Article

In a pilot randomized controlled trial, we investigated the
effectiveness of a 12-weekly anxiety treatment programme adapted for individuals
with moderate-severe TBI, based on cognitive behaviour therapy (CBT) and
Motivational Interviewing (MI). The current study explored the variables
associated with treatment response and group differences in change expectancy and
working alliance. METHODS: Twenty-seven participants recruited from a brain
injury rehabilitation hospital were randomly assigned to MI + CBT, non-directive
counselling (NDC) + CBT and treatment-as-usual and assessors were blinded to
treatment conditions. Correlation and multiple regression were used to examine
the association between reduction in anxiety ratings and a number of clinical,
injury and cognitive variables. Random effects regression was used to examine
group difference in changes in working alliance and expectancy. RESULTS: There
was a trend suggesting that greater injury severity may be predictive of poorer
response to CBT and injury severity was significantly related to memory
functioning. Participants receiving MI pre-treatment showed a greater increase in
change expectancy at the end of CBT and at follow-up, but not at the end of MI.
CONCLUSIONS: There is a need to further investigate the effectiveness of
treatment for individuals with different injury severity and to explore the
relationship between change expectancy and treatment outcome.

Langue : ANGLAIS