Comparison of a Cognitive-Behavioral Coping Skills Group to a Peer Support Group in a Brain Injury Population

Samantha Backhaus, Summer Ibarra, Devan Parrott, James Malec

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Objective To compare the efficacy of 2 group treatments for persons with brain injury (BI) and their caregivers in promoting perceived self-efficacy (PSE) and emotional and neurobehavioral functioning. Design Randomized controlled trial. Setting Outpatient BI rehabilitation. Participants Subjects (N=38), including 19 with BI and 19 caregivers, participated in a BI coping skills group or a support group. Interventions BI coping skills is a manualized cognitive-behavioral treatment (CBT). CBT was compared with a structurally equivalent support group. Main Outcome Measures Brain Injury Coping Skills Questionnaire (PSE), Brief Symptom Inventory-18 ([BSI-18]; emotional distress), and Frontal Systems Behavior Scale (neurobehavioral functions). Results There were no significant differences between survivors and caregivers on the Brain Injury Coping Skills Questionnaire and BSI-18; therefore, groups were combined during final analyses. Frontal Systems Behavior Scale caregiver data were used for analysis. Both groups showed significantly improved PSE between baseline and follow-up on repeated-measures analysis of variance, with the CBT group showing greater stabilization of change. There was no significant group by time interaction on measures of neurobehavioral functions, but the CBT group showed significant improvements at 3-month follow-up. No significant effects were found on the BSI-18. Conclusions To our knowledge, no studies to date have been published comparing a CBT intervention with a support group in a BI population with caregiver participation. This study showed that given equivalent group structure, individuals with BI and caregivers may benefit from either type of intervention in enhancing PSE or maintaining emotional stability. However, there was a trend for individuals who received CBT to maintain the effects of improved PSE, whereas support group participants showed a trend for decline. This study offers a new conceptualization that with certain group dynamics and support, individuals with BI and caregivers may benefit similarly from either a support group or CBT intervention. However, because our sample did not include individuals in clinically significant emotional distress, we cannot rule out the possibility that those with more significant challenges in PSE or emotional functions may show greater benefits with a CBT group.

Original languageEnglish (US)
Pages (from-to)281-291
Number of pages11
JournalArchives of Physical Medicine and Rehabilitation
Volume97
Issue number2
DOIs
StatePublished - Feb 1 2016

Fingerprint

Peer Group
Self-Help Groups
Psychological Adaptation
Brain Injuries
Caregivers
Self Efficacy
Population
Therapeutics
Equipment and Supplies
Group Structure
Cognition
Survivors
Analysis of Variance
Outpatients
Rehabilitation
Randomized Controlled Trials
Outcome Assessment (Health Care)

Keywords

  • Adaptation, psychological
  • Brain injuries
  • Cognitive therapy
  • Rehabilitation

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Comparison of a Cognitive-Behavioral Coping Skills Group to a Peer Support Group in a Brain Injury Population. / Backhaus, Samantha; Ibarra, Summer; Parrott, Devan; Malec, James.

In: Archives of Physical Medicine and Rehabilitation, Vol. 97, No. 2, 01.02.2016, p. 281-291.

Research output: Contribution to journalArticle

Backhaus, Samantha ; Ibarra, Summer ; Parrott, Devan ; Malec, James. / Comparison of a Cognitive-Behavioral Coping Skills Group to a Peer Support Group in a Brain Injury Population. In: Archives of Physical Medicine and Rehabilitation. 2016 ; Vol. 97, No. 2. pp. 281-291.
@article{1154b8e24568441db1260f0f630a9809,
title = "Comparison of a Cognitive-Behavioral Coping Skills Group to a Peer Support Group in a Brain Injury Population",
abstract = "Objective To compare the efficacy of 2 group treatments for persons with brain injury (BI) and their caregivers in promoting perceived self-efficacy (PSE) and emotional and neurobehavioral functioning. Design Randomized controlled trial. Setting Outpatient BI rehabilitation. Participants Subjects (N=38), including 19 with BI and 19 caregivers, participated in a BI coping skills group or a support group. Interventions BI coping skills is a manualized cognitive-behavioral treatment (CBT). CBT was compared with a structurally equivalent support group. Main Outcome Measures Brain Injury Coping Skills Questionnaire (PSE), Brief Symptom Inventory-18 ([BSI-18]; emotional distress), and Frontal Systems Behavior Scale (neurobehavioral functions). Results There were no significant differences between survivors and caregivers on the Brain Injury Coping Skills Questionnaire and BSI-18; therefore, groups were combined during final analyses. Frontal Systems Behavior Scale caregiver data were used for analysis. Both groups showed significantly improved PSE between baseline and follow-up on repeated-measures analysis of variance, with the CBT group showing greater stabilization of change. There was no significant group by time interaction on measures of neurobehavioral functions, but the CBT group showed significant improvements at 3-month follow-up. No significant effects were found on the BSI-18. Conclusions To our knowledge, no studies to date have been published comparing a CBT intervention with a support group in a BI population with caregiver participation. This study showed that given equivalent group structure, individuals with BI and caregivers may benefit from either type of intervention in enhancing PSE or maintaining emotional stability. However, there was a trend for individuals who received CBT to maintain the effects of improved PSE, whereas support group participants showed a trend for decline. This study offers a new conceptualization that with certain group dynamics and support, individuals with BI and caregivers may benefit similarly from either a support group or CBT intervention. However, because our sample did not include individuals in clinically significant emotional distress, we cannot rule out the possibility that those with more significant challenges in PSE or emotional functions may show greater benefits with a CBT group.",
keywords = "Adaptation, psychological, Brain injuries, Cognitive therapy, Rehabilitation",
author = "Samantha Backhaus and Summer Ibarra and Devan Parrott and James Malec",
year = "2016",
month = "2",
day = "1",
doi = "10.1016/j.apmr.2015.10.097",
language = "English (US)",
volume = "97",
pages = "281--291",
journal = "Archives of Physical Medicine and Rehabilitation",
issn = "0003-9993",
publisher = "W.B. Saunders Ltd",
number = "2",

}

TY - JOUR

T1 - Comparison of a Cognitive-Behavioral Coping Skills Group to a Peer Support Group in a Brain Injury Population

AU - Backhaus, Samantha

AU - Ibarra, Summer

AU - Parrott, Devan

AU - Malec, James

PY - 2016/2/1

Y1 - 2016/2/1

N2 - Objective To compare the efficacy of 2 group treatments for persons with brain injury (BI) and their caregivers in promoting perceived self-efficacy (PSE) and emotional and neurobehavioral functioning. Design Randomized controlled trial. Setting Outpatient BI rehabilitation. Participants Subjects (N=38), including 19 with BI and 19 caregivers, participated in a BI coping skills group or a support group. Interventions BI coping skills is a manualized cognitive-behavioral treatment (CBT). CBT was compared with a structurally equivalent support group. Main Outcome Measures Brain Injury Coping Skills Questionnaire (PSE), Brief Symptom Inventory-18 ([BSI-18]; emotional distress), and Frontal Systems Behavior Scale (neurobehavioral functions). Results There were no significant differences between survivors and caregivers on the Brain Injury Coping Skills Questionnaire and BSI-18; therefore, groups were combined during final analyses. Frontal Systems Behavior Scale caregiver data were used for analysis. Both groups showed significantly improved PSE between baseline and follow-up on repeated-measures analysis of variance, with the CBT group showing greater stabilization of change. There was no significant group by time interaction on measures of neurobehavioral functions, but the CBT group showed significant improvements at 3-month follow-up. No significant effects were found on the BSI-18. Conclusions To our knowledge, no studies to date have been published comparing a CBT intervention with a support group in a BI population with caregiver participation. This study showed that given equivalent group structure, individuals with BI and caregivers may benefit from either type of intervention in enhancing PSE or maintaining emotional stability. However, there was a trend for individuals who received CBT to maintain the effects of improved PSE, whereas support group participants showed a trend for decline. This study offers a new conceptualization that with certain group dynamics and support, individuals with BI and caregivers may benefit similarly from either a support group or CBT intervention. However, because our sample did not include individuals in clinically significant emotional distress, we cannot rule out the possibility that those with more significant challenges in PSE or emotional functions may show greater benefits with a CBT group.

AB - Objective To compare the efficacy of 2 group treatments for persons with brain injury (BI) and their caregivers in promoting perceived self-efficacy (PSE) and emotional and neurobehavioral functioning. Design Randomized controlled trial. Setting Outpatient BI rehabilitation. Participants Subjects (N=38), including 19 with BI and 19 caregivers, participated in a BI coping skills group or a support group. Interventions BI coping skills is a manualized cognitive-behavioral treatment (CBT). CBT was compared with a structurally equivalent support group. Main Outcome Measures Brain Injury Coping Skills Questionnaire (PSE), Brief Symptom Inventory-18 ([BSI-18]; emotional distress), and Frontal Systems Behavior Scale (neurobehavioral functions). Results There were no significant differences between survivors and caregivers on the Brain Injury Coping Skills Questionnaire and BSI-18; therefore, groups were combined during final analyses. Frontal Systems Behavior Scale caregiver data were used for analysis. Both groups showed significantly improved PSE between baseline and follow-up on repeated-measures analysis of variance, with the CBT group showing greater stabilization of change. There was no significant group by time interaction on measures of neurobehavioral functions, but the CBT group showed significant improvements at 3-month follow-up. No significant effects were found on the BSI-18. Conclusions To our knowledge, no studies to date have been published comparing a CBT intervention with a support group in a BI population with caregiver participation. This study showed that given equivalent group structure, individuals with BI and caregivers may benefit from either type of intervention in enhancing PSE or maintaining emotional stability. However, there was a trend for individuals who received CBT to maintain the effects of improved PSE, whereas support group participants showed a trend for decline. This study offers a new conceptualization that with certain group dynamics and support, individuals with BI and caregivers may benefit similarly from either a support group or CBT intervention. However, because our sample did not include individuals in clinically significant emotional distress, we cannot rule out the possibility that those with more significant challenges in PSE or emotional functions may show greater benefits with a CBT group.

KW - Adaptation, psychological

KW - Brain injuries

KW - Cognitive therapy

KW - Rehabilitation

UR - http://www.scopus.com/inward/record.url?scp=84957921813&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84957921813&partnerID=8YFLogxK

U2 - 10.1016/j.apmr.2015.10.097

DO - 10.1016/j.apmr.2015.10.097

M3 - Article

VL - 97

SP - 281

EP - 291

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

SN - 0003-9993

IS - 2

ER -