Psychological interventions for treating neuropsychiatric consequences of acquired brain injury

Autor: Daan P J Verberne, Peggy Spauwen, Caroline M. van Heugten
Jazyk: angličtina
Rok vydání: 2019
Předmět:
REHABILITATION
030506 rehabilitation
medicine.medical_specialty
Anger management
SYMPTOMS
medicine.medical_treatment
Apathy
Psychological intervention
psychological interventions
effectiveness
03 medical and health sciences
0302 clinical medicine
Arts and Humanities (miscellaneous)
systematic review
CHALLENGING BEHAVIOR
medicine
Journal Article
Humans
ANXIETY
DIFFERENTIAL REINFORCEMENT
Psychiatry
neuropsychiatric consequences
Acquired brain injury
Applied Psychology
Rehabilitation
Cognitive Behavioral Therapy
Depression
business.industry
Aggression
PSYCHIATRIC-DISORDERS
OBSESSIVE-COMPULSIVE DISORDER
AGGRESSIVE-BEHAVIOR
medicine.disease
COGNITIVE-BEHAVIOR THERAPY
MANAGEMENT PROGRAM
Inhibition
Psychological
Treatment Outcome
Neuropsychology and Physiological Psychology
Disinhibition
Brain Injuries
Anxiety
medicine.symptom
0305 other medical science
business
030217 neurology & neurosurgery
Clinical psychology
Zdroj: Neuropsychological Rehabilitation. 29(10):1509-1542
ISSN: 0960-2011
Popis: Anxiety, aggression/agitation, apathy and disinhibition are common neuropsychiatric consequences of acquired brain injury (ABI); these consequences can cause functional impairment and lead to reduced social integration. This systematic review aims to provide an examination of the current evidence on psychological interventions for treating these consequences. Two reviewers selected potential relevant articles, retrieved from five literature databases; methodological quality was assessed and appraised. A total of 5207 studies were found, of which 43 were included: 21 studies for anxiety, 18 for aggression, two studies for apathy, and six for disinhibition. Three studies addressed multiple consequences. Four high-quality (i.e., Class I and II) studies showed significant decreases in anxiety after cognitive behavioural therapy (CBT). In total, 14 studies consistently showed significant decreases in aggression/agitation after behavioural management techniques or anger management sessions. Substantial variability existed in the examined interventions and in their effects on apathy and disinhibition. Unfortunately, firm conclusions and recommendations for clinical practice are considered premature, due to concerns about the methodology used. However, this review yielded new evidence on the effectiveness of CBT for anxiety symptoms post-ABI and there has been some response to the ongoing call for studies with high methodological quality.
Databáze: OpenAIRE
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