Jai Carmichael, Dinithi Fernando, Jennie Ponsford, Gershon Spitz, Amelia J Hicks, Lisa Johnston, Kate Rachel Gould
{"title":"Exploring suicidal ideation and self-harm after moderate-severe traumatic brain injury within a transdiagnostic framework.","authors":"Jai Carmichael, Dinithi Fernando, Jennie Ponsford, Gershon Spitz, Amelia J Hicks, Lisa Johnston, Kate Rachel Gould","doi":"10.1080/09602011.2025.2556743","DOIUrl":"https://doi.org/10.1080/09602011.2025.2556743","url":null,"abstract":"<p><p>More research is needed on suicidal ideation (SI) and self-harm (SH) following moderate-severe traumatic brain injury (TBI). Previous studies have shown limited, inconsistent associations with demographic and injury factors and relied on diagnosis-specific analyses of psychiatric factors. This cross-sectional survey included 387 individuals with moderate-severe TBI and examined correlations between SI, SH, and 35 other variables, including a series of transdiagnostic internalizing symptom dimensions. In the previous two weeks, 21% of participants reported SI and 5% reported SH, both generally at mild levels. While demographic and injury factors showed minimal associations, SI and SH were significantly correlated with higher internalizing symptoms, greater disability, and lower life satisfaction. Elastic net regression was used to select the most important correlates, including core negative affect (e.g., depressed mood), post-traumatic intrusion, obsessive-compulsive, and low positive affect symptoms. While each significantly explained only a small amount of unique variance (<1-7%), their combination accounted for 50% and 31% of the variance in SI and SH, respectively. We identified a transdiagnostic profile that may help guide assessment and treatment of SI and SH in individuals with moderate-severe TBI. Future research should aim to distinguish SH with and without suicidal intent and incorporate a control group.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-25"},"PeriodicalIF":1.9,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adele Smith, Nigel S King, Neil Carrigan, Natasha Reed
{"title":"What psychological interventions are effective for individuals with prolonged post-concussion symptoms of at least 12 months following mild traumatic brain injury? A systematic review.","authors":"Adele Smith, Nigel S King, Neil Carrigan, Natasha Reed","doi":"10.1080/09602011.2024.2435283","DOIUrl":"10.1080/09602011.2024.2435283","url":null,"abstract":"<p><p>For some, post-concussion symptoms following a mild traumatic brain injury (mTBI) are prolonged in nature, lasting for a minimum of 12 months and up to many years. There remains limited insight into the effectiveness of psychological interventions for the treatment of prolonged post-concussion symptoms (PrPCS). This systematic review aimed to evaluate the effectiveness of psychological interventions for PrPCS (>12 months post mTBI). A search was performed across five databases (PsychINFO, Medline, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), & PubMed). Two independent researchers assessed the studies against pre-defined eligibility criteria and completed quality appraisals. Ten studies were included in the review and underwent narrative synthesis. Four psychological interventions for PrPCS were found (i.e., Cognitive Behavioural Therapy (CBT), Neurofeedback Therapy, Psychoeducation, & Mindfulness-based therapy). Emerging empirical data tends to support the assertion that psychological interventions can improve PrPCS and quality of life. CBT appears to have the strongest evidence base to date and to be the most effective in improving anxiety, anger, and overall mental well-being. However, the evidence base is still very much in its infancy and requires research with more robust methodological designs to be conducted before any conclusions can be reliably asserted.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1664-1694"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Social support after TBI: an investigation of Facebook posts in open access support groups.","authors":"Nicole Cruse, Helena Sabo, Melissa Brunner","doi":"10.1080/09602011.2024.2442583","DOIUrl":"10.1080/09602011.2024.2442583","url":null,"abstract":"<p><p>Traumatic Brain Injury (TBI) significantly affects social interactions and emotional well-being. Following COVID-19, there has been growing interest in how individuals with TBI use online social media groups for support. This study examined engagement patterns in four Facebook support groups: two for TBI and two control groups. A deductive approach was used to categorize 4,133 posts and comments into a framework of support discourse, including seeking and giving support, and non-social support. Each category was further subdivided to analyze post content in more detail. Comments on posts were coded for helpfulness/appropriateness. Results revealed that posts in all groups fell into the identified discourse categories, with comments generally being appropriate. Minor differences were noted between TBI and control groups, suggesting that individuals with TBI engage in online support similarly to others. These findings highlight the role of online support groups for individuals with TBI, offering insights that can guide the development of more tailored interventions and improve support services for this population.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1599-1621"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ioan Chirap-Mitulschi, Bogdan Ignat, Daniel Alexa, Andreea Chirap-Mitulschi, Sabina Antoniu
{"title":"Health-related quality of life in chronic stroke: Translation and validation of the Romanian stroke and aphasia quality of life scale-39 g (RO-SAQOL-39 g) questionnaire.","authors":"Ioan Chirap-Mitulschi, Bogdan Ignat, Daniel Alexa, Andreea Chirap-Mitulschi, Sabina Antoniu","doi":"10.1080/09602011.2024.2447298","DOIUrl":"10.1080/09602011.2024.2447298","url":null,"abstract":"<p><p>In the clinical context of stroke, health-related quality of life (HRQOL) is a crucial patient-reported outcome measure that is frequently used to assess the effectiveness of neurorehabilitation programs. Despite its significance, the absence of a stroke-specific quality-of-life instrument translated into Romanian and validated for use in Romanian stroke patients, including those with aphasia, presents a notable gap in current research. This study briefly describes the translation and cross-cultural adaptation of the Stroke and Aphasia Quality of Life Scale-39 g (SAQOL-39 g) into Romanian (RO-SAQOL-39 g). Subsequently, the results of a prospective cohort study on psychometric validation of the RO-SAQOL-39 g are presented. In enrolled stroke patients, measures such as the Barthel Index, HRQOL, and indices of stroke severity including NIHSS, MRC scale for Muscle Strength, and mRS were used. The RO-SAQOL-39 g exhibited excellent reliability (Cronbach's alpha = 0.95 for total score) and repeatability (ICC = 0.96). Moreover, the RO-SAQOL-39 g demonstrated utility as a metric of stroke burden in differentiating between mild and moderate-to-severe stroke, as assessed by NIHSS scores (<i>p</i> = 0.004). In summary, the RO-SAQOL-39 g exhibits promising attributes as a tool for assessing HRQOL in post-stroke individuals.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1651-1663"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ellen P J Janssen, Peggy J J Spauwen, Sophie J M Rijnen, Rudolf W H M Ponds
{"title":"Eye movement desensitization and reprocessing for posttraumatic stress disorder following acquired brain injury: A multiple baseline single case experimental design study across four cases.","authors":"Ellen P J Janssen, Peggy J J Spauwen, Sophie J M Rijnen, Rudolf W H M Ponds","doi":"10.1080/09602011.2024.2444999","DOIUrl":"10.1080/09602011.2024.2444999","url":null,"abstract":"<p><p>Posttraumatic stress disorder (PTSD) is prevalent in individuals with acquired brain injury (ABI). This study investigated the effectiveness and applicability of Eye Movement Desensitization and Reprocessing (EMDR) for PTSD in individuals with ABI. Data were collected using a non-concurrent multiple baseline single case experimental design (SCED), with a baseline, treatment, maintenance, and 3-month follow-up phase, across four cases. EMDR treatment was provided using a manualized standard EMDR protocol. The primary outcome was PTSD symptoms. Secondary outcomes were general mental health and cognitive functions. Visual analyses, TAU-<i>U</i> analyses, and analyses using the Reliable Change Index were performed. All four participants (two with TBI, two with stroke) showed a significant decrease in PTSD symptoms, which continued in maintenance and was retained at follow-up. The participants no longer fulfilled criteria for PTSD classification and showed reliable improvement in PTSD severity score post-treatment and at follow-up. No adverse events occurred and no adjustments in EMDR protocol were necessary. There was no consistent improvement in general mental health nor a consistent improvement in cognitive functioning. This study provided empirical support for the effectiveness and applicability of EMDR for PTSD in four participants with stroke or TBI.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1622-1650"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nelly Revollo Carrillo, Karol Gutiérrez-Ruiz, Tania Iglesias Rodríguez, Soraya Lewis Harb
{"title":"Exploring the potential of Braingame Brian for executive function improvement in Spanish-speaking children with ADHD: A pilot study.","authors":"Nelly Revollo Carrillo, Karol Gutiérrez-Ruiz, Tania Iglesias Rodríguez, Soraya Lewis Harb","doi":"10.1080/09602011.2024.2439614","DOIUrl":"10.1080/09602011.2024.2439614","url":null,"abstract":"<p><p>Considering the implications of executive function (EF) in the core symptoms of attention deficit hyperactivity disorder (ADHD), further research is required on strategies such as therapies, treatments, and rehabilitation programs focused on improving EF. This study aimed to assess the potential of an EF training program called \"Braingame Brian\" in improving working memory, inhibition, and cognitive flexibility in children with ADHD. The programme was developed in the Netherlands and has been shown to be effective in pilot studies of ADHD populations conducted in this country. However, it has not been used before in the Spanish-speaking population. A total of 41 children (aged 8-12 years) were assigned to the EF training or waitlist control groups. The intervention consisted of a 25-session training programme of approximately 45 min per day for nine consecutive weeks. Treatment outcomes were assessed using cognitive tasks of the trained EF, as well as evaluations of EF behaviors by parents and teachers. The initial findings suggest that the implementation of the Braingame Brian programme may be associated with improvements in working memory, inhibition, and cognitive flexibility. These preliminary results also indicate the potential for enhancements in parents' and teachers' perceptions of EF difficulties in children with ADHD.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1570-1598"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Heather A Shepherd, Meghan L Critchley, Carolyn A Emery, Jeffrey G Caron
{"title":"After the buzzer sounds: Adults unveil the consequences of concussions sustained during adolescence.","authors":"Heather A Shepherd, Meghan L Critchley, Carolyn A Emery, Jeffrey G Caron","doi":"10.1080/09602011.2024.2439332","DOIUrl":"10.1080/09602011.2024.2439332","url":null,"abstract":"<p><p>Concussions are commonly occurring injuries in sport. The short-term impacts of concussions, including symptoms and recovery trajectories, often are the focus of concussion research. However, limited studies have explored the long-term consequences of concussions, especially in adolescents. The purpose of this study was to explore adults' experiences with concussions sustained during their adolescence (5-15 years prior). This qualitative study was guided by an interpretivist philosophy. Twenty young adults (11 men, 9 women, median age 26) who had sustained at least one sport-related concussion during their adolescence participated in a one-on-one semi-structured interview. We aimed to explore their experiences with their concussion at the time of injury and any consequences they experienced as a result of their concussion. We organized participants' concussion experiences into six main themes: (1) Concussion diagnosis and experiences with health care providers; (2) Emotional symptoms following concussion; (3) Concussion recovery; (4) Change in sport participation and engagement; (5) Concern about the potential long-term consequences; and (6) Impact on social relationships. We used the Biopsychosocial Model of Sport Injury Rehabilitation to organize the themes. Future research should explore how acute multi-disciplinary support could reduce the negative long-term consequences of concussion in adolescents.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1544-1569"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pavika Thevar, Dana Wong, Elspeth Hutton, Rubina Alpitsis, Charles Malpas, Alissandra McIlroy
{"title":"Cognitive behaviour therapy tailored to migraine in multiple sclerosis: A pilot randomized controlled trial.","authors":"Pavika Thevar, Dana Wong, Elspeth Hutton, Rubina Alpitsis, Charles Malpas, Alissandra McIlroy","doi":"10.1080/09602011.2025.2545303","DOIUrl":"https://doi.org/10.1080/09602011.2025.2545303","url":null,"abstract":"<p><p>Approximately 50% of people with relapsing-remitting multiple sclerosis (RRMS) have comorbid migraine. This pilot randomized controlled trial examined the feasibility and preliminary efficacy of a five-week cognitive behaviour therapy targeted to treating migraine in RRMS (CBT-MMS). Participants with RRMS and ≥3 migraine days per month (MMD) received CBT-MMS or a nine-week waitlist. Feasibility was assessed by rates of retention, follow-up and outcome responses. Candidate primary outcomes were MMD, migraine duration, and pain intensity at baseline, post-treatment, and one-month follow-up. Secondary outcomes included mood, fatigue, self-efficacy, pain catastrophizing, disability and quality of life. Data were analyzed through multilevel modelling. Participants were 31 adults aged 22-59 with 8.32 ± 6.12 MMD at baseline. The retention rate was 96.77%. From baseline, the CBT-MMS group (<i>n=</i>21) had significantly fewer MMD and shorter migraine duration (in hours) at post-treatment (<i>EMM=</i>3.05 days, 95%CI [-5.32, -2.13]; <i>EMM</i>=6.34 h, 95%CI [-10.62, -5.15], respectively) and follow-up (<i>EMM</i>=2.82 days, 95%CI [-5.58, -2.33]; <i>EMM</i>=7.20 h, 95%CI [-9.64, -4.39], respectively). The waitlist group (<i>n=</i>10) had no such within-group changes. Treatment gains were found for anxiety, self-efficacy, and migraine-related disability, and no effects were found on remaining outcomes. These findings provide preliminary support for the feasibility and efficacy potential of CBT-MMS, warranting a larger-scale trial.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-25"},"PeriodicalIF":1.9,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emily Danson, Ruth Brunsdon, Amanda Lane-Brown, Vincent Oxenham
{"title":"A cognitive energy crisis: A systematic review & meta-analysis of effective interventions for pediatric cognitive fatigue post-acquired brain injury.","authors":"Emily Danson, Ruth Brunsdon, Amanda Lane-Brown, Vincent Oxenham","doi":"10.1080/09602011.2025.2540625","DOIUrl":"10.1080/09602011.2025.2540625","url":null,"abstract":"<p><p>Acquired Brain Injuries (ABIs) cause long-term disruption to young individuals' development. Persistent cognitive fatigue is a commonly reported sequela following pediatric ABI. Currently, there are no evidence-based interventions targeting cognitive fatigue post-ABI amongst pediatric patients. The current systematic review and meta-analysis aimed to review research on the efficacy of pharmacological and non-pharmacological interventions for cognitive fatigue following pediatric ABI. The review searched terms through relevant databases (including Medline, PsychInfo, Embase, Cinahl and Scopus), using specific inclusion criterion. A total of 6,511 articles were identified. Five articles met the inclusion criteria, and three were of excellent quality. These were categorized into behavioural (Gagnon et al., 2016; Gauvin-Lepage et al., 2020; Hypher et al., 2022; Renaud et al., 2020) and pharmacological interventions (Sakellaris et al., 2008). A meta-analysis of the behavioural interventions using random-effects models was conducted and demonstrated a statistically significant effect on reducing cognitive fatigue from both a self-report and caregiver-report perspective. Although not included in the meta-analysis, Sakellaris et al. (2008) findings also demonstrated creatin as an effective pharmacological intervention. The scarcity of available studies impacted the findings, and thus, further investigation is warranted to support specific treatment guidelines.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-25"},"PeriodicalIF":1.9,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}