Norup, Anne3; Siert, Lars1; Mortensen, Erik Lykke2
1 Klinik for Højt Specialiseret Neurorehabilitering/Traumatisk Hjerneskade, Neurocentret, Rigshospitalet, The Capital Region of Denmark2 Institute of Preventive Medicine, Bispebjerg and Frederiksberg Hospital, The Capital Region of Denmark3 Neurologisk Klinik, Neurocentret, Rigshospitalet, The Capital Region of Denmark
a pilot study of emotional wellbeing of relatives of patients with severe brain
Objective: This pilot study investigated the effects of acute neuropsychological intervention for relatives of patients with severe brain injury. Methods: Participants were enrolled in an intervention group comprising 39 relatives, and a control group comprising 47 relatives. The intervention consisted of supportive and psycho-educational sessions with a neuropsychologist in the acute care setting. The intervention group completed selfreport scales in the acute setting and after the intervention at admission to sub-acute rehabilitation. The control group completed the self-report scales only at admission to subacute rehabilitation. Outcome measures included selected scales from the Symptom Checklist Revised 90 (SCL-90-R), the Short Form 36 (SF-36), and a visual analogue quality of life scale. Results: The intervention group showed a significant decrease in anxiety scores from the acute to the sub-acute setting (t = 2.70, p = 0.010, d = 0.30), but also significantly lower Role Emotional scores (t = 2.12, p = 0.043, d = 0.40). In the subacute setting, an analysis of covariance model showed a borderline significant difference between the intervention and the control group on the anxiety scale (p = 0.066, d = 0.59). Conclusion: Any effects of the acute neuropsychological intervention were limited. Further research is needed to explore the effects of different interventions in more homogenous and larger groups of relatives.
Journal of Rehabilitation Medicine, 2013, Vol 45, Issue 8