotional functioning, raising questions regarding the role of intervening variables. This study offers a new conceptualization that PSE may moderate longer-term emotional adjustment after brain injury. Results indicate that PSE is an important and modifiable factor in helping persons better adjust to BI. |
| Databáze: | OpenAIRE |
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