Exploration of use of SenseCam to support autobiographical memory retrieval within a cognitive-behavioural therapeutic intervention following acquired brain injury.
Delivering effective psychotherapy to address the significant emotional consequences of acquired brain injury (ABI) is challenged by the presence of acquired cognitive impairments, especially retrieval of detailed autobiographical memories of emotional trigger events. Initial studies using a wearable camera (SenseCam) suggest long-term improvements in autobiographical retrieval of recorded events. In this study a single-case experimental design was implemented to explore the use of SenseCam as a memory aid for a man with a specific anxiety disorder and memory and executive difficulties following ABI. We predicted that SenseCam supported rehearsal of memories of events that trigger high levels of anxiety would yield improved retrieval of both factual detail and internal state information (thoughts and feelings) compared with a conventional psychotherapy aid (automatic thought record sheets, ATRs) and no strategy. The findings indicated SenseCam supported retrieval of anxiety trigger events was superior to ATRs or no strategy in terms of both detail and internal state information, with 94% of the information being recalled in the SenseCam condition, compared to 39% for the "no strategy" and 22% for the ATR conditions. It is concluded that SenseCam may be of use as a compensatory aid in psychotherapies relying on retrieval of emotionally salient trigger events.
Brindley
Rob
R
Oliver Zangwill Centre for Neuropsychological Rehabilitation, The Princess of Wales Hospital, Ely, Cambridgeshire, UK.
Bateman
Andrew
A
Gracey
Fergus
F
D001008:Anxiety Disorders / Q000209:etiology / Q000628:therapy; D020208:Brain Injury, Chronic / Q000523:psychology / Q000534:rehabilitation / Q000628:therapy*; D015928:Cognitive Behavioral Therapy; D003463:Cues; D003863:Depression / Q000209:etiology / Q000628:therapy; D004644:Emotions; D004784:Environmental Monitoring / Q000295:instrumentation; D005625:Frontal Lobe / Q000293:injuries; D006339:Heart Rate; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008297:Male; D061212:Memory, Episodic; D011939:Mental Recall; D008838:Microcomputers; D008991:Monitoring, Physiologic / Q000295:instrumentation; D010342:Patient Acceptance of Health Care; D010781:Photography / Q000295:instrumentation*; D012656:Self-Help Devices; D055815:Young Adult