Evaluation of an Intervention for Apathy After Traumatic Brain Injury

Abstract

Treatment had a strong and specific effect on treated goal-directed activity and decreased apathy. The success of treatment was dependent on initiation as well as sustaining goal-directed activity.

Prevalence, Comorbidities, and Correlates of Challenging Behavior Among Community-Dwelling Adults With Severe Traumatic Brain Injury

“…7,14,[44][45][46] The substantial proportion of adults with TBI who had more than 1 type of challenging behavior suggests that multiple behavioral supports, training options, and specialist staff are required. Finally, if increasing restriction in participation does contribute to a cycle of greater behavioral challenge, then another management option may be to explore avenues for increased participation.…”

Cognitive and neurobehavioral symptoms in patients with non-metastatic prostate cancer treated with androgen deprivation therapy or observation: A mixed methods study

“…Indeed, disinhibition in general (emotional lability and impulsivity) may be confused with depression, personality disorder, or hypomania (Butler & Zeman, 2005). Similarly, apathy can be mistaken for depressed mood or fatigue (Lane-Brown & Tate, 2010; Levy et al, 1998). Understanding the unique characteristics and etiology of these neurobehavioral symptoms is important for determining appropriate interventions to treat them should they occur.…”

Interventions to increase engagement with rehabilitation in adults with acquired brain injury: A systematic review

“…Methodological difficulties are inherent to the field; many researchers argue that conducting any kind of rigorous evaluation of an intervention, such as an RCT, is very challenging in adults with ABI (Turner-Stokes et al, 2005;Perdices & Tate, 2009;Lane-Brown & Tate, 2010;Holloway, 2012). The ubiquity of single case studies and the lack of consensus over the statistical analysis of SCEDs (Lane & Gast, 2014;Shadish et al, 2014) make synthesis of findings difficult.…”

“…These ranged from providing clients with tailored information about their condition (Pegg et al, 2005) through to interventions targeting broader meta-cognitive processes, equipping clients with the skills to plan, execute and evaluate their own rehabilitation (Skidmore et al, 2011) or enabling client involvement in a collaborative process of identifying, working towards and evaluating rehabilitation goals Lane-Brown & Tate, 2010).…”

“…Eight studies reported interventions using predominantly behavioural modification techniques (Hegel, 1988Zencius, Wesolowski, Burke & McQuade, 1989;Yuen, 1996;Manchester, Hodgkinson, Pfaff & Nguyan, 1997;Newell, 1997;Sohlberg, Lemoncello & Lee, 2011;Hufford et al, 2012), 5 studies primarily cognitive techniques (Pegg et al, 2005;Lane-Brown & Tate, 2010;Skidmore et al, 2011;Hsieh, Ponsford, Wong, Schönberger, Taffe & Mckay, 2012;Hsieh, Ponsford, Wong, Schönberger, Mckay & Haines, 2012) and 2 studies reported a mixture of the two (Corrigan, Bogner, Lamb-Hart, Heinemann & Moore, 2005;Corrigan & Bogner, 2007).…”