A Randomised Controlled Trial of a Cognitive-Behavioural Therapy Program for Managing Social Anxiety After Acquired Brain Injury
Despite the prevalence of psychiatric illness in people with acquired brain injury (ABI), there are very few empirically validated studies examining the efficacy of treatments targeting commonly occurring disorders such as depression and anxiety. Using a randomised controlled trial, this study evalu...
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Veröffentlicht in: | Brain impairment 2005-12, Vol.6 (3), p.169-180 |
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description | Despite the prevalence of psychiatric illness in people with acquired brain injury (ABI), there are very few empirically validated studies examining the efficacy of treatments targeting commonly occurring disorders such as depression and anxiety. Using a randomised controlled trial, this study evaluated the efficacy of a cognitive behavioural intervention specifically designed for managing social anxiety following ABI. Twelve brain-injured participants were screened, randomly allocated to either treatment group (TG) or a wait list group (WLG), and proceeded through to the final stages of therapy. The TG received between 9 and 14 hourly, individual sessions of cognitive behavioural therapy. Repeated measures analyses revealed significant improvements in general anxiety, depression and a transient mood measure, tension-anxiety, for the TG when compared to the WLG at posttreatment. These treatment gains were maintained at one-month follow-up. Although in the predicted direction, postintervention improvements in social anxiety and self-esteem for the TG were not significant in comparison with the WLG. This study lends support to the small body of literature highlighting the potential of cognitive behavioural interventions for managing the psychological problems that serve as a barrier to rehabilitation following ABI. |
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This study lends support to the small body of literature highlighting the potential of cognitive behavioural interventions for managing the psychological problems that serve as a barrier to rehabilitation following ABI.</description><subject>Anxiety</subject><subject>Anxiety disorders</subject><subject>Behavior modification</subject><subject>Brain damage</subject><subject>Clinical trials</subject><subject>Cognitive behavioral therapy</subject><subject>Cognitive therapy</subject><subject>Depression, Mental</subject><subject>Design</subject><subject>Fear & phobias</subject><subject>Intervention</subject><subject>Mental depression</subject><subject>Obsessive compulsive disorder</subject><subject>Patients</subject><subject>Rehabilitation</subject><subject>Self esteem</subject><subject>Social anxiety</subject><subject>Traumatic brain injury</subject><subject>Treatment</subject><issn>1443-9646</issn><issn>1839-5252</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kE9vEzEQxVcIJErLB-BmifNu_d_eYxrRtKKIUgLlZs3uejcOiZ3am6q58dHxKhU9IVnyyDPz_N6vKD4QXBGmxHkT3baiGItKVqwisn5VnBDN6lJQQV_nmnNW1pLLt8W7lNYYM15zdlL8maE78F3YumQ7NA9-jGGzyeUyOtig0CPIr4N3o3u05YVdwaML-5hby5WNsDug2xiGCFvUh4i-gIfB-QF9D-20PvNPzo4HNOtHG9Gsfdi7mLUvIjiPrv16Hw9nxZseNsm-f75Pix-Xn5bzq_Lm6-J6PrspW6oJLTugjbUcGiyp1RS0bpnQvVaKcdKohuoek15KJlRtNdHAlRR1p7ACwTqB2Wnx8ai7i-Fhb9No1jmHz18aqoTUXNe1zFPkONXGkFK0vdllsBAPhmAzgTYTaDOBNtIwk0HnnV_Hnbh1o2knfO3ogk9rGJNJFmK7Ms5nPlM_xMF0wRlo0qTJGJEvzVoJLjjWIh_BaJYuj9IujfbpnxeIv41Ukxu5-GZ-3n--u1zcE3OV59mzfdhmo91gX1L-P8BfAEKxVw</recordid><startdate>20051201</startdate><enddate>20051201</enddate><creator>Hodgson, Janet</creator><creator>McDonald, Skye</creator><creator>Tate, Robyn</creator><creator>Gertler, Paul</creator><general>Cambridge University Press</general><scope>BSCLL</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>20051201</creationdate><title>A Randomised Controlled Trial of a Cognitive-Behavioural Therapy Program for Managing Social Anxiety After Acquired Brain Injury</title><author>Hodgson, Janet ; McDonald, Skye ; Tate, Robyn ; Gertler, Paul</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2812-da2bee4ab062e82a88c358f877341b7b28f01f663579e818a47659d707a53d503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Anxiety</topic><topic>Anxiety disorders</topic><topic>Behavior modification</topic><topic>Brain damage</topic><topic>Clinical trials</topic><topic>Cognitive behavioral therapy</topic><topic>Cognitive therapy</topic><topic>Depression, Mental</topic><topic>Design</topic><topic>Fear & phobias</topic><topic>Intervention</topic><topic>Mental depression</topic><topic>Obsessive compulsive disorder</topic><topic>Patients</topic><topic>Rehabilitation</topic><topic>Self esteem</topic><topic>Social anxiety</topic><topic>Traumatic brain injury</topic><topic>Treatment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hodgson, Janet</creatorcontrib><creatorcontrib>McDonald, Skye</creatorcontrib><creatorcontrib>Tate, Robyn</creatorcontrib><creatorcontrib>Gertler, Paul</creatorcontrib><collection>Istex</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest Psychology</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>Brain impairment</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hodgson, Janet</au><au>McDonald, Skye</au><au>Tate, Robyn</au><au>Gertler, Paul</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Randomised Controlled Trial of a Cognitive-Behavioural Therapy Program for Managing Social Anxiety After Acquired Brain Injury</atitle><jtitle>Brain impairment</jtitle><addtitle>Brain Impairment</addtitle><date>2005-12-01</date><risdate>2005</risdate><volume>6</volume><issue>3</issue><spage>169</spage><epage>180</epage><pages>169-180</pages><issn>1443-9646</issn><eissn>1839-5252</eissn><abstract>Despite the prevalence of psychiatric illness in people with acquired brain injury (ABI), there are very few empirically validated studies examining the efficacy of treatments targeting commonly occurring disorders such as depression and anxiety. Using a randomised controlled trial, this study evaluated the efficacy of a cognitive behavioural intervention specifically designed for managing social anxiety following ABI. Twelve brain-injured participants were screened, randomly allocated to either treatment group (TG) or a wait list group (WLG), and proceeded through to the final stages of therapy. The TG received between 9 and 14 hourly, individual sessions of cognitive behavioural therapy. Repeated measures analyses revealed significant improvements in general anxiety, depression and a transient mood measure, tension-anxiety, for the TG when compared to the WLG at posttreatment. These treatment gains were maintained at one-month follow-up. Although in the predicted direction, postintervention improvements in social anxiety and self-esteem for the TG were not significant in comparison with the WLG. This study lends support to the small body of literature highlighting the potential of cognitive behavioural interventions for managing the psychological problems that serve as a barrier to rehabilitation following ABI.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><doi>10.1375/brim.2005.6.3.169</doi><tpages>12</tpages></addata></record> |
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subjects | Anxiety Anxiety disorders Behavior modification Brain damage Clinical trials Cognitive behavioral therapy Cognitive therapy Depression, Mental Design Fear & phobias Intervention Mental depression Obsessive compulsive disorder Patients Rehabilitation Self esteem Social anxiety Traumatic brain injury Treatment |
title | A Randomised Controlled Trial of a Cognitive-Behavioural Therapy Program for Managing Social Anxiety After Acquired Brain Injury |
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