Non pharmacological treatments for psychological and behavioural disorders following traumatic brain injury (TBI). A systematic literature review and expert opinion leading to recommendations

Annals of Physical and Rehabilitation Medicine
Laurent WiartJ Hamonet

Abstract

The non pharmacological approach is an important issue in the treatment of psychological and behavioural disorders in traumatic brain injury (TBI) patients. It remains nevertheless insufficiently known and defined. The objective of this work was to develop precise recommendations for caregivers and relatives. The elaboration of these guidelines followed the procedure validated by the French health authority for good practice recommendations, close to the Prisma statement, involving a systematic, critical review of the literature and the expert opinions of the French Society of Physical Medicine and Rehabilitation (SOFMER) group. 458 articles were identified, among which 98 were selected for their relevance to the theme of the research. None of the studies reached the highest level of evidence. Fifteen controlled studies reached a relatively high level of evidence (level 2); other studies were case series or expert opinions, and other articles again were reviews of the literature and theoretical points of view. The holistic approach structured into programmes, cognitive-behavioural therapy, and family and systemic therapy, despite the low levels of proof, are recommended in first intention at all stages in the evolution of TBI. ...Continue Reading

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Citations

Apr 11, 2017·Neuropsychological Rehabilitation·Kate Rachel GouldJennie L Ponsford
Feb 14, 2018·Neuropsychological Rehabilitation·Daan P J VerberneCaroline M van Heugten
Jan 18, 2019·Disability and Rehabilitation·Alinka FisherSheila Lennon
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Dec 1, 2018·The Journal of Head Trauma Rehabilitation·Tiphaine BourseauMickaël Dinomais
Jul 25, 2020·Neurological Research·Gary L Hoover, Victoria C Whitehair
Nov 4, 2020·Journal of Health Psychology·Antonella Di VitaMaria Paola Ciurli
May 3, 2021·Annals of Physical and Rehabilitation Medicine·Sarah L CarrierAdam McKay

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brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.