
@article{ref1,
title="The effectiveness of cognitive behaviour therapy for reducing anxiety symptoms following traumatic brain injury: a meta-analysis and systematic review",
journal="NeuroRehabilitation",
year="2020",
author="Little, A. and Byrne, Christopher and Coetzer, Rudi",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Anxiety is a common neuropsychological sequela following traumatic brain  injury (TBI). Cognitive Behaviour Therapy (CBT) is a recommended, first-line  intervention for anxiety disorders in the non-TBI clinical population, however its  effectiveness after TBI remains unclear and findings are inconsistent. <br><br>OBJECTIVE:  There are no current meta-analyses exploring the efficacy of CBT as an intervention  for anxiety symptoms following TBI, using controlled trials. The aim of the current  study, therefore, was to systematically review and synthesize the evidence from  controlled trials for the effectiveness of CBT for anxiety, specifically within the  TBI population. <br><br>METHOD: Three electronic databases (Web of Science, PubMed and  PsycInfo) were searched and a systematic review of intervention studies utilising  CBT and anxiety related outcome measures in a TBI population was performed through  searching three electronic databases. Studies were further evaluated for quality of  evidence based on Reichow's (2011) quality appraisal tool. Baseline and outcome data  were extracted from the 10 controlled trials that met the inclusion criteria, and  effect sizes were calculated. <br><br>RESULTS: A random effects meta-analysis identified a  small overall effect size (Cohen's d) of d = -0.26 (95%CI -0.41 to -0.11) of CBT  interventions reducing anxiety symptoms following TBI. <br><br>CONCLUSIONS: This  meta-analysis tentatively supports the view that CBT interventions may be effective  in reducing anxiety symptoms in some patients following TBI, however the effect  sizes are smaller than those reported for non-TBI clinical populations. Clinical  implications and limitations of the current meta-analysis are discussed.<p /> <p>Language: en</p>",
language="en",
issn="1053-8135",
doi="10.3233/NRE-201544",
url="http://dx.doi.org/10.3233/NRE-201544"
}