Training in Goal-Oriented Attention Self-Regulation Improves Executive Functioning in Veterans with Chronic Traumatic Brain Injury
| Autor: | Anthony J.-W. Chen, Mark D'Esposito, Gary W. Abrams, Fred Loya, Tatjana Novakovic-Agopian, Erica Kornblith, Joaquin Burciaga-Rosales |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Traumatic brain injury 050105 experimental psychology Self-Control Executive Function 03 medical and health sciences 0302 clinical medicine Effective interventions Physical medicine and rehabilitation Brain Injuries Traumatic Brain Injury Chronic medicine Humans Attention 0501 psychology and cognitive sciences Cognitive rehabilitation therapy Aged Veterans Cognitive Behavioral Therapy Goal orientation business.industry 05 social sciences Original Articles Middle Aged medicine.disease Female Neurology (clinical) business Goals human activities 030217 neurology & neurosurgery |
| Zdroj: | J Neurotrauma |
| ISSN: | 1557-9042 0897-7151 |
| Popis: | Deficits in executive control functions are some of the most common and disabling consequences of both military and civilian brain injury. However, effective interventions are scant. The goal of this study was to assess whether cognitive rehabilitation training that was successfully applied in chronic civilian brain injury would be effective for military veterans with traumatic brain injury (TBI). In a prior study, participants with chronic acquired brain injury significantly improved after training in Goal-Oriented Attentional Self-Regulation (GOALS) on measures of attention/executive function, functional task performance, and goal-directed control over neural processing on functional magnetic resonance imaging. The objective of this study was to assess effects of GOALS training in veterans with chronic TBI. A total of 33 veterans with chronic TBI and executive difficulties in their daily life completed either 5 weeks of manualized GOALS training or Brain-Health Education (BHE) matched by time and intensity. Evaluator-blinded assessments at baseline and post-training included neuropsychological and complex functional task performance and self-report measures of emotional regulation. After GOALS, but not BHE training, participants significantly improved from baseline on primary outcome measures of Overall Complex Attention/Executive Function composite neuropsychological performance score (F = 7.10, p = 0.01; partial η(2) = 0.19), and on overall complex functional task performance (Goal Processing Scale Overall Performance; F = 6.92, p = 0.01, partial η(2) = 0.20). Additionally, post-GOALS participants indicated significant improvement on emotional regulation self-report measures (Profile of Mood States Confusion Score; F = 6.05, p = 0.02, partialη(2) = 0.20). Training in attentional self-regulation applied to participant-defined goals may improve cognitive functioning in veterans with chronic TBI. Attention regulation training may not only impact executive control functioning in real-world complex tasks, but also may improve emotional regulation and functioning. Implications for treatment of veterans with TBI are discussed. |
| Databáze: | OpenAIRE |
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