Self-awareness rehabilitation after Traumatic Brain Injury: A pilot study to compare two group therapies

创伤性脑损伤后的自我意识康复:一项比较两种团体疗法的初步研究

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作者:Jessica Rigon, Roberto Burro, Cecilia Guariglia, Manuela Maini, Dario Marin, Paola Ciurli, Umberto Bivona, Rita Formisano

Background and purpose

Deficits of self-awareness (SA) are very common after severe acquired brain injury (sABI), especially in traumatic brain injury (TBI), playing an important role in the efficacy of the rehabilitation process. This pilot study provides information regarding two structured group therapies for disorders of SA.

Conclusion

It is important to investigate and treat self-awareness, also to improve the outcome of neuropsychological disorders. The two group therapies proposed seem to be specific for impulsivity and emotional dyscontrol and for cognitive disorders.

Methods

Nine patients with severe TBI were consecutively recruited and randomly assigned to one SA group therapy programme, according either to the model proposed by Ben-Yishay & Lakin (1989) (B&L Group), or by Sohlberg & Mateer (1989) (S&M Group). Neuropsychological tests and self-awareness questionnaires were administered before and after a 10 weeks group therapy.

Purpose

Deficits of self-awareness (SA) are very common after severe acquired brain injury (sABI), especially in traumatic brain injury (TBI), playing an important role in the efficacy of the rehabilitation process. This pilot study provides information regarding two structured group therapies for disorders of SA.

Results

Results showed that both SA and neuropsychological functioning significantly improved in both groups.

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