10.26180/5cc6b2c8d5cf4
LEAH MATTEAU ZELENCICH
LEAH MATTEAU
ZELENCICH
Traumatic Brain Injury (TBI) Adapted Cognitive Behaviour Therapy (CBT): Role of Therapy Process Variables
Monash University
2019
Brain injury
Cognitive Behaviour Therapy
Working alliance
Homework
Therapist competence
Cognitive impairment
Clinical Psychology
2019-06-06 03:07:37
Thesis
https://bridges.monash.edu/articles/thesis/Traumatic_Brain_Injury_TBI_Adapted_Cognitive_Behaviour_Therapy_CBT_Role_of_Therapy_Process_Variables/8052371
Anxiety and depression are common after a traumatic brain injury (TBI) but it is unclear whether associated cognitive impairments impede gains from psychological therapy. This study aimed to investigate 1) how therapists adapt Cognitive Behaviour Therapy (CBT) to meet the needs of people with TBI and 2) which factors impact capacity to benefit from CBT adapted for TBI. Findings identified several therapist behaviours that can help to enhance treatment effectiveness. These included comprehensive facilitation of client engagement with therapy homework and compensating for poorer executive functioning. This is the first study to evaluate CBT in-session processes with a TBI sample.