A pilot study examining effects of group-based Cognitive Strategy Training treatment on self-reported cognitive problems, psychiatric symptoms, functioning, and compensatory strategy use in OIF/OEF combat veterans with persistent mild cognitive disorder and history of traumatic brain injury

作者：Huckans Marilyn^*; Pavawalla Shital; Demadura Theresa; Kolessar Michael; Seelye Adriana; Roost Noah; Twamley Elizabeth W; Storzbach Daniel

来源：Journal of Rehabilitation Research and Development, 2010, 47(1): 43-60.

DOI：10.1682/JRRD.2009.02.0019

• blast injury
• cognitive aids
• cognitive rehabilitation
• combat veterans
• compensatory strategies
• Operation Enduring Freedom (OEF)
• Operation Iraqi Freedom (OIF)
• postconcussive syndrome
• posttraumatic stress disorder
• traumatic brain injury

We aimed to determine whether group-based Cognitive Strategy Training (CST) for combat veterans with mild cognitive disorder and a history of traumatic brain injury (TBI) has significant posttreatment effects on self-reported compensatory strategy usage, functioning, and psychiatric symptoms. Participants included 21 veterans returning from conflicts in Iraq or Afghanistan with a diagnosis of Cognitive Disorder, Not Otherwise Specified and a history of combat-related TBI. Participants attended 6- to 8-week structured CST groups designed to provide them training in and practice with a variety of compensatory cognitive strategies, including day planner usage. Of the participants, 16 completed pre- and posttreatment assessment measures. Following CST, participants reported significantly increased use of compensatory cognitive strategies and day planners; an increased perception that these strategies were useful to them; increased life satisfaction; and decreased depressive, memory, and cognitive symptom severity. Group-based CST is a promising intervention for veterans with mild cognitive disorder, and randomized controlled trials are required to further evaluate its efficacy.

• 出版日期2010