Interventions to enhance coping after traumatic brain injury: A systematic review
File(s)
Author(s)
Type
Journal Article
Abstract
Background/Aims:
The aim of this study was to identify effective psychosocial interventions to enhance coping in people who have experienced a traumatic brain injury, in order to inform clinical practice and articulate future research directions.
Methods:
Five electronic databases (CINAHL, Medline, EMBASE, PsycINFO, and Cochrane Library) were searched. Titles and abstracts were independently screened by two of the authors and selected for inclusion. The full text of all potentially relevant studies were retrieved and assessed for eligibility, reporting and methodological quality, and risk of bias.
Findings:
Eight included studies were very heterogeneous in terms of study design, type of intervention, the population studied and instruments used to evaluate coping. All studies were judged to have a moderately high risk of bias. Six studies used cognitive behavioural therapy-based interventions. Two interventions (a peer-mentoring programme and cognitive behavioural therapy combined with motivational interviewing) showed significant treatment effects on maladaptive coping. Two cognitive behavioural therapy-based group programmes improved adaptive coping, but increases were either not sustained over time or no longer significant when compared to an active control.
Conclusions:
There is insufficient evidence to support practice recommendations strongly. Targeting specific subgroups of people who have experienced traumatic brain injury might allow the development of more effective coping interventions. Further, a more unified concept of coping in traumatic brain injury needs to be articulated allowing larger scale evaluations.
The aim of this study was to identify effective psychosocial interventions to enhance coping in people who have experienced a traumatic brain injury, in order to inform clinical practice and articulate future research directions.
Methods:
Five electronic databases (CINAHL, Medline, EMBASE, PsycINFO, and Cochrane Library) were searched. Titles and abstracts were independently screened by two of the authors and selected for inclusion. The full text of all potentially relevant studies were retrieved and assessed for eligibility, reporting and methodological quality, and risk of bias.
Findings:
Eight included studies were very heterogeneous in terms of study design, type of intervention, the population studied and instruments used to evaluate coping. All studies were judged to have a moderately high risk of bias. Six studies used cognitive behavioural therapy-based interventions. Two interventions (a peer-mentoring programme and cognitive behavioural therapy combined with motivational interviewing) showed significant treatment effects on maladaptive coping. Two cognitive behavioural therapy-based group programmes improved adaptive coping, but increases were either not sustained over time or no longer significant when compared to an active control.
Conclusions:
There is insufficient evidence to support practice recommendations strongly. Targeting specific subgroups of people who have experienced traumatic brain injury might allow the development of more effective coping interventions. Further, a more unified concept of coping in traumatic brain injury needs to be articulated allowing larger scale evaluations.
Date Issued
2018-03-10
Date Acceptance
2017-12-01
Citation
INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION, 2018, 25 (3), pp.107-119
ISSN
1741-1645
Publisher
MARK ALLEN GROUP
Start Page
107
End Page
119
Journal / Book Title
INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION
Volume
25
Issue
3
Copyright Statement
© 2018 MA Healthcare Limited
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000427128000002&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Life Sciences & Biomedicine
Rehabilitation
Brain injuries
Cognitive behaviour therapy
Coping
Systematic review
COGNITIVE-BEHAVIOR THERAPY
QUALITY-OF-LIFE
RANDOMIZED CONTROLLED-TRIAL
SKILLS GROUP INTERVENTION
CLOSED-HEAD-INJURY
PSYCHOMETRIC PROPERTIES
STRESSFUL SITUATIONS
SOCIAL SUPPORT
PEER SUPPORT
STRATEGIES
Publication Status
Published