Xuan Vinh To, Ning Zhu, Abdalla Z Mohamed, Jennifer Fleming, Caitlin Hamilton, Sarah Swan, Megan E J Campbell, Lewis Campbell, Tamara Ownsworth, David H K Shum, Fatima Nasrallah
{"title":"Microstructural brain changes following prospective memory rehabilitation in traumatic brain injury: An observational study.","authors":"Xuan Vinh To, Ning Zhu, Abdalla Z Mohamed, Jennifer Fleming, Caitlin Hamilton, Sarah Swan, Megan E J Campbell, Lewis Campbell, Tamara Ownsworth, David H K Shum, Fatima Nasrallah","doi":"10.1080/09602011.2024.2423861","DOIUrl":"10.1080/09602011.2024.2423861","url":null,"abstract":"<p><p>Prospective memory (PM) impairment is a common consequence of moderate-severe traumatic brain injury (TBI). Compensatory strategy training and rehabilitation (COMP) is the usual treatment of PM deficits through environmental modification and the use of assistive methods such as diaries and routines. The study intends to examine the changes in white matter integrity, as measured by advanced diffusion magnetic resonance imaging (dMRI) following COMP intervention in moderate-severe TBI patients. Nine COMP intervention and twelve routine care comparison cohort moderate-severe TBI patients were recruited from level 1 trauma centres in the Brisbane metropolitan area. Both groups were imaged at least one-month post-TBI for a baseline scan. COMP group was imaged again after a 6-week COMP intervention program and the comparison group was imaged again at least 6 weeks after the baseline scan. MRI scan included structural imaging and dMRI, which the latter fitted for the Neurite Orientation Dispersion and Density Imaging (NODDI) model. Only the comparison group had decreased Neurite Density Index in the major white matter tracts and increased isotropic diffusion in the fluid space between the cortical folds. Our results indicated that COMP intervention slowed down the neural degeneration in moderate-severe TBI patients as compared to routine medical care/rehabilitation.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1456-1476"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676869","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}
Mathilde Rioux, Penelope M A Brasher, Gabriel McKeown, Keith Owen Yeates, Ana-Maria Vranceanu, Deborah L Snell, Molly Cairncross, William J Panenka, Grant L Iverson, Chantel T Debert, Mark T Bayley, Cindy Hunt, Matthew J Burke, Noah D Silverberg
{"title":"Graded exposure therapy for adults with persistent symptoms after mTBI: A historical comparison study.","authors":"Mathilde Rioux, Penelope M A Brasher, Gabriel McKeown, Keith Owen Yeates, Ana-Maria Vranceanu, Deborah L Snell, Molly Cairncross, William J Panenka, Grant L Iverson, Chantel T Debert, Mark T Bayley, Cindy Hunt, Matthew J Burke, Noah D Silverberg","doi":"10.1080/09602011.2024.2403647","DOIUrl":"10.1080/09602011.2024.2403647","url":null,"abstract":"<p><p>Fear avoidance behaviour is associated with slow recovery from mild traumatic brain injury (mTBI). This study is a preliminary evaluation of graded exposure therapy (GET), which directly targets fear avoidance behaviour, for reducing post-concussion symptoms (PCS) and disability following mTBI. In a historical comparison design, we compared two groups from independent randomized trials. The GET + UC group (N = 34) received GET (delivered over 16 videoconference sessions) in addition to usual care (UC). The historical comparison group (N = 71) received UC only. PCS severity (Rivermead Post Concussion Symptoms Questionnaire; RPQ) and disability (World Health Organization Disability Assessment Schedule; WHODAS 2.0 12-item) were measured at clinic intake (M = 2.7, SD = 1.1 months after injury) and again at M = 4.9 (SD = 1.1) months after injury. Between-group differences were estimated using linear mixed effects regression, with a sensitivity analysis controlling for injury-to-assessment intervals. The estimated average change on the RPQ was -14.3 in the GET + UC group and -5.3 in the UC group. The estimated average change on the WHODAS was -5.3 in the GET + UC group and -3.2 in the UC group. Between-group differences post-treatment were -5.3 on the RPQ and -1.5 on the WHODAS. Treatment effects were larger in sensitivity analyses. Findings suggest that a randomized controlled trial is warranted.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1349-1365"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332539","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}
Xueping Ma, Qian Ning, Yang Yang, Yinping Li, Jia Xu, Rong Yang, Dong Zhou, Dengbin Liao
{"title":"Experiences of caregivers of patients with traumatic brain injury during hospitalization in western China: A qualitative study.","authors":"Xueping Ma, Qian Ning, Yang Yang, Yinping Li, Jia Xu, Rong Yang, Dong Zhou, Dengbin Liao","doi":"10.1080/09602011.2024.2423089","DOIUrl":"10.1080/09602011.2024.2423089","url":null,"abstract":"<p><p>Family members frequently provide both physical and emotional support to patients. Previous studies have focused primarily on the experiences of patients with traumatic brain injury (TBI) and their caregivers during home care and the transition from hospital care to the community, with less emphasis on their experiences during acute hospital care immediately after TBI. This study aimed to explore the experiences of caregivers of patients with TBI during acute hospitalizations. A qualitative descriptive study using individual semistructured interviews was conducted at the trauma center of a tertiary hospital in western China. A purposive sample of 21 caregivers of patients with TBI were recruited. The interviews were conducted face to face in the inpatient ward from July to September 2023. Conventional content analysis was used to conduct the framework analysis. The experiences of caregivers were identified within three key themes: TBI consequences in patients (physical impairments, psychological distress, and cognitive dysfunctions), challenges of caregivers (physiological/emotional/economic burdens, conflicts, and concerns regarding recovery), and needs of caregivers (health information, medical services, and recovery expectations). This study highlights the experiences of caregivers of patients with TBI during hospital stays in western China. The challenges faced by caregivers and the needs of caregivers are multidimensional. Appropriate support should be provided to alleviate the burden of caregiving.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1434-1455"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559471","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":"Introducing a new social cognition online therapy: SoCoBo.","authors":"Sally Reckelkamm, Tobias Lohaus, Patrizia Thoma","doi":"10.1080/09602011.2024.2413718","DOIUrl":"10.1080/09602011.2024.2413718","url":null,"abstract":"<p><p>Integrating technology-based therapies into existing treatment approaches has proven useful in the endeavour to improve impaired social cognition in patients with neurological diseases. To this end, we present a novel online-based therapy programme for the treatment of impairments of social cognition (\"<i>SoCoBo</i>\"), particularly tailored for patients with acquired brain injuries (ABIs). This study was designed to investigate the online therapy's feasibility including processing time and acceptability in a healthy older sample as, according to previous studies, older individuals show subtle impairments of social cognition. Between 50 and 52 participants (depending on outcome measures) underwent pre-post assessments, completed one out of three therapy modules (emotion recognition, perspective taking, social problem-solving) over a period of four weeks (four sessions per week) and evaluated the therapy concerning feasibility, acceptability and content aspects with a newly developed questionnaire. All modules showed comparable ratings on a low to moderate level in terms of feasibility, acceptability and content aspects, which seems plausible due to the sample under investigation. Processing time of the three modules was comparable for psychoeducation (mean 17.45 min) and training sessions (mean 21.91 min). The results provided important indications for necessary adjustments regarding a subsequently completed randomized controlled trial involving patients with ABIs.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1366-1394"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481192","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":"Post-stroke fatigue severity is associated with executive dysfunction in chronic stroke.","authors":"Chloe Carrick, Andrea Kusec, Nele Demeyere","doi":"10.1080/09602011.2024.2414864","DOIUrl":"10.1080/09602011.2024.2414864","url":null,"abstract":"<p><p>Following stroke, fatigue is highly prevalent and managing fatigue is consistently rated a key unmet need by stroke survivors and professionals. Domain-specific cognitive impairments have been associated with greater fatigue severity in earlier stages of stroke recovery, but it is unclear whether these associations hold in chronic (>2 years) stroke. The present cross-sectional observational study evaluates the relationship between domain-specific cognitive functioning and the severity of self-reported fatigue among chronic stroke survivors. Participants (<i>N </i>= 105; mean age = 72.92, 41.90% female; mean years post-stroke = 4.57) were assessed in domains of attention (Hearts Cancellation test), language (Boston Naming Test), episodic memory (Logical Memory Test), working memory (Digit Span Backwards task), and executive functioning (set-shifting: Trail Making Test, Part B), as part of the OX-CHRONIC study, a longitudinal stroke cohort. Fatigue was assessed using the Fatigue Severity Scale. In a multiple linear regression analysis inclusive of above cognitive domains, only poorer executive functioning was associated with increased fatigue severity. This provides insight into the cognitive impairment profile of post-stroke fatigue long-term after stroke, with executive functioning deficits as the key hallmark.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1395-1417"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481193","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}
Vera Linde Dol, Arlette J van Sorge, Anselm B M Fuermaier, Wietske Rienstra, Radha Rambaran Mishre, Eline M E Will, Joost Heutink
{"title":"Validation and clinical applicability of the Screening Visual Complaints questionnaire-acquired brain injury (SVCq-abi) in individuals with acquired brain injury.","authors":"Vera Linde Dol, Arlette J van Sorge, Anselm B M Fuermaier, Wietske Rienstra, Radha Rambaran Mishre, Eline M E Will, Joost Heutink","doi":"10.1080/09602011.2025.2526648","DOIUrl":"https://doi.org/10.1080/09602011.2025.2526648","url":null,"abstract":"<p><p>The 23-item Screening Visual Complaints questionnaire-acquired brain injury (SVCq-abi) was constructed to assess visual complaints in individuals with acquired brain injury (ABI). This cross-sectional study determines the validity and clinical applicability of the SVCq-abi in an ABI sample. The SVCq-abi was administered to 156 individuals with ABI (mean [SD], 58 [13] years, 36% female) following a neurorehabilitation programme (65% inpatient, 35% outpatient). Confirmatory factor analysis (CFA) was performed to determine the fit of a 5-factor model, and scale reliability was examined. Additionally, we assessed the distribution of responses on the SVCq-abi and the effect of key clinical variables on SVCq-abi subscale scores. CFA confirmed a 5-factor model with good fit statistics, except for the Standardized Root Mean-square Residual. Scale reliability ranged from weak to good. Most individuals (78%) reported at least one visual complaint. Outpatients reported more luminance-related and ocular discomfort complaints than inpatients. No significant effect was observed on subscale scores based on administration method, history of ophthalmic disease, time since ABI diagnosis, and age. CFA determined a 5-factor structure of the SVCq-abi, with sufficient scale. Individuals with ABI experienced a range of visual complaints. The SVCq-abi showed broad clinical applicability and may be a valuable tool for clinical practice.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-19"},"PeriodicalIF":1.7,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644177","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}
Alex Bahar-Fuchs, Courtney Chesser, Loren Mowszowski, Kerryn E Pike, Alessandra Lee, Inga Mehrani, Alison M Hutchinson, Sharon Naismith
{"title":"Implementation of cognition-oriented treatments (COTs) for older adults in Australian memory and cognition clinics: development and pilot evaluation of a clinician training toolkit.","authors":"Alex Bahar-Fuchs, Courtney Chesser, Loren Mowszowski, Kerryn E Pike, Alessandra Lee, Inga Mehrani, Alison M Hutchinson, Sharon Naismith","doi":"10.1080/09602011.2025.2526661","DOIUrl":"10.1080/09602011.2025.2526661","url":null,"abstract":"<p><p>The uptake of Cognition-Oriented Treatments (COTs) has remained slow in memory and cognition clinics in Australia despite strong research evidence and recommendations for their use in clinical guidelines. A barrier to implementation is clinician knowledge and training in using COTs for older adults. The current study described the development and initial evaluation of a training toolkit to improve Clinical Neuropsychologists' knowledge, skills and confidence in delivering COTs to older adults in Australian Memory and Cognition Clinics. The toolkit, delivered as part of a broader pilot COTs implementation study, included six online learning modules and an in-person workshop. Participants' knowledge and confidence were measured at baseline, while satisfaction and feedback on the training toolkit were assessed post-training intervention. 18 clinicians completed the training toolkit, and 9 responded to the post-training survey. Clinicians' self-rated knowledge and confidence in their ability varied, especially on items about COT delivery. Clinicians were broadly satisfied with the content and delivery of the training toolkit, while qualitative feedback offered opportunities for improvement. The clinician training toolkit has the potential to assist with the implementation of COTs in Australia by developing clinicians' skills and knowledge. Plans include revising the training toolkit and exploring its implementation in additional contexts.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-23"},"PeriodicalIF":1.7,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592958","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}
Yael Goverover, Silvana L Costa, John DeLuca, Nancy Chiaravalloti
{"title":"Does speed of processing training improve everyday life functional activity in traumatic brain injury: A pilot randomized controlled trial.","authors":"Yael Goverover, Silvana L Costa, John DeLuca, Nancy Chiaravalloti","doi":"10.1080/09602011.2025.2526663","DOIUrl":"https://doi.org/10.1080/09602011.2025.2526663","url":null,"abstract":"<p><p>This double-blind, placebo-controlled, randomized trial evaluated Speed of Processing Training (SOPT) efficacy for improving everyday functioning in traumatic brain injury (TBI). Thirty-four participants with moderate to severe TBI completed either SOPT or placebo control treatment across 10 sessions over five weeks. Assessments at baseline, post-treatment, and six-month follow-up measured Timed Activities of Daily Living (TIADL) performance along with self-reported quality of life, self-efficacy, and depressive symptoms. Results revealed no significant differences between the SOPT and placebo groups. Repeated measures ANOVA showed non-significant interactions between time and group for both TIADL scores and self-reported outcomes. Additional post-hoc analyses found no significant differences in baseline variables between participants who improved on the TIADL and those who did not. Despite SOPT's established benefits for processing speed, this study suggests its effects may not transfer to functional outcomes in individuals with moderate to severe TBI. The findings indicate that future research should explore integrated cognitive rehabilitation approaches that better promote generalization to daily life activities and meaningful functional improvements for persons with TBI. The clinical trial was registered with www.clinicaltrials.gov (protocol ID: NCT02020564).<b>Trial registration:</b> ClinicalTrials.gov identifier: NCT02020564..</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-16"},"PeriodicalIF":1.7,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565510","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}
Longti Li, Rong Zhang, Na Wang, Xin Chen, Huiqin Zhong, Boxiong Gong, Jie Luo
{"title":"Development and psychometric validation of the hospital discharge readiness scale for post-operative brain tumour patients in Chinese adults.","authors":"Longti Li, Rong Zhang, Na Wang, Xin Chen, Huiqin Zhong, Boxiong Gong, Jie Luo","doi":"10.1080/09602011.2025.2523915","DOIUrl":"10.1080/09602011.2025.2523915","url":null,"abstract":"<p><p>The purpose of this study was to develop a specific instrument to assess the discharge readiness among Chinese adults following brain tumour surgery and evaluate its psychometric properties. The construction of this measurement tool from March 2022 to April 2024 comprised two stages: the development of the scale (Stage I) and a cross-sectional survey involving 413 post-operative brain tumour patients to test its psychometric properties (Stage II). The final scale had 24 items with 4 domains. The item-level content validity index ranged from 0.850 to 1.000, and the scale-level content validity index was 0.926. Exploratory factor analysis showed a four-factor structure of the 24-item scale, accounting for 63.319% of the variance. The structures of confirmatory factor analysis formed validated acceptable fit indices after modification, which further confirmed the fit of the scale to the model. The scale showed an acceptable concurrent validity when compared with the RHDS (<i>r</i> = 0.456-0.875, <i>p</i> < 0.001). The Cronbach's <i>α</i> and split-half reliability of the total scale was 0.894 and 0.813, respectively. The scale has good reliability and validity and can be used to assess the discharge readiness of Chinese adults following brain tumour surgery.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-19"},"PeriodicalIF":1.7,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555820","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":"Personal growth in caregivers of persons with brain injury or multiple sclerosis.","authors":"Sonya Kim, Frederick W Foley, Vance Zemon","doi":"10.1080/09602011.2024.2393465","DOIUrl":"10.1080/09602011.2024.2393465","url":null,"abstract":"<p><p>An existing scale of personal growth in caregivers of people with multiple sclerosis (MS) was expanded for use with an acquired brain injury (ABI) population, and was modified following additional psychometric analyses. A cross-sectional online survey was administered to 315 caregiving partners of persons with MS and 310 family caregivers of persons with ABI. Principal component analysis (PCA) performed on the original 32-item instrument yielded a 4-component, 17-item solution with correlated subscales with solid psychometric properties. Subscales were labelled <i>Appreciation, Positivity, Adjustment, and Spirituality</i>. Secondary PCA conducted revealed three subscales (five items each) correlated moderately while the fourth, <i>Spirituality,</i> remained distinct. The sum of the three five-item subscales may serve as a total score. Reliability analysis yielded acceptable-to-high internal consistency. Comparisons of the PGS with existing instruments demonstrated its discriminant/convergent validity. Two kinds of latent class analyses were conducted on the 15-item PGS to identify three latent classes that spanned the neurologic groups, revealing that measurement invariance was held for the instrument in this sample. An instrument with sound psychometric properties was established, designed to assess personal growth in caregivers of individuals with ABI or MS. Future work should explore its value in other populations and as a metric of changes over time.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1185-1209"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074601","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}