http://dgnews.docguide.com/new-treatment-approaches-emotional-problems-after-traumatic-brain-injury?
ALPHEN
AAN DEN RIJN, the Netherlands -- September 11, 2017 -- Patients with
traumatic brain injury (TBI) commonly have emotional difficulties. New
approaches to treatment for emotional deficits after TBI are presented
in the September/October special issue of the Journal of Head Trauma
Rehabilitation (JHTR).
Many patients with TBI experience disruptions in emotional functioning, including problems in awareness, recognition, expression, and regulation of emotions.
“Of the vast array of consequences of TBI, emotional deficits are among the most prevalent, persistent, and difficult to treat,” said Dawn Neuman, PhD, Indiana University School of Medicine, Indianapolis, Indiana.
Deficits in emotional regulation can affect patients’ lives in many ways, including a reduced ability to participate in and benefit from other rehabilitation treatments. Yet emotional issues after TBI remain grossly understudied, according to the authors, especially in terms of treatment.
The 7 original research papers in the special issue of JHTR evaluate innovative treatments for common emotional problems after TBI.
Theo Tsaousides, PhD, Icahn School of Medicine at Mount Sinai, New York, New York, and colleagues evaluated a web-based intervention to improve emotional regulation after TBI. The study included 91 adults with a history of TBI and current problems with emotional regulation, based on the Difficulties in Emotional Regulation Scale (DERS). Average time since TBI was about 10 years. In nearly half of patients, the severity of TBI was rated mild.
Over 12 weeks, participants received 24 one-hour emotional regulation skills training sessions. The group sessions were delivered by videoconference, supervised by experienced rehabilitation neuropsychologists. The program provided education on how TBI affects emotional functioning, followed by training, practice, and feedback on specific strategies for improving emotional regulation skills in everyday life.
At the end of the 12-week program, the participants showed meaningful improvements in emotional regulation, including medium to large effects on all aspects measured by the emotional regulation questionnaire. Follow-up assessment 12 weeks beyond the treatment period showed continued improvement.
Measures of positive emotions, satisfaction with life, and problem-solving skills also improved significantly. Participants felt they made substantial progress toward their personal goals. Nearly 90% reported moderate to large improvements in their capacity for emotional regulation skills.
The use of videoconferencing technology could help to overcome distance and travel barriers to treatment, while maintaining the benefits of group interventions. The study recruited participants from 33 states and five countries.
“This technology allowed us to create an online educational environment that, in addition to providing skill training, enabled people who were hundreds and thousands of miles apart -- many of whom had been isolated from support communities--to connect, share, and learn from one another,” said Dr. Tsaousides.
Other papers in the special issue report on treatments targeting emotional self-awareness, social-emotional perception, anger, and aggression, and depression after TBI.
Reference: DOI: 10.1097/HTR.0000000000000345
SOURCE: Wolters Kluwer Health
Many patients with TBI experience disruptions in emotional functioning, including problems in awareness, recognition, expression, and regulation of emotions.
“Of the vast array of consequences of TBI, emotional deficits are among the most prevalent, persistent, and difficult to treat,” said Dawn Neuman, PhD, Indiana University School of Medicine, Indianapolis, Indiana.
Deficits in emotional regulation can affect patients’ lives in many ways, including a reduced ability to participate in and benefit from other rehabilitation treatments. Yet emotional issues after TBI remain grossly understudied, according to the authors, especially in terms of treatment.
The 7 original research papers in the special issue of JHTR evaluate innovative treatments for common emotional problems after TBI.
Theo Tsaousides, PhD, Icahn School of Medicine at Mount Sinai, New York, New York, and colleagues evaluated a web-based intervention to improve emotional regulation after TBI. The study included 91 adults with a history of TBI and current problems with emotional regulation, based on the Difficulties in Emotional Regulation Scale (DERS). Average time since TBI was about 10 years. In nearly half of patients, the severity of TBI was rated mild.
Over 12 weeks, participants received 24 one-hour emotional regulation skills training sessions. The group sessions were delivered by videoconference, supervised by experienced rehabilitation neuropsychologists. The program provided education on how TBI affects emotional functioning, followed by training, practice, and feedback on specific strategies for improving emotional regulation skills in everyday life.
At the end of the 12-week program, the participants showed meaningful improvements in emotional regulation, including medium to large effects on all aspects measured by the emotional regulation questionnaire. Follow-up assessment 12 weeks beyond the treatment period showed continued improvement.
Measures of positive emotions, satisfaction with life, and problem-solving skills also improved significantly. Participants felt they made substantial progress toward their personal goals. Nearly 90% reported moderate to large improvements in their capacity for emotional regulation skills.
The use of videoconferencing technology could help to overcome distance and travel barriers to treatment, while maintaining the benefits of group interventions. The study recruited participants from 33 states and five countries.
“This technology allowed us to create an online educational environment that, in addition to providing skill training, enabled people who were hundreds and thousands of miles apart -- many of whom had been isolated from support communities--to connect, share, and learn from one another,” said Dr. Tsaousides.
Other papers in the special issue report on treatments targeting emotional self-awareness, social-emotional perception, anger, and aggression, and depression after TBI.
Reference: DOI: 10.1097/HTR.0000000000000345
SOURCE: Wolters Kluwer Health
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