A systematic review of recommended modifications of CBT for people with cognitive impairments following brain injury

Gallagher, M., McLeod, H. J. and McMillan, T. M. (2019) A systematic review of recommended modifications of CBT for people with cognitive impairments following brain injury. Neuropsychological Rehabilitation, 29(1), pp. 1-21. (doi: 10.1080/09602011.2016.1258367) (PMID:27873549)

131552.pdf - Accepted Version



Due to diverse cognitive, emotional and interpersonal changes that can follow brain injury, psychological therapies often need to be adapted to suit the complex needs of this population. The aims of the study were to synthesise published recommendations for therapy modifications following brain injury from non-progressive traumatic, vascular, or metabolic causes and to determine how often such modifications have been applied to cognitive behavioural therapy (CBT) for post-injury emotional adjustment problems. A systematic review and narrative synthesis of therapy modifications recommended in review articles and reported in intervention studies was undertaken. Database and manual searches identified 688 unique papers of which eight review articles and 16 intervention studies met inclusion criteria. The review articles were thematically analysed and a checklist of commonly recommended modifications composed. The checklist items clustered under themes of: therapeutic education and formulation; attention; communication; memory; and executive functioning. When this checklist was applied to the intervention studies, memory aids and an emphasis on socialising patients to the CBT model were most frequently reported as adaptations. It was concluded that the inconsistent reporting of psychological therapy adaptations for people with brain injury is a barrier to developing effective and replicable therapies. We present a comprehensive account of potential modifications that should be used to guide future research and practice.

Item Type:Articles
Glasgow Author(s) Enlighten ID:McLeod, Professor Hamish and McMillan, Professor Tom
Authors: Gallagher, M., McLeod, H. J., and McMillan, T. M.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing
Journal Name:Neuropsychological Rehabilitation
Publisher:Taylor & Francis
ISSN (Online):1464-0694
Published Online:22 November 2016
Copyright Holders:Copyright © 2016 Informa UK Limited, trading as Taylor and Francis Group
First Published:First published in Neuropsychological Rehabilitation 29(1): 1-21
Publisher Policy:Reproduced in accordance with the publisher copyright policy

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