Citation

Simpson GK, Tate RL, Whiting DL, Cotter RE. J. Head Trauma Rehabil. 2011; 26(4): 290-300.

Affiliation

Brain Injury Rehabilitation Unit, Liverpool Hospital, Sydney (Dr Simpson and Mss Whiting and Cotter), and Rehabilitation Studies Unit, Faculty of Medicine, University of Sydney, Australia (Drs Simpson and Tate).

Copyright

(Copyright © 2011, Lippincott Williams and Wilkins)

DOI

10.1097/HTR.0b013e3182225250

PMID

21734512

Abstract

OBJECTIVE: : To evaluate the efficacy of a psychological treatment to reduce moderate to severe hopelessness after severe traumatic brain injury (TBI). METHOD: : Randomized controlled trial. Participants were aged between 18 and 65 years, experienced posttraumatic amnesia more than 1day and moderate to severe hopelessness (Beck Hopelessness Scale [BHS]) and/or suicide ideation. Intervention comprised a 20-hour manualized group cognitive behavior therapy program. Participants were randomly allocated using concealed allocation (treatment n = 8; wait-list n = 9); all remained in their allocated group. Outcome variables were collected by assessors blind to group allocation. RESULTS: : No between-groups differences were observed on demographic, injury, cognitive, and psychosocial variables at baseline (time 1). A significant group-by-time interaction was found for BHS in the treatment group (F1,15 = 13.20, P = .002), reflecting a reduction in mean BHS scores between time 1 and time 2 (posttreatment) with no main effects for group or time. At 3-month follow-up (time 3), the treatment gains were maintained or improved for 75% (6/8) of participants. Secondary outcome variables (suicide ideation, depression, social problem solving, self-esteem, hopefulness) displayed no significant group-by-time interactions or main effects. CONCLUSIONS: : This trial provides initial evidence for the efficacy of a psychological intervention in reducing hopelessness among long-term survivors with severe TBI.

Language: en