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Neuropsychological intervention in the acute phase: a pilot study of emotional wellbeing of relatives of patients with severe brain

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Objective: This pilot study investigated the effects of acute neuropsychological
intervention for relatives of patients with
severe brain injury.
Methods: Participants were enrolled in an intervention group
comprising 39 relatives, and a control group comprising
47 relatives. The intervention consisted of supportive and
psycho-educational sessions with a neuropsychologist in the
acute care setting. The intervention group completed selfreport
scales in the acute setting and after the intervention
at admission to sub-acute rehabilitation. The control group
completed the self-report scales only at admission to subacute
rehabilitation. Outcome measures included selected
scales from the Symptom Checklist Revised 90 (SCL-90-R),
the Short Form 36 (SF-36), and a visual analogue quality of
life scale.
Results: The intervention group showed a significant decrease
in anxiety scores from the acute to the sub-acute setting
(t = 2.70, p = 0.010, d = 0.30), but also significantly lower Role
Emotional scores (t = 2.12, p = 0.043, d = 0.40). In the subacute
setting, an analysis of covariance model showed a borderline
significant difference between the intervention and
the control group on the anxiety scale (p = 0.066, d = 0.59).
Conclusion: Any effects of the acute neuropsychological
intervention were limited. Further research is needed to
explore the effects of different interventions in more homogenous
and larger groups of relatives.
Original languageEnglish
JournalJournal of Rehabilitation Medicine
Volume45
Issue number8
Pages (from-to)827–834
Number of pages8
ISSN1650-1977
DOIs
Publication statusPublished - 2013

ID: 38982857