Cognitive behavioral therapy for managing depressive and anxiety symptoms after brain injury: a meta-analysis.

Brain injury anxiety cognitive behavior therapy depression mental health

Journal

Brain injury
ISSN: 1362-301X
Titre abrégé: Brain Inj
Pays: England
ID NLM: 8710358

Informations de publication

Date de publication:
06 Feb 2024
Historique:
medline: 6 2 2024
pubmed: 6 2 2024
entrez: 6 2 2024
Statut: aheadofprint

Résumé

Individuals with traumatic brain injury (TBI) are at increased risk of depression and anxiety, leading to impaired recovery. While cognitive-behavioral therapy (CBT) addresses anxiety and depression maintenance factors, its efficacy among those with TBI has not been clearly demonstrated. This review aims to bridge this gap in the literature. Several databases, including Medline, PsycInfo and EMBASE, were used to identify studies published between 1990 and 2021. Studies were included if: (1) trials were randomized controlled trials (RCT) involving CBT-based intervention targeting anxiety and/or depression; (2) participants experienced brain injury at least 3-months previous; (3) participants were ≥18 years old. An SMD ± SE, 95% CI and heterogeneity were calculated for each outcome. Thirteen RCTs were included in this meta-analysis. The pooled-sample analyses suggest that CBT interventions had small immediate post-treatment effects on reducing depression (SMD ± SE: 0.391 ± 0.126, This meta-analysis provides substantial evidence for CBT in managing anxiety and depression post-TBI.

Sections du résumé

BACKGROUND UNASSIGNED
Individuals with traumatic brain injury (TBI) are at increased risk of depression and anxiety, leading to impaired recovery. While cognitive-behavioral therapy (CBT) addresses anxiety and depression maintenance factors, its efficacy among those with TBI has not been clearly demonstrated. This review aims to bridge this gap in the literature.
METHODS UNASSIGNED
Several databases, including Medline, PsycInfo and EMBASE, were used to identify studies published between 1990 and 2021. Studies were included if: (1) trials were randomized controlled trials (RCT) involving CBT-based intervention targeting anxiety and/or depression; (2) participants experienced brain injury at least 3-months previous; (3) participants were ≥18 years old. An SMD ± SE, 95% CI and heterogeneity were calculated for each outcome.
RESULTS UNASSIGNED
Thirteen RCTs were included in this meta-analysis. The pooled-sample analyses suggest that CBT interventions had small immediate post-treatment effects on reducing depression (SMD ± SE: 0.391 ± 0.126,
CONCLUSION UNASSIGNED
This meta-analysis provides substantial evidence for CBT in managing anxiety and depression post-TBI.

Identifiants

DOI: 10.1080/02699052.2024.2309264 PMID: 38318855
pubmed: 38318855
doi: 10.1080/02699052.2024.2309264
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1-14

Auteurs

Ujjoyinee Barua (U)

Parkwood Research Institute, Parkwood Institute, London, Ontario, Canada.
St. Joseph's Health Care, Parkwood Institute, London, Ontario, Canada.
Faculty of Health Sciences, University of Western Ontario, London, Ontario, Canada.
ORCID: 0000-0003-4958-4644

Jessica Ahrens (J)

Parkwood Research Institute, Parkwood Institute, London, Ontario, Canada.
St. Joseph's Health Care, Parkwood Institute, London, Ontario, Canada.

Richard Shao (R)

Parkwood Research Institute, Parkwood Institute, London, Ontario, Canada.
St. Joseph's Health Care, Parkwood Institute, London, Ontario, Canada.

Heather McKenzie (H)

Parkwood Research Institute, Parkwood Institute, London, Ontario, Canada.
St. Joseph's Health Care, Parkwood Institute, London, Ontario, Canada.
Department of Physical Medicine and Rehabilitation, University of Western Ontario, London, Ontario, Canada.

Dalton Wolfe (D)

Parkwood Research Institute, Parkwood Institute, London, Ontario, Canada.
St. Joseph's Health Care, Parkwood Institute, London, Ontario, Canada.
Faculty of Health Sciences, University of Western Ontario, London, Ontario, Canada.

Keith Sequeira (K)

Parkwood Research Institute, Parkwood Institute, London, Ontario, Canada.
St. Joseph's Health Care, Parkwood Institute, London, Ontario, Canada.
Department of Physical Medicine and Rehabilitation, University of Western Ontario, London, Ontario, Canada.

Robert Teasell (R)

Parkwood Research Institute, Parkwood Institute, London, Ontario, Canada.
St. Joseph's Health Care, Parkwood Institute, London, Ontario, Canada.
Department of Physical Medicine and Rehabilitation, University of Western Ontario, London, Ontario, Canada.

Eldon Loh (E)

Parkwood Research Institute, Parkwood Institute, London, Ontario, Canada.
St. Joseph's Health Care, Parkwood Institute, London, Ontario, Canada.
Department of Physical Medicine and Rehabilitation, University of Western Ontario, London, Ontario, Canada.

Swati Mehta (S)

Parkwood Research Institute, Parkwood Institute, London, Ontario, Canada.
St. Joseph's Health Care, Parkwood Institute, London, Ontario, Canada.
Department of Physical Medicine and Rehabilitation, University of Western Ontario, London, Ontario, Canada.

Classifications MeSH