A cognitive behaviour therapy (CBT) programme for anxiety following moderate-severe traumatic brain injury (TBI): Two case studies

作者：Hsieh Ming Yun; Ponsford Jennie^*; Wong Dana; Schoenberger Michael; McKay Adam; Haines Kerrie

来源：Brain Injury, 2012, 26(2): 126-138.

DOI：10.3109/02699052.2011.635365

• Anxiety
• cognitive behaviour therapy
• psychiatric disorders
• psychological treatment
• traumatic brain injury

Background: CBT is a potentially effective treatment for anxiety disorders following TBI; however, empirical evidence has mainly come from clients with mild TBI. This paper describes a CBT-based anxiety treatment programme adapted for clients with more severe injuries. Two case studies are provided to illustrate the implementation of the programme, as a step toward larger scale testing of the programme%26apos;s feasibility. %26lt;br%26gt;Methods and procedures: A manualised adapted CBT treatment manual was used to deliver CBT in a standardised manner to two clients, one with severe and one with moderate TBI. Outcome was evaluated using a single-subject design with repeated measures of anxiety, mood and coping style at pre- and post-CBT. %26lt;br%26gt;Results: The two clients demonstrated positive treatment response on either a measure of anxiety or a continuous measure of distress. Although neither demonstrated a clinically significant change according to the primary outcome measure (Hospital Anxiety and Depression Scale), they showed significant change in at least one corroborated measure of anxiety. %26lt;br%26gt;Conclusions: This study suggests the potential utility of the adapted CBT programme for clients with moderate-severe TBI. Limitations of the single case studies were discussed, while noting how they would be addressed in a follow-up randomised controlled trial.

• 出版日期2012-2