Web-Based Psychoeducational Intervention for Postconcussion Symptoms: A Randomized Trial

被引:31
|
作者
Belanger, Heather G. [1 ,2 ,3 ,4 ]
Barwick, Fiona [5 ]
Silva, Marc A. [1 ]
Kretzmer, Tracy [1 ]
Kip, Kevin E. [6 ]
Vanderploeg, Rodney D. [1 ,2 ,3 ,4 ]
机构
[1] James A Haley VA, Dept Mental Hlth & Behav Sci, Tampa, FL 33612 USA
[2] Univ S Florida, Dept Psychol, Tampa, FL 33612 USA
[3] Univ S Florida, Dept Psychiat, Tampa, FL 33612 USA
[4] Def & Vet Brain Injury Ctr, Tampa, FL 33612 USA
[5] VA Greater Los Angeles Healthcare Syst, Dept Mental Behav Hlth, Los Angeles, CA 90073 USA
[6] Univ S Florida, Coll Nursing, Tampa, FL USA
关键词
TRAUMATIC BRAIN-INJURY; COGNITIVE-BEHAVIOR THERAPY; PSYCHOLOGICAL TREATMENTS; HEAD-INJURY; METAANALYSIS; CONCUSSION; COMPLAINTS; VETERANS; PILOT; DEPRESSION;
D O I
10.7205/MILMED-D-14-00388
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The objective of this study was to investigate the effectiveness of a web-based educational intervention for reducing postconcussion symptoms. 158 participants with self-reported symptomatic mild traumatic brain injury were randomized to intervention versus control. There was no effect of intervention on symptom severity or attributions. Subgroup analyses suggested benefit of the web-based intervention in those receiving concurrent mental health treatment and in those participants with the greatest time since injury (>1 year after mild traumatic brain injury). Web-based educational intervention was not effective overall in this sample. However, there is some suggestion of promise in those receiving concurrent mental health treatment and with more chronic symptoms. Findings also suggest potential benefit of interventions targeting self-efficacy.
引用
收藏
页码:192 / 200
页数:9
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