Psychological Intervention in Traumatic Brain Injury Patients
Objective. To provide a brief and comprehensive summary of recent research regarding psychological interventions for patients surviving a traumatic brain injury. Methods. A bibliographical search was performed in PubMed, Cochrane Library, PsycNET, Scopus, ResearchGate, and Google Scholar online data...
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| Language: | English |
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Wiley
2019-01-01
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| Series: | Behavioural Neurology |
| Online Access: | http://dx.doi.org/10.1155/2019/6937832 |
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| author | Lizzette Gómez-de-Regil Damaris F. Estrella-Castillo Julio Vega-Cauich |
| author_facet | Lizzette Gómez-de-Regil Damaris F. Estrella-Castillo Julio Vega-Cauich |
| author_sort | Lizzette Gómez-de-Regil |
| collection | DOAJ |
| description | Objective. To provide a brief and comprehensive summary of recent research regarding psychological interventions for patients surviving a traumatic brain injury. Methods. A bibliographical search was performed in PubMed, Cochrane Library, PsycNET, Scopus, ResearchGate, and Google Scholar online databases. Analysis included distribution by year of publication, age stage of participants (paediatric, adult), location of the research team, study design, type of intervention, and main outcome variables. Results. The initial search eliciting 1541 citations was reduced to 62 relevant papers. Most publications had adult samples (88.7%). The United States outstands as the country with more research (58.1%); Latin America countries provided no results. Cognitive behavioural therapy (CBT) was the most widely used approach for treatment of (sub)clinical mental disturbances (41.9%). Neuropsychological interventions were scarce (4.8%). Outcome measures included psychiatric disorders (e.g., posttraumatic stress disorder (PTSD), depression, and anxiety) (37.1%), postconcussive symptoms (16.1%), cognitive and functional deficits (48.1%), and social and psychological dimensions (62.9%). Conclusions. CBT outstands as the preferred therapeutic approach for treating behavioural and emotional disturbances. Also, other related therapies such as dialectical behaviour, mindfulness, and acceptance and commitment therapies have been proposed, and probably in the years to come, more literature regarding their effectiveness will be available. On the other hand, evidence showed that interventions from the field of neuropsychology are minimal if compared with its contribution to assessment. Future research should be aimed at performing studies on more diverse populations (e.g., nonmilitary communities and paediatric and Latin American populations) and at controlling designs to examine the therapeutic efficacy of psychotherapeutic and neurocognitive rehabilitation interventions and compare amelioration by injury severity, age of patients, and clinical profile, in the hopes of creating better guidelines for practitioners. |
| format | Article |
| id | doaj-art-106c5f66f549457494992787758196fa |
| institution | Kabale University |
| issn | 0953-4180 1875-8584 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Behavioural Neurology |
| spelling | doaj-art-106c5f66f549457494992787758196fa2025-02-03T01:26:36ZengWileyBehavioural Neurology0953-41801875-85842019-01-01201910.1155/2019/69378326937832Psychological Intervention in Traumatic Brain Injury PatientsLizzette Gómez-de-Regil0Damaris F. Estrella-Castillo1Julio Vega-Cauich2Hospital Regional de Alta Especialidad de la Península de Yucatán, Calle 7, No. 433 por 20 y 22, Fraccionamiento Altabrisa, Mérida, Yucatán, 97130, MexicoAutonomous University of Yucatan, School of Rehabilitation, Avenida Itzáes No. 498 x 59 y 59A, Colonia Centro, Mérida, Yucatán, C.P. 97000, MexicoFoco Rojo-Centro de Psicología Aplicada, Calle 47, No. 506 por 62 y 64, Colonia Centro, Mérida, Yucatán, C.P. 97000, MexicoObjective. To provide a brief and comprehensive summary of recent research regarding psychological interventions for patients surviving a traumatic brain injury. Methods. A bibliographical search was performed in PubMed, Cochrane Library, PsycNET, Scopus, ResearchGate, and Google Scholar online databases. Analysis included distribution by year of publication, age stage of participants (paediatric, adult), location of the research team, study design, type of intervention, and main outcome variables. Results. The initial search eliciting 1541 citations was reduced to 62 relevant papers. Most publications had adult samples (88.7%). The United States outstands as the country with more research (58.1%); Latin America countries provided no results. Cognitive behavioural therapy (CBT) was the most widely used approach for treatment of (sub)clinical mental disturbances (41.9%). Neuropsychological interventions were scarce (4.8%). Outcome measures included psychiatric disorders (e.g., posttraumatic stress disorder (PTSD), depression, and anxiety) (37.1%), postconcussive symptoms (16.1%), cognitive and functional deficits (48.1%), and social and psychological dimensions (62.9%). Conclusions. CBT outstands as the preferred therapeutic approach for treating behavioural and emotional disturbances. Also, other related therapies such as dialectical behaviour, mindfulness, and acceptance and commitment therapies have been proposed, and probably in the years to come, more literature regarding their effectiveness will be available. On the other hand, evidence showed that interventions from the field of neuropsychology are minimal if compared with its contribution to assessment. Future research should be aimed at performing studies on more diverse populations (e.g., nonmilitary communities and paediatric and Latin American populations) and at controlling designs to examine the therapeutic efficacy of psychotherapeutic and neurocognitive rehabilitation interventions and compare amelioration by injury severity, age of patients, and clinical profile, in the hopes of creating better guidelines for practitioners.http://dx.doi.org/10.1155/2019/6937832 |
| spellingShingle | Lizzette Gómez-de-Regil Damaris F. Estrella-Castillo Julio Vega-Cauich Psychological Intervention in Traumatic Brain Injury Patients Behavioural Neurology |
| title | Psychological Intervention in Traumatic Brain Injury Patients |
| title_full | Psychological Intervention in Traumatic Brain Injury Patients |
| title_fullStr | Psychological Intervention in Traumatic Brain Injury Patients |
| title_full_unstemmed | Psychological Intervention in Traumatic Brain Injury Patients |
| title_short | Psychological Intervention in Traumatic Brain Injury Patients |
| title_sort | psychological intervention in traumatic brain injury patients |
| url | http://dx.doi.org/10.1155/2019/6937832 |
| work_keys_str_mv | AT lizzettegomezderegil psychologicalinterventionintraumaticbraininjurypatients AT damarisfestrellacastillo psychologicalinterventionintraumaticbraininjurypatients AT juliovegacauich psychologicalinterventionintraumaticbraininjurypatients |