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.

KEYWORDS:

• Acquired brain injury
• neuropsychological rehabilitation
• holistic neuropsychological rehabilitation

Acknowledgements

The authors wish to thank Anne Rienstra, Astrid Beerlage, Rick Horst, Arwen Pel, Marijn Luijpen, and José de Vries for their help in the data collection.

Disclosure statement

No potential conflict of interest was reported by the authors.