Article

OBJECTIVE: To investigate whether goal management training (GMT) expanded to
include external cuing and an emotional regulation module is associated with
improved emotional regulation, psychological functioning, and quality of life
(QOL) after chronic acquired brain injury (ABI). DESIGN: Randomized controlled
trial with blinded outcome assessment at baseline, posttraining, and 6-month
follow-up. SETTING: Outpatient. PARTICIPANTS: Persons with ABI and executive
dysfunction (N=70; 64% traumatic brain injury; 52% men; mean age +/- SD,
43+/-13y; mean time since injury +/- SD, 8.1+/-9.4y). INTERVENTION: Eight
sessions of GMT in groups, including a new module addressing emotional
regulation, and external cuing.
A psychoeducative control condition (Brain Health
Workshop) was matched on amount of training, therapist contact, and homework.
MAIN OUTCOME MEASURES: Emotional regulation was assessed with the Brain Injury
Rehabilitation Trust Regulation of Emotions Questionnaire, the Emotional Control
subscale and the Emotion Regulation factor (Behavior Rating Inventory of
Executive Function-Adult Version), and the Positive and Negative Affect subscales
from the Dysexecutive Questionnaire. Secondary outcome measures included
psychological distress (Hopkins Symptom Checklist-25) and QOL (Quality of Life
After Brain Injury Scale). RESULTS: Findings indicated beneficial effects of GMT
on emotional regulation skills in everyday life and in QOL 6 months
posttreatment. No intervention effects on measures of psychological distress were
registered. CONCLUSIONS:
GMT is a promising intervention for improving emotional
regulation after ABI, even in the chronic phase. More research using objective
measures of emotional regulation is needed to investigate the efficacy of this
type of training.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS