Article

OBJECTIVE: To evaluate the efficacy of cognitive behavior therapy (CBT), adapted
to meet the unique needs of individuals with acquired brain injury (ABI), and
modified for both group and telephone delivery. DESIGN: Matched-controlled trial,
with multiple measurements across participants, including pretreatment baseline
assessment plus posttreatment and 1-month follow-up. SETTING: Outpatient
community brain injury center. PARTICIPANTS: Participants (N=20) with chronic
ABI. Ten were assigned to the CBT treatment group and 10 to education control.
All were experiencing significant emotional distress at the onset of the study.
INTERVENTION: Eleven sessions of CBT (or education control), including 1
introductory individual session plus 10 further sessions administered in either
group format or by telephone. The CBT was designed to decrease psychologic
distress and improve coping. Specific adaptations were made to the CBT in order
to better accommodate individuals with cognitive difficulties. MAIN OUTCOME
MEASURES: Primary outcome measures included the Symptom Checklist-90-Revised
(SCL-90-R) and the Depression Anxiety Stress Scales (DASS-21). Secondary outcome
measures included the Community Integration Questionnaire (CIQ) and the Ways of
Coping Scale, Revised. RESULTS: Significant CBT treatment effects (in both group
and telephone formats) were observed on the SCL-90-R and the DASS-21, whereas no
significant effects were observed in the education control group. No significant
effects of treatment were observed on the CIQ or Ways of Coping Scale, Revised.
CONCLUSIONS: Results suggest that adapted CBT-administered by telephone or in a
face-to-face group setting-can significantly improve emotional well-being in
chronic ABI.

Langue : ANGLAIS