Article

The most frequently reported psychiatric symptom after
traumatic brain injury (TBI) is depression.
This study examined whether
internet-delivered cognitive behaviour therapy (CBT) could be appropriate and
effective for patients with mild or moderate TBI and depression. METHODS : Patients were recruited for an at-home, 6-week internet-based CBT
program (MoodGYM). Participants were assessed during this period by weekly
telephone calls and at 12 months post-enrolment. Intervention completion rates,
predictors of adherence, user feedback and changes in scores on validated
depression scales were assessed. MAIN OUTCOMES AND RESULTS: Twenty-one patients
were recruited: 64% and 43% completed the 6-week intervention and the 12-month
follow-up, respectively. Adherence rates were not predicted by demographic or
injury characteristics in this small sample. Patients identified reading, memory
and comprehension requirements as limitations of the program. Scores on the
depression scales were significantly decreased upon completion of the
intervention and at the 12-month follow-up. CONCLUSIONS: The MoodGYM program may
be effective for treating symptoms of depression in patients with TBI. While
adherence rates were not predicted by age, education level or injury severity,
demands upon memory and concentration which may already be compromised in these
patients need to be considered.

Langue : ANGLAIS