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

Authors :
Meaghan O'Donnell
Dana Wong
Yvette Alway
Adam McKay
Jennie Ponsford
Nicole Lee
Marina Downing
Kerrie Elizabeth Haines
Christina Furtado
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.

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