title: Effects of intensive neuropsychological rehabilitation for acquired brain injury.
abstract: The objective of the study was to examine the effects of a comprehensive neuropsychological rehabilitation programme (Intensive NeuroRehabilitation, INR) on the emotional and behavioural consequences of acquired brain injury (ABI). The participants were 75 adult patients suffering from ABI (33 traumatic brain injury, 14 stroke, 10 tumour, 6 hypoxia, 12 other), all of whom were admitted to the INR treatment programme. The main outcome measures were: general psychological well-being (Symptom-Checklist-90), depression and anxiety (Beck Depression Inventory-II, Hospital Anxiety and Depression Scale, State Trait Anxiety Inventory), and quality of life (Quality of Life in Brain Injury). The study was a non-blinded, waiting-list controlled trial. During the waiting-list period no or minimal care was provided. Multivariate analysis of the main outcome measures showed large effect sizes for psychological well-being (partial η2= .191, p < .001), depression (partial η2= .168, p < .001), and anxiety (partial η2= .182, p < .001), and a moderate effect size for quality of life (partial η2= .130, p = .001). Changes on neuropsychological tests did not differ between the groups. It was concluded that the INR programme improved general psychological well-being, depressive symptoms, anxiety, and quality of life. The programme does not affect cognitive functioning.
authors.affiliation: a Amsterdam Rehabilitation Research Centre , Reade , Amsterdam , The Netherlands.|b Department of Medical Psychology , Jeroen Bosch Hospital , 's-Hertogenbosch , The Netherlands.
authors.forename: Meike
authors.initials: M
authors.lastname: Holleman
authors.affiliation: a Amsterdam Rehabilitation Research Centre , Reade , Amsterdam , The Netherlands.
authors.forename: Martie
authors.initials: M
authors.lastname: Vink
authors.affiliation: a Amsterdam Rehabilitation Research Centre , Reade , Amsterdam , The Netherlands.
authors.forename: Rinske
authors.initials: R
authors.lastname: Nijland
authors.affiliation: c Department of Medical Psychology , Academic Medical Centre at the University of Amsterdam , Amsterdam , The Netherlands.|d Programmagroep Brein en Cognitie, Faculty of Social and Behavioural Sciences , University of Amsterdam , Amsterdam , The Netherlands.
authors.forename: Ben
authors.initials: B
authors.lastname: Schmand
mesh_terms: D000328:Adult; D001007:Anxiety / Q000150:complications; D001930:Brain Injuries / Q000150:complications / Q000523:psychology* / Q000534:rehabilitation*; D003863:Depression / Q000150:complications; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D000066530:Neurological Rehabilitation; D009483:Neuropsychological Tests; D011788:Quality of Life; D016896:Treatment Outcome
keywords: Acquired brain injury; holistic neuropsychological rehabilitation; neuropsychological rehabilitation