The Journal of head trauma rehabilitation
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J Head Trauma Rehabil · Nov 2014
Randomized Controlled Trial Comparative StudyComparison of cognitive behavioral therapy and supportive psychotherapy for the treatment of depression following traumatic brain injury: a randomized controlled trial.
To determine the efficacy of 2 different interventions (cognitive behavioral therapy [CBT] and supportive psychotherapy [SPT]) to treat post-traumatic brain injury (TBI) depression. ⋯ Both forms of psychotherapy were efficacious in improving diagnoses of depression and anxiety and reducing depressive symptoms. These findings suggest that in this sample of individuals with TBI, CBT was not more effective in treating depression than SPT, though further research is needed with larger sample sizes to identify different components of these interventions that may be effective with different TBI populations. ClinicalTrials.gov Identifier: NCT00211835.
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J Head Trauma Rehabil · Sep 2014
Randomized Controlled TrialEffectiveness of amantadine hydrochloride in the reduction of chronic traumatic brain injury irritability and aggression.
Following traumatic brain injury (TBI), individuals may experience chronic problems with irritability or aggression, which may need treatment to minimize the negative impact on their relationships, home life, social interactions, community participation, and employment ⋯ : Amantadine 100 mg every morning and at noon appears an effective and safe means of reducing frequency and severity of irritability and aggression among individuals with TBI and sufficient creatinine clearance.
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J Head Trauma Rehabil · May 2014
Randomized Controlled Trial Multicenter StudyCounselor-assisted problem solving (CAPS) improves behavioral outcomes in older adolescents with complicated mild to severe TBI.
To test the efficacy of Counselor-Assisted Problem Solving (CAPS) versus an Internet resource comparison (IRC) condition in reducing behavior problems in adolescents following traumatic brain injury (TBI). ⋯ Online problem-solving therapy may be effective in reducing behavior problems in older adolescent survivors of moderate-severe TBI.
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J Head Trauma Rehabil · Jan 2014
Randomized Controlled TrialThe effect of injury diagnosis on illness perceptions and expected postconcussion syndrome and posttraumatic stress disorder symptoms.
To determine if systematic variation of diagnostic terminology (ie, concussion, minor head injury [MHI], mild traumatic brain injury [mTBI]) following a standardized injury description produced different expected symptoms and illness perceptions. We hypothesized that worse outcomes would be expected of mTBI, compared with other diagnoses, and that MHI would be perceived as worse than concussion. ⋯ In general, diagnostic terminology did not affect anticipated PCS symptoms 6 months after injury, but other outcomes were affected. Given that these diagnostic terms are used interchangeably, this study suggests that changing terminology can influence known contributors to poor mTBI outcome.
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J Head Trauma Rehabil · Jan 2014
Randomized Controlled TrialThe effect of hyperbaric oxygen on persistent postconcussion symptoms.
The high incidence of persistent postconcussion symptoms in service members with combat-related mild traumatic brain injury has prompted research in the use of hyperbaric oxygen (HBO2) for management. ⋯ This study demonstrated that HBO2 at either 1.5 or 2.0 ATA equivalent had no effect on postconcussion symptoms after mild traumatic brain injury when compared with sham compression.