TY  - JOUR
PY  - 2024//
TI  - Cognitive behavioral therapy for managing depressive and anxiety symptoms after brain injury: a meta-analysis
JO  - Brain injury
A1  - Barua, Ujjoyinee
A1  - Ahrens, Jessica
A1  - Shao, Richard
A1  - McKenzie, Heather
A1  - Wolfe, Dalton
A1  - Sequeira, Keith
A1  - Teasell, Robert
A1  - Loh, Eldon
A1  - Mehta, Swati
SP  - 1
EP  - 14
VL  - 
IS  - 
N2  - BACKGROUND: Individuals with traumatic brain injury (TBI) are at increased risk of depression and anxiety, leading to impaired recovery. While cognitive-behavioral therapy (CBT) addresses anxiety and depression maintenance factors, its efficacy among those with TBI has not been clearly demonstrated. This review aims to bridge this gap in the literature. <br><br>METHODS: Several databases, including Medline, PsycInfo and EMBASE, were used to identify studies published between 1990 and 2021. Studies were included if: (1) trials were randomized controlled trials (RCT) involving CBT-based intervention targeting anxiety and/or depression; (2) participants experienced brain injury at least 3-months previous; (3) participants were ≥18 years old. An SMD ± SE, 95% CI and heterogeneity were calculated for each outcome. <br><br>RESULTS: Thirteen RCTs were included in this meta-analysis. The pooled-sample analyses suggest that CBT interventions had small immediate post-treatment effects on reducing depression (SMD ± SE: 0.391 ± 0.126, p < 0.005) and anxiety (SMD ± SE: 0.247 ± 0.081, p < 0.005). Effects were sustained at a 3-months follow-up for depression. A larger effect for CBT was seen when compared with supportive therapy than control. Another sub-analysis found that individualized CBT resulted in a slightly higher effect compared to group-based CBT. <br><br>CONCLUSION: This meta-analysis provides substantial evidence for CBT in managing anxiety and depression post-TBI.<p />  <p>Language: en</p>
LA  - en
SN  - 0269-9052
UR  - http://dx.doi.org/10.1080/02699052.2024.2309264
ID  - ref1
ER  -