Article

OBJECTIVES: To examine whether 6-month posttreatment acquired brain injury (ABI)
patients receiving cognitive behavior therapy (CBT) adapted for ABI would
demonstrate (1) maintenance of psychological benefits, (2) better community
integration, and (3) commensurate benefits for both teletherapy and face-to-face
group therapy. A secondary objective was to examine the relationship between
coping strategies and mood and community integration. PARTICIPANTS: Seventeen
chronic ABI patients with elevated psychological distress. OUTCOME MEASURES:
Symptom Checklist-90-Revised (SCL-90-R), Depression Anxiety Stress Scales-21
(DASS-21), Community Integration Questionnaire, and the Ways of Coping
questionnaire, revised. PROCEDURES: Eleven CBT sessions provided either in a
face-to-face group format or individually by telephone with outcomes measured
pretreatment, posttreatment, and at 6-month follow-up. RESULTS: At 6-month
follow-up, full-group scores were significantly better than pretreatment for
psychological distress (t(16) = 6.22, P < .01, SCL-90-R; t(16) = 7.32, P < .01,
DASS-21) and for community integration (t(16) = -6.15, P < .01), with negligible
decrements from immediately posttreatment. Subgroup scores were comparable.
Coping also improved but was uncorrelated with mood or community integration.
CONCLUSION: The CBT adapted for ABI shows enduring benefits for mood and
community integration. The efficacy of teletherapy obviates service access
problems related to geographical remoteness and mobility restrictions. A larger,
randomized, control trial that examines underlying mechanisms of efficacy is
needed.

Langue : ANGLAIS