TY - JOUR
T1 - Efficacy of cognitive behavioural therapy for children and adolescents with traumatic brain injury
AU - Pastore, Valentina
AU - Colombo, Katia
AU - Liscio, Mariarosaria
AU - Galbiati, Susanna
AU - Adduci, Anna
AU - Villa, Federica
AU - Strazzer, Sandra
PY - 2011
Y1 - 2011
N2 - Purpose. Behavioural and psychological disorders after traumatic brain injury (TBI) are very common. The purposes of this study were to estimate the frequency of these problems in our sample, to evaluate the effectiveness of cognitive behavioural therapy (CBT) and to assess the predictive value of important clinical variables for the treatment outcome. Method. Forty patients aged 4-18 years were included in this study. Twenty-eight patients received CBT at our Institute (clinical group), while 12 patients did not receive any treatment at all (control group). The CBCL/4-18 and the VABS were administered to parents at the beginning of the study and after 12 months. Results. A high frequency of psychological and behavioural problems was found in both groups of patients. After CBT, the clinical group showed a significant advantage on several CBCL scales and a greater increase in adaptive behaviour on the VABS Socialisation domain. The Glasgow Coma Scale score, days of unconsciousness and age at injury were not predictors of the severity of psychological problems at the follow-up for the patients of the clinical group. Conclusions. Our results suggest that CBT is an effective intervention for young patients with psychological problems after TBI.
AB - Purpose. Behavioural and psychological disorders after traumatic brain injury (TBI) are very common. The purposes of this study were to estimate the frequency of these problems in our sample, to evaluate the effectiveness of cognitive behavioural therapy (CBT) and to assess the predictive value of important clinical variables for the treatment outcome. Method. Forty patients aged 4-18 years were included in this study. Twenty-eight patients received CBT at our Institute (clinical group), while 12 patients did not receive any treatment at all (control group). The CBCL/4-18 and the VABS were administered to parents at the beginning of the study and after 12 months. Results. A high frequency of psychological and behavioural problems was found in both groups of patients. After CBT, the clinical group showed a significant advantage on several CBCL scales and a greater increase in adaptive behaviour on the VABS Socialisation domain. The Glasgow Coma Scale score, days of unconsciousness and age at injury were not predictors of the severity of psychological problems at the follow-up for the patients of the clinical group. Conclusions. Our results suggest that CBT is an effective intervention for young patients with psychological problems after TBI.
KW - cognitive behavioural therapy
KW - psychological intervention
KW - Traumatic brain injury
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U2 - 10.3109/09638288.2010.506239
DO - 10.3109/09638288.2010.506239
M3 - Article
C2 - 20695794
AN - SCOPUS:79956215291
VL - 33
SP - 675
EP - 683
JO - Disability and Rehabilitation
JF - Disability and Rehabilitation
SN - 0963-8288
IS - 8
ER -