Avoidance behavior after mild traumatic brain injury: psychological treatment based on cognitive behavioral therapy. Four single case studies.

Conditions: mild traumatic brain injury (mTBI) and post concussion syndrome (PCS)

Registration Number: NL-OMON28396

Lead Sponsor: Zuyderland Medisch Centrum

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Pending

Sex: Not specified

Target Recruitment: 4

Inclusion Criteria

Received diagnosis mTBI according the WHO criteria (Cassidy et al., 2004)
-Seeks help for chronic symptoms associated with PCS
-Referred for and capable of receiving monodisciplinary psychological treatment
-The mTBI was sustained at a minimum of 3 months before participating in the study
-High level of fear avoidance and catastrophizing (Fear of Mental Activity scale cut-off >15, Post-Concussion Symptoms Catastrophizing Scale cut-off >8). These measurements are part of the intake procedure of the psychologist.
->17 years old
-Fluent in Dutch
-In possession of an email-account and a device with internet connection
-No change in medication regime (i.e. psychopharmacology, such as antidepressants) for the duration of the study and four weeks prior to the beginning of the study

Exclusion Criteria

-History of severe neurological disorders or brain damage
-History of psychiatric disorders for which specialized mental health treatment was necessary.
-History of exposure treatment for the consequences of mTBI
-Legal procedure related to the PCS
-No informed consent.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Post concussion symptoms (Rivermead post concussion questionnaire (RPQ) + individualized visual analog scale for the three most common PCS symptoms (VAS))

Secondary Outcome Measures

Name	Time	Method
Fear (Fear of Mental Activity Scale (FMA)), catastrophizing (Post-Concussion Symptoms Catastrophizing Scale (PCS-CS), social participation and quality of life (Utrecht Scale for Evaluation of Rehabilitation-Participation-restriction scale (User-P)).