Outcome of different treatment mixes in a multidimensional neuropsychological rehabilitation program.

Abstract

Within a clinical demonstration program, three groups oftraumatically brain injured patients were treated with three different mixes of treatment. Mix 1 included cognitive remediation, small-group interpersonal communication training, therapeutic community activities, and personal counseling. Mix 2 was similar to Mix 1 but stressed small-group interpersonal exercises and eliminated cognitive remediation. Mix 3 emphasized cognitive remediation and eliminated small-group interpersonal exercises. The efficacy of these treatment mixes was evaluatedwithperformance on neuropsychological tests, improved independence in functional activities, measures ofintra-and interpersonal functioning, and vocational outcome.

The relationship of cognitive retraining to neurological patients’ work and school status

“…Previous research has demonstrated return to productivity rates ranging from 40-87% following participation in a comprehensive cognitive rehabilitation programme that includes a Cognitive Retraining component [5,13,[23][24][25][26][27][28][29][30][31]. Comparison of these work/school productivity outcome statistics with other prior publications from this setting indicates high concordance [1][2][3][4].…”

“…The relative contribution of individualized Cognitive Retraining within the context of an holistic neuropsychological rehabilitation programme was evaluated by Rattock et al [13]. All 86 patients received a 20-week treatment programme that included basic attention training, personal counselling and community activities.…”

Disorders of awareness in neuropsychiatric syndromes: An update

“…Prigatano and Altman [37] found no relationship between admission GCS scores and later lack of awareness in TBI, although others have found a significant inverse correlation between admission GCS score and later impaired awareness (ie, the more severe the injury, the greater the unawareness) [38,39]. Clinicians working to rehabilitate individuals with TBI report that unawareness is a major factor in determining longterm functional recovery, including eventual return to work [40][41][42][43]. These data provide strong, though not unqualified, evidence of a positive association between deficits in awareness and poor employment outcome following TBI.…”

Cognitive rehabilitation in the elderly: An evaluation of psychosocial factors

“…Such programs typically include a variety of compensatory techniques that promote awareness and personal discovery to raise motivation and self-esteem as a means of achieving optimal cognitive function. While there have been relatively few systematic assessments of the effects of psychosocial training on rehabilitation, those that are available have yielded encouraging results with respect to cognitive recovery (Rath et al, 2003;Ruff & Niemann, 1990) and improved psychosocial outcome (Cope, 1995;Rattock et al, 1992).…”