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Interventions to enhance coping after traumatic brain injury: A systematic review

Research output: Contribution to journalArticle

Christoph Mueller, Sandra Wesenberg, Frank Nestmann, Brendon Stubbs, Bebbington Paul, Vanessa Raymont

Original languageEnglish
JournalInternational Journal of Therapy and Rehabilitation
Issue number3
Early online date10 Mar 2018
StateE-pub ahead of print - 10 Mar 2018

King's Authors


Objective: To identify effective psychosocial interventions to enhance coping in people who have experienced a traumatic brain injury (TBI), in order to inform clinical practice and articulate future research directions.
Methods: We searched five electronic databases (CINAHL, Medline, EMBASE, PsycINFO, and Cochrane Library). Titles and abstracts were independently screened by two of the authors and selected for inclusion. We retrieved the full text of all potentially relevant studies and assessed those for eligibility, reporting and methodological quality, and risk of bias.
Results: Eight included studies were very heterogeneous in terms of study design, type of intervention, the population studied and instruments used to evaluate coping. All studies were judged to have a moderately high risk of bias. Six studies used cognitive behavioral therapy (CBT) -based interventions. Two interventions (a peer-mentoring program and CBT combined with motivational interviewing) showed significant treatment effects on maladaptive coping. Two CBT-based group programs improved adaptive coping, but increases were either not sustained over time or no longer significant when compared to an active control.
Conclusions: There is insufficient evidence to support practice recommendations strongly. Targeting specific subgroups of people who have experienced TBI might allow the development of more effective coping interventions. Further a more unified concept of coping in TBI need to be articulated allowing larger scale evaluations.

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