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Factors Associated With Response to Adapted Cognitive Behavioral Therapy for Anxiety and Depression Following Traumatic Brain Injury
- Source :
- Journal of Head Trauma Rehabilitation. 35:117-126
- Publication Year :
- 2020
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2020.
-
Abstract
- Background Given the high frequency and significance of anxiety and depression following traumatic brain injury (TBI), there is a need to evaluate the efficacy of psychological interventions and to understand factors influencing response to such interventions. The present study investigated factors associated with positive response to cognitive behavioral therapy adapted for cognitive impairments (CBT-ABI) for individuals with anxiety and depression following TBI, including demographic and injury-related factors, pretreatment levels of anxiety and depression, working alliance, and change expectancy as predictors. Methods Participants were 45 individuals enrolled in an active treatment condition within a randomized controlled trial, examining the efficacy of a 9-session CBT-ABI program for anxiety and depression following TBI. These participants completed all CBT sessions. Results Mixed-effects regressions controlling for baseline anxiety and depression indicated that for anxiety, older age at injury, as well as higher level of baseline anxiety, was associated with greater symptom reduction. For depression, longer time since injury and higher expectancy for change, as well as higher baseline level of depression, were significantly associated with a greater reduction in depression symptoms. Conclusions This study paves the way for more detailed studies of the therapeutic processes involved in alleviating anxiety and depression following TBI.
- Subjects :
- 030506 rehabilitation
Traumatic brain injury
medicine.medical_treatment
Physical Therapy, Sports Therapy and Rehabilitation
Anxiety
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
law
Brain Injuries, Traumatic
medicine
Humans
Depression (differential diagnoses)
Rehabilitation
Cognitive Behavioral Therapy
Depression
business.industry
Panic disorder
Cognition
medicine.disease
Cognitive behavioral therapy
Treatment Outcome
Neurology (clinical)
medicine.symptom
0305 other medical science
business
030217 neurology & neurosurgery
Clinical psychology
Subjects
Details
- ISSN :
- 08859701
- Volume :
- 35
- Database :
- OpenAIRE
- Journal :
- Journal of Head Trauma Rehabilitation
- Accession number :
- edsair.doi.dedup.....e9e34c4450c843410708765a6d4561ff
- Full Text :
- https://doi.org/10.1097/htr.0000000000000510