A pilot study of cognitive behavioural therapy for persistent post-concussional symptoms

King's College London (UK)0 个研究点目标入组 40 人开始时间: 2006年5月8日最近更新: 2016年10月17日

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•1. Individuals aged between 18 and 65
•2. Individuals who meet criteria for post-concussional disorder (ICD-10)
•3. Individuals who have had a documented head trauma leading to a probable loss or alteration of consciousness, satisfying criteria for at least a mild brain injury (American Congress of Rehabilitation Medicine [ACRM] criteria)
•These symptoms should have persisted for at least 6 months following the injury.

•1. Individuals with severe cognitive impairment (defined in this study as Mini Mental State Exam scores of less than 20 and/or Frontal Assessment Battery scores of less than 10)
•2. Individuals with moderate-severe physical disability (defined in this study as Barthel score less than 15). N.B. The Barthel activities of daily living (ADL) index will not be given as a matter of routine, but only if concerns regarding prominent physical disability are noted in one of the initial assessments.
•3. Individuals who have had 4 or more sessions of CBT with a clinical or counselling psychologist, or cognitive-behavioural nurse therapist, subsequent to their head injury
•4. Individuals who are not fluent in English
•5. Presence of other neurological disorder independent of the head injury (e.g. non-post-traumatic epilepsy)
•6. Presence of drug/alcohol misuse meeting International Statistical Classification of Diseases and Related Health Problems - tenth revision (ICD-10) criteria for a dependence syndrome (F1x.2), as specified in ICD-10. However, individuals who may be using drugs or alcohol to a lesser extent, to the point of harmful use (F1x.1) will not be excluded on this criterion.
•7. Where the initial assessment indicated factors such as risk of self-harm or psychosis that would necessitate the involvement of a Community Mental Health Team

发起方

King's College London (UK)