The effectiveness of cognitive behaviour therapy for reducing anxiety symptoms following traumatic brain injury: A meta-analysis and systematic review

被引:24
作者
Little, Alice [1 ]
Byrne, Christopher [2 ,3 ]
Coetzer, Rudi [2 ,3 ]
机构
[1] Bangor Univ, Sch Psychol, North Wales Clin Psychol Programme, Bangor, Gwynedd, Wales
[2] NHS Wales, North Wales Brain Injury Serv, Betsi Cadwaladr Univ Hlth Board, Cardiff, S Glam, Wales
[3] Bangor Univ, Sch Psychol, Bangor, Gwynedd, Wales
关键词
Traumatic brain injury; anxiety; cognitive behaviour therapy; meta-analysis; PSYCHIATRIC-DISORDERS; HEAD-INJURY; HOSPITAL ANXIETY; STRESS-DISORDER; AXIS-I; DEPRESSION; SEQUELAE; EFFICACY; REHABILITATION; INDIVIDUALS;
D O I
10.3233/NRE-201544
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BACKGROUND: Anxiety is a common neuropsychological sequela following traumatic brain injury (TBI). Cognitive Behaviour Therapy (CBT) is a recommended, first-line intervention for anxiety disorders in the non-TBI clinical population, however its effectiveness after TBI remains unclear and findings are inconsistent. OBJECTIVE: There are no current meta-analyses exploring the efficacy of CBT as an intervention for anxiety symptoms following TBI, using controlled trials. The aim of the current study, therefore, was to systematically review and synthesize the evidence from controlled trials for the effectiveness of CBT for anxiety, specifically within the TBI population. METHOD: Three electronic databases (Web of Science, PubMed and Psyclnfo) were searched and a systematic review of intervention studies utilising CBT and anxiety related outcome measures in a TBI population was performed through searching three electronic databases. Studies were further evaluated for quality of evidence based on Reichow's (2011) quality appraisal tool. Baseline and outcome data were extracted from the 10 controlled trials that met the inclusion criteria, and effect sizes were calculated. RESULTS: A random effects meta-analysis identified a small overall effect size (Cohen's d) of d=-0.26 (95% CI -0.41 to -0.11) of CBT interventions reducing anxiety symptoms following TBI. CONCLUSIONS: This meta-analysis tentatively supports the view that CBT interventions may be effective in reducing anxiety symptoms in some patients following TBI, however the effect sizes are smaller than those reported for non-TBI clinical populations. Clinical implications and limitations of the current meta-analysis are discussed.
引用
收藏
页码:67 / 82
页数:16
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