Factors Associated With Response to Adapted Cognitive Behavioral Therapy for Anxiety and Depression Following Traumatic Brain Injury

Ponsford, Jennie; Lee, Nicole K.; Wong, Dana; McKay, Adam; Haines, Kerrie Elizabeth; Downing, Marina; Alway, Yvette; Furtado, Christina; O’Donnell, Meaghan

doi:10.1097/htr.0000000000000510

Cited by 15 publications

(20 citation statements)

References 30 publications

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“… Notes a Two research articles [ 67 , 100 ] reported two studies of different study designs and as such, data reported on study design are for 61 studies b All case studies c Excludes case studies; two before-after without control group, three controlled interventions d All conducted in the United States e Sixteen studies [ 49 – 51 , 53 , 62 , 67 , 68 , 74 , 76 , 83 , 89 , 90 , 92 , 99 , 103 , 104 ] examined integrated care for individuals with TBI and more than one type of MHSU f Some studies include more than one type of treatment and as such, the number of articles reported across treatment types exceeds 49 studies ED: Emergency department; MHSU: Mental health disorders or substance use; OT: Occupational therapy; PTSD: Post-traumatic stress disorder; rTMS: Repetitive transcranial magnetic stimulation; TBI: Traumatic brain injury …”

Section: Resultsmentioning

confidence: 99%

A systematic review on integrated care for traumatic brain injury, mental health, and substance use

et al. 2022

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Traumatic brain injuries (TBI) and mental health or substance use disorders (MHSU) are global public health concerns due to their prevalence and impact on individuals and societies. However, care for individuals with TBI and MHSU remains fragmented with a lack of appropriate services and supports across the continuum of healthcare. This systematic review provided an evidence-based foundation to inform opportunities to mobilize and adapt existing resources to integrate care for individuals with TBI and MHSU by comprehensively summarizing existing integrated activities and reported barriers and facilitators to care integration. MEDLINE, EMBASE, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials, Sociological Abstracts, and Dissertations & Theses Global were independently reviewed by two reviewers based on pre-determined eligibility criteria. Data on the integration activity, level and type of integration, reported barriers and facilitators, and the strategies aligning with the World Health Organization’s (WHO) Framework on Integrated Person-Centred Care were extracted to form the basis for a narrative synthesis. Fifty-nine peer-reviewed articles were included, describing treatments (N = 49), programs (N = 4), or screening activities (N = 7). Studies discussing clinical integration at the micro- (N = 38) and meso- (N = 10) levels, service integration at the micro- (N = 6) and meso- (N = 5) levels, and functional integration at the meso-level (N = 1) were identified. A minority of articles reported on facilitators (e.g., cognitive accommodations in treatment plans; N = 7), barriers (e.g., lack of education on cognitive challenges associated with TBI; N = 2), or both (N = 6), related to integrating care. This review demonstrated that integrated TBI and MHSU care already exists across a range of levels and types. Given the finite and competing demands for healthcare resources, cognitive accommodations across treatment plans to facilitate integrated TBI and MHSU care should be considered. Multidisciplinary teams should also be explored to provide opportunities for education among health professionals so they can be familiar with TBI and MHSU. Trial registration: Prospero Registration: CRD42018108343.

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Section: Resultsmentioning

confidence: 99%

A systematic review on integrated care for traumatic brain injury, mental health, and substance use

et al. 2022

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“…Although treatment for these mood disorders will not be a focus of speech-language therapy, the impact of these disorders on cognitive communication must be understood and addressed (cf. Ponsford et al, 2020).…”

Section: Potential For Comorbid Psychiatric Conditionsmentioning

confidence: 99%

Potential for Cognitive Communication Impairment in COVID-19 Survivors: A Call to Action for Speech-Language Pathologists

Ramage

2020

Am J Speech Lang Pathol

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Purpose Severe acute respiratory syndrome coronavirus 2 is the virus resulting in COVID-19 infections in nearly 4.3 million Americans with COVID-19 in the United States as of July 29, 2020, with nearly 150,000 deaths and hundreds of thousands of survivors ( https://www.coronavirus.jhu.edu/map.html ). This tutorial reviews (a) what has been reported about neurological insults in cases of COVID-19 infection, (b) what is known from similar conditions in other disorders, and (c) how that combined information can inform clinical decision making. Method PubMed and the Cochrane Central Register of Controlled Trials were searched for COVID-19 or other coronavirus infections, cognitive impairment observed following critical care, and disorders for which intermittent or chronic hypoxia is characteristic. These were combined with searches relating to cognition, brain, and communication. All searches were conducted between April 8 and May 23, 2020. Meta-analyses and randomized clinical trials addressing other critical illnesses were also included to extend findings to potential cognitive communication outcomes following COVID-19. Results COVID-19 infection results in a combination of (a) respiratory infection with mechanical ventilation secondary to inadequate oxygenation, (b) inflammatory system reactivity, and (c) increased blood clotting factors. These affect central nervous system function incurring long-term cognitive communication impairment in a proportion of survivors. Diagnostic and intervention approaches for such impairments are discussed. Conclusions The existing literature on cognitive sequela of COVID-19 infection is small to date, but much can be learned from similar viral infections and disorders. Although COVID-19 is novel, the speech-language pathology approaches to evaluation and intervention of other populations of critical care patients are applicable. However, speech-language pathologists have not routinely been involved in these patients' acute care. As such, this is a call to action to speech-language pathologists to address the unprecedented numbers of patients who will need their services early in the disease process and throughout recovery.

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“…W ostatnich latach zwraca się również uwagę na zastosowanie oddziaływań poznawczo-behawioralnych w terapii pacjentów leczonych metodami zabiegowymi, m.in. z powodu urazów czaszkowo-mózgowych, urazów kręgosłupa, chorób zwyrodnieniowych lub procesów rozrostowych w obrębie ośrodkowego układu nerwowego (OUN) (Anson i Ponsford, 2006;Burke et al, 2019;Ponsford et al, 2020;Szepietowska-Ilach, 2018;Zelencich et al, 2020). Ukazują się prace dotyczące związku CBT z szybkością powrotu do pełnej aktywności zawodowej, z radzeniem sobie z bólem i leczeniem przeciwbólowym (Mariano et al, 2018;Rolving et al, 2015Rolving et al, , 2016Rolving et al, , 2014 u pacjentów przechodzących operacje kręgosłupa.…”

Section: Wstępunclassified

“…Natomiast w metaanalizie przeprowadzonej przez innych badaczy stwierdzono skuteczność CBT w leczeniu depresji -siła efektu mieściła się w przedziale 0-3,47 z przeciętną 1,15 (Waldron et al, 2013). Terapia poznawczo-behawioralna nie tylko okazała się efektywna w redukcji lęku i depresji u pacjentów po łagodnym lub ciężkim urazie, ale także przyczyniała się do ich lepszego funkcjonowania psychospołecznego (Ponsford et al, 2016(Ponsford et al, , 2020. Stwierdzono też korzystny wpływ technik CBT na kontrolę złości (Hart et al, 2017;Walker et al, 2010) i redukcję agresywności (Aboulafia-Brakha et al, 2013) w analizowanej grupie chorych.…”

Section: Guzy Mózguunclassified

Could neurosurgical patients benefit from psychotherapy? A few words on the use of cognitive-behavioural therapy in brain injured patients

Pawełczyk¹,

Błaszczyk²,

Pawełczyk³

et al. 2020

Aktualn Neurol

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Numerous studies have shown the effectiveness of cognitive-behavioural therapy in the treatment of various mental disorders. The present study reviews the available literature on the use and effectiveness of this therapy, both its classic form and more recent approaches (the so called “third wave”), among patients with brain injuries and those treated with surgical methods. We present a number of studies describing the use of cognitive-behavioural therapy in the treatment of patients with craniocerebral injuries, brain tumours, intracranial bleeding and vascular malformations. The obtained results are promising for the treatment of depression and anxiety disorders, post-traumatic stress disorder as well as sleep disorders, impulsivity and aggressive behaviour. The findings suggest that cognitive-behavioural therapy techniques may be effective in both these groups of patients and their families or caregivers. Currently, due to the small number of randomised controlled trials, high heterogeneity of study groups and a variety of research protocols, these findings do not allow for drawing final conclusions and proposing recommendations. Nevertheless, they demonstrate that the strategy offers promise when treating patients with brain damage. It is suggested that psychotherapy should be initiated after the end of the acute phase of the disease as it requires a certain level of self-awareness and an ability to test hypotheses, so it may be inadequate for patients with profound cognitive impairment. It requires the cooperation of a multidisciplinary team: doctors, physiotherapist, neuropsychologist and psychotherapist who, in addition to therapeutic skills, should have knowledge of the brain–behaviour relationship.

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Factors Associated With Response to Adapted Cognitive Behavioral Therapy for Anxiety and Depression Following Traumatic Brain Injury

Cited by 15 publications

References 30 publications

A systematic review on integrated care for traumatic brain injury, mental health, and substance use

A systematic review on integrated care for traumatic brain injury, mental health, and substance use

Potential for Cognitive Communication Impairment in COVID-19 Survivors: A Call to Action for Speech-Language Pathologists

Could neurosurgical patients benefit from psychotherapy? A few words on the use of cognitive-behavioural therapy in brain injured patients

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