title: Effects of Counseling on Psychological Measures in Caregivers of Patients with Disorders of Consciousness.
abstract: OBJECTIVE
  Caregivers represent an important and potential resource in the care network of patients due to the amount of time dedicated to the patient and to their emotional involvement. The aim of this study was to evaluate the effectiveness of psychological support to families of patients with a disorder of consciousness (DOC).
  
  
  METHODS
  A total of 48 DOC caregivers were enrolled. Participants were randomly divided into 2 groups based upon the clinical condition of their family members (vegetative state [VS] versus minimally consciousness state [MCS]). Group 1 underwent psychological support and Group 2 was the control group.
  
  
  RESULTS
  The 2 groups were evaluated at T0 (baseline) and at T1 (after 6 months). The Wilcoxon signed-rank test was used for within-group comparisons whereas the Mann-Whitney-U test was used to test for between-group differences. Results show how the psychological condition of caregivers in Group 1 was modified after the intervention by the healthcare team in the post-acute rehabilitative unit.
  
  
  CONCLUSIONS
  Our data confirm that psychological support improves caregivers' ability to process the experience of DOC illness, independent of type of diagnosis.
authors.affiliation: IRCCS Centro Neurolesi "Bonino-Pulejo," Messina, Italy. francesco.corallo80@yahoo.it.
authors.forename: Francesco
authors.initials: F
authors.lastname: Corallo
authors.affiliation: IRCCS Centro Neurolesi "Bonino-Pulejo." Messina, Italy.
authors.forename: Lilla
authors.initials: L
authors.lastname: Bonanno
authors.affiliation: IRCCS Centro Neurolesi "Bonino-Pulejo," Messina, Italy.
authors.forename: Simona
authors.initials: S
authors.lastname: De Salvo
authors.affiliation: IRCCS Centro Neurolesi "Bonino-Pulejo," Messina, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Giorgio
authors.affiliation: IRCCS Centro Neurolesi "Bonino-Pulejo," Messina, Italy.
authors.forename: Carmela
authors.initials: C
authors.lastname: Rifici
authors.affiliation: IRCCS Centro Neurolesi "Bonino-Pulejo," Messina, Italy.
authors.forename: Viviana
authors.initials: V
authors.lastname: Lo Buono
authors.affiliation: Professor, IRCCS Centro Neurolesi "Bonino-Pulejo," Messina, Italy.
authors.forename: Placido
authors.initials: P
authors.lastname: Bramanti
authors.affiliation: IRCCS Centro Neurolesi "Bonino-Pulejo," Messina, Italy.
authors.forename: Silvia
authors.initials: S
authors.lastname: Marino
mesh_terms: D017028:Caregivers / Q000523:psychology*; D003376:Counseling; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018458:Persistent Vegetative State / Q000451:nursing*; D011615:Psychotherapy, Group