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Citation |
Scheenen ME, Visser-Keizer AC, de Koning ME, van der Horn HJ, van de Sande P, van Kessel ME, van der Naalt J, Spikman JM. J. Neurotrauma 2017; 34(19): 2713-2720. |
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Affiliation |
University Medical Center, of Clinical and Developmental Neuropsychology, Groningen, Netherlands ; j.m.spikman@umcg.nl. |
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Copyright |
(Copyright © 2017, Mary Ann Liebert Publishers) |
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DOI |
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PMID |
28335664 |
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Abstract |
Many patients do not return to work (RTW) following mild Traumatic Brain Injury (mTBI) due to persistent complaints that are often resistant to therapy in the chronic phase. Recent studies suggest that psychological interventions should be implemented early after injury to prevent patients from developing chronic complaints. This study is a randomized controlled trial which examines the effectiveness of a newly developed CBT intervention (CBTi) compared to telephonic counseling (TC) in at risk mTBI patients (patients with high reports of early complaints). Patients underwent either five sessions of CBT treatment or five phone conversations starting 4-6 weeks after trauma. The main outcome measure was RTW six and twelve months after trauma. Secondary measures comprised functional outcome at six and twelve months, and depression, anxiety and reported posttraumatic complaints at three, six and twelve months after injury. After excluding drop outs, CBTi consisted of 39 patients and TC of 45 patients. No significant differences were found with regard to RTW, with 65% of CBTi patients and 67% of TC patients reporting a RTW at previous level. However, TC patients reported fewer complaints at three (8 vs. 6, p=.010) and twelve month post-injury (9 vs. 5, p=.006), and more patients in the TC group showed a full recovery twelve months post-injury compared to the CBTi group (62% vs. 39%). The results of this study suggest that early follow-up of at risk patients can have a positive influence on patients' well-being, and that a low-intensive, low-cost telephonic intervention might be more effective than a CBT intervention at improving outcome in at-risk patients. Language: en |
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Keywords |
OUTCOME MEASURES; RECOVERY; TRAUMATIC BRAIN INJURY |