A Cochrane review [Abstract] 1 included 2 studies with a total of 44 subjects. The first trial (n = 24) showed a benefit of cognitive behavioural therapy (CBT) in people with mild traumatic brain injury (TBI) and acute stress disorder. Fewer people receiving CBT had diagnosis of post-traumatic stress disorder (PTSD) at post-treatment compared to the control supportive counselling group, with maintenance of treatment gains found at six-month follow up. The second trial (n = 20) showed that post-treatment anxiety symptomatology of people with mild to moderate TBI was lower in the combined CBT and neurorehabilitation group compared to the no intervention control group.
Comment: The quality of evidence is downgraded by imprecise results (few patients) and by inconsistency (heterogeneity in interventions and outcomes).
Primary/Secondary Keywords