iPost: Comprehensive rehab treatments more effective for TBI

	Rehabilitation Treatments for Adults with Behavioral and Psychosocial Disorders Following Acquired Brain Injury: A Systematic Review Journal Neuropsychology Review Publisher Springer Netherlands ISSN 1040-7308 (Print) 1573-6660 (Online) Issue Volume 20, Number 1 / March, 2010 Category Review DOI 10.1007/s11065-009-9125-y Pages 52-85 Subject Collection Behavioral Science SpringerLink Date Monday, February 08, 2010	Add to marked items Add to shopping cart Add to saved items Permissions & Reprints Recommend this article

Raffaella Cattelani¹ , Marina Zettin²  and Pierluigi Zoccolotti^{3, 4} 

(1)	Department of Neuroscience—Neurology Unit, University of Parma, Parma, Italy

(2)	Department of Psychology, University of Turin, Turin, Italy

(3)	Department of Psychology, La Sapienza University, Rome, Italy

(4)	Neuropsychology Unit, IRCCS Fondazione Santa Lucia, Rome, Italy

Received: 24 November 2008  Accepted:21 December 2009  Published online: 9 February 2010

Abstract  

This review was aimed at systematically investigating the treatment efficacy and clinical effectiveness of neurobehavioral rehabilitation programs for adults with acquired brain injury and making evidence-based recommendations for the adoption of these rehabilitation trainings. Using a variety of search procedures, 63 studies were identified and reviewed using a set of questions about research methods, treatments, results and outcomes for the 1,094 participants. The 63 studies included treatments falling into three general categories: approaches based on applied behavior analysis, interventions based on cognitive-behavior therapy (CBT), and comprehensive-holistic rehabilitation programs (CHRPs). Considerable heterogeneity exists in the reviewed literature among treatment methods and within reported sample subjects. Despite the variety of methodological concerns, results indicate that the greatest overall improvement in psychosocial functioning is achieved by CHRP that can be considered a treatment standard for adults with behavioral and psychosocial disorders following acquired brain injury. Both approaches based on applied behavior analysis and CBT can be said to be evidence-based treatment options. However, findings raise questions about the role of uncontrolled factors in determining treatment effects and suggest the need for rigorous inclusion/exclusion criteria, with greater specification of theoretical basis, design, and contents of treatments for both interdisciplinary-comprehensive approaches and single-case methodologies.

Keywords  Acquired brain injury - Neurobehavioral disorders - Psychosocial disorders - Evidence-based rehabilitation - Review

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Raffaella Cattelani (Corresponding author) Email: cattel@unipr.it

Marina Zettin Email: marinazettin@fastwebnet.it

Pierluigi Zoccolotti Email: pierluigi.zoccolotti@uniroma1.it

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