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Rehabilitation Treatments for Adults with Behavioral and Psychosocial Disorders Following Acquired Brain Injury: A Systematic Review

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An Erratum to this article was published on 12 February 2011

Abstract

This review was aimed at systematically investigating the treatment efficacy and clinical effectiveness of neurobehavioral rehabilitation programs for adults with acquired brain injury and making evidence-based recommendations for the adoption of these rehabilitation trainings. Using a variety of search procedures, 63 studies were identified and reviewed using a set of questions about research methods, treatments, results and outcomes for the 1,094 participants. The 63 studies included treatments falling into three general categories: approaches based on applied behavior analysis, interventions based on cognitive-behavior therapy (CBT), and comprehensive-holistic rehabilitation programs (CHRPs). Considerable heterogeneity exists in the reviewed literature among treatment methods and within reported sample subjects. Despite the variety of methodological concerns, results indicate that the greatest overall improvement in psychosocial functioning is achieved by CHRP that can be considered a treatment standard for adults with behavioral and psychosocial disorders following acquired brain injury. Both approaches based on applied behavior analysis and CBT can be said to be evidence-based treatment options. However, findings raise questions about the role of uncontrolled factors in determining treatment effects and suggest the need for rigorous inclusion/exclusion criteria, with greater specification of theoretical basis, design, and contents of treatments for both interdisciplinary-comprehensive approaches and single-case methodologies.

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Acknowledgments

The research was carried out under the auspices of the Società Italiana di Neuropsicologia (Italian Society of Neuropsychology), a non-profit scientific organization.

Disclosure

The authors state no conflicts of interest. The authors received no government funding pertinent to this review. The research was not funded by any corporation or by any external party directly interested in the results.

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Authors and Affiliations

  1. Department of Neuroscience—Neurology Unit, University of Parma, Parma, Italy

    Raffaella Cattelani

  2. Department of Psychology, University of Turin, Turin, Italy

    Marina Zettin

  3. Department of Psychology, La Sapienza University, Rome, Italy

    Pierluigi Zoccolotti

  4. Neuropsychology Unit, IRCCS Fondazione Santa Lucia, Rome, Italy

    Pierluigi Zoccolotti

Authors
  1. Raffaella Cattelani
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  2. Marina Zettin
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  3. Pierluigi Zoccolotti
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Correspondence to Raffaella Cattelani.

Additional information

An erratum to this article can be found at http://dx.doi.org/10.1007/s11065-011-9161-2

Appendix

Appendix

Table 6 Table of evidence (references are listed in a chronological order)
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Cattelani, R., Zettin, M. & Zoccolotti, P. Rehabilitation Treatments for Adults with Behavioral and Psychosocial Disorders Following Acquired Brain Injury: A Systematic Review. Neuropsychol Rev 20, 52–85 (2010). https://doi.org/10.1007/s11065-009-9125-y

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