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Efficacy of motivational interviewing and cognitive behavioral therapy for anxiety and depression symptoms following traumatic brain injury
Abstract
Background: Anxiety and depression are common following traumatic brain injury (TBI), often co-occurring. This study evaluated the efficacy of a 9-week cognitive behavioral therapy (CBT) program in reducing anxiety and depression and whether a three-session motivational interviewing (MI) preparatory intervention increased treatment response. Method: A randomized parallel three-group design was employed. Following diagnosis of anxiety and/or depression using the Structured Clinical Interview for DSM-IV, 75 participants with mild-severe TBI (mean age 42.2 years, mean post-traumatic amnesia 22 days) were randomly assigned to an Adapted CBT group: (1) MI + CBT (n = 26), or (2) non-directive counseling (NDC) + CBT (n = 26); or a (3) waitlist control (WC, n = 23) group. Groups did not differ in baseline demographics, injury severity, anxiety or depression. MI and CBT interventions were guided by manuals adapted for individuals with TBI. Three CBT booster sessions were provided at week 21 to intervention groups. Results: Using intention-to-treat analyses, random-effects regressions controlling for baseline scores revealed that Adapted CBT groups (MI + CBT and NDC + CBT) showed significantly greater reduction in anxiety on the Hospital Anxiety and Depression Scale [95% confidence interval (CI) −2.07 to −0.06] and depression on the Depression Anxiety and Stress Scale (95% CI −5.61 to −0.12) (primary outcomes), and greater gains in psychosocial functioning on Sydney Psychosocial Reintegration Scale (95% CI 0.04–3.69) (secondary outcome) over 30 weeks post-baseline relative to WC. The group receiving MI + CBT did not show greater gains than the group receiving NDC + CBT. Conclusions: Findings suggest that modified CBT with booster sessions over extended periods may alleviate anxiety and depression following TBI.
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“Similarly, Cognitive Behavioural Therapy (CBT) for depression and/or anxiety has been shown to improve mood in some studies but not others, with some indication that trial design and dose of therapy may impact outcomes (Gertler et al., 2015;Ponsford et al., 2016;Wang et al., 2018).”
From A single-case experimental evaluation of a new group-based intervention to enhance adjustment to life with acquired brain injury: VaLiANT (valued living after neurological trauma) (2022) · cites this paper as Ponsford et al., 2016
In the citing paper
“However, evidence for the efficacy of rehabilitation programs targeting cognition and mood separately remains mixed (Gertler et al., 2015;Lincoln & Flannaghan, 2003;Ponsford et al., 2016;Rogers et al., 2018).”
From A single-case experimental evaluation of a new group-based intervention to enhance adjustment to life with acquired brain injury: VaLiANT (valued living after neurological trauma) (2022) · cites this paper as Ponsford et al., 2016
In the citing paper
“Cognitive Behavioural Therapy (CBT) for depression and/or anxiety has been shown to improve mood in some studies but not others, with some indication that trial design and dose of therapy may impact outcomes (Gertler et al., 2015;Ponsford et al., 2016;Wang et al., 2018).”
From A single-case experimental evaluation of a new group-based intervention to enhance adjustment to life with acquired brain injury: VaLiANT (valued living after neurological trauma) (2022) · cites this paper as Ponsford et al., 2016
In the citing paper
“Cognitive behavioural therapy is widely used for treating depression and anxiety, but there is no strong evidence for its post-stroke effectiveness [10, 11], and research into its effectiveness following TBI is inconclusive [12–15].”
In the citing paper
“Furthermore, CBT interventions applied in a research environment typically target single psychological conditions, although interventions targeting mixed psychological presentations including both anxiety and depression are emerging (Ponsford et al., 2016).”
From Can acceptance and commitment therapy facilitate psychological adjustment after a severe traumatic brain injury? A pilot randomized controlled trial. (2020) · cites this paper as Ponsford et al., 2016
Citations
Cites
CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials
the CONSORT Group, Schulz, K. F., Altman, D. G., & Moher, D. (2010) · BMC Medicine · doi:10.1186/1741-7015-8-18 · Cited by 13,371
Cognitive Therapy for Depression
(2012) · PsycEXTRA Dataset · doi:10.1037/e675542012-001 · Cited by 9,678
CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials
Schulz, K. F., Altman, D. G., Moher, D., & for the CONSORT Group (2010) · BMJ · doi:10.1136/bmj.c332 · Cited by 9,329
Cognitive Therapy in Depression
Kovács, M. (1980) · Journal of the American Academy of Psychoanalysis · doi:10.1521/jaap.1.1980.8.1.127 · Cited by 3,422
The empirical status of cognitive-behavioral therapy: A review of meta-analyses
Butler, A. C., Chapman, J. E., Forman, E. M., & Beck, A. T. (2006) · Clinical Psychology Review · doi:10.1016/j.cpr.2005.07.003 · Cited by 3,215
Langlois, J., Rutland-Brown, W., & Thomas, K. (2006) · PsycEXTRA Dataset · doi:10.1037/e721222007-001 · Cited by 3,003
Cognitive Therapy: Basics and Beyond
Beck, J. S. (1995) · Medical Entomology and Zoology · Cited by 2,208
Cognitive Therapy: Basics and Beyond
Blair, D. T. (1996) · Journal of Psychosocial Nursing and Mental Health Services · doi:10.3928/0279-3695-19961101-24 · Cited by 1,589
Psychotherapy for depression in adults: A meta-analysis of comparative outcome studies.
Cuijpers, P., van Straten, A., Andersson, G., & van Oppen, P. (2008) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0013075 · Cited by 1,050 · cited 1×
“Given that CBT requires active client involvement (Cuijpers et al. 2008), client motivation is extremely important.”
BackgroundRates of Major Depressive Disorder and Clinical Outcomes Following Traumatic Brain Injury
Bombardier, C. H. (2010) · JAMA · doi:10.1001/jama.2010.599 · Cited by 746
Major Depression Following Traumatic Brain Injury
Jorge, R. E., Robinson, R. G., Moser, D., Tateno, A., Crespo-Facorro, B., & Arndt, S. (2004) · Archives of General Psychiatry · doi:10.1001/archpsyc.61.1.42 · Cited by 737
Axis I Psychopathology in Individuals with Traumatic Brain Injury
Hibbard, M. R., Uysal, S., Kepler, K., Bogdany, J., & Silver, J. (1998) · Journal of Head Trauma Rehabilitation · doi:10.1097/00001199-199808000-00003 · Cited by 491
Carroll, K. M., Ball, S. A., Nich, C., Martino, S., Frankforter, T. L., Farentinos, C., Kunkel, L. E., Mikulich‐Gilbertson, S. K., Morgenstern, J., Obert, J. L., et al. (2005) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2005.08.002 · Cited by 473
Guidelines for the Pharmacologic Treatment of Neurobehavioral Sequelae of Traumatic Brain Injury
Warden, D. L., Gordon, B., McAllister, T. W., Silver, J., Barth, J. T., Bruns, J. J., Drake, A., Gentry, T., Jagoda, A. S., Katz, D. I., et al. (2006) · Journal of Neurotrauma · doi:10.1089/neu.2006.23.1468 · Cited by 438
Treatment for Depression after Traumatic Brain Injury: A Systematic Review
Fann, J. R., Hart, T., & Schomer, K. G. (2009) · Journal of Neurotrauma · doi:10.1089/neu.2009.1091 · Cited by 345
Psychiatric Disorders Following Traumatic Brain Injury: Their Nature and Frequency
Whelan-Goodinson, R., Ponsford, J., Johnston, L., & Grant, F. (2009) · Journal of Head Trauma Rehabilitation · doi:10.1097/htr.0b013e3181a712aa · Cited by 310
Self-citationNeuropsychiatric Complications of Traumatic Brain Injury
Kim, E., Lauterbach, E. C., Reeve, A., Arciniegas, D. B., Coburn, K. L., Mendez, M. F., Rummans, T. A., & Coffey, E. C. (2007) · Journal of Neuropsychiatry · doi:10.1176/jnp.2007.19.2.106 · Cited by 297
Westra, H. A., & Dozois, D. J. A. (2006) · Cognitive Therapy and Research · doi:10.1007/s10608-006-9016-y · Cited by 282
Motivational interviewing in the treatment of psychological problems
Arkowitz, H. S., Westra, H. A., Miller, W. R., & Rollnick, S. (2008) · Cited by 281
Gould, K. R., Ponsford, J. L., Johnston, L., & Schönberger, M. (2011) · Psychological Medicine · doi:10.1017/s003329171100033x · Cited by 241
Self-citationA Trial of Neuropsychologic Rehabilitation in Mild-Spectrum Traumatic Brain Injury
Tiersky, L. A., Anselmi, V., Johnston, M. V., Kurtyka, J., Roosen, E., Schwartz, T., & DeLuca, J. (2005) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2005.03.013 · Cited by 239
Baker, A., Lee, N. K., Claire, M., Lewin, T. J., Grant, T., Pohlman, S., Saunders, J. B., Kay‐Lambkin, F., Constable, P., Jenner, L., et al. (2005) · Addiction · doi:10.1111/j.1360-0443.2005.01002.x · Cited by 227 · cited 1×
“We have previously successfully examined the use of preparatory MI among other clients with complex presentations (Baker et al. 2005).”
MethodSelf-citationTreating Acute Stress Disorder Following Mild Traumatic Brain Injury
Bryant, R. A., Moulds, M. L., Guthrie, R. M., & Nixon, R. D. V. (2003) · American Journal of Psychiatry · doi:10.1176/appi.ajp.160.3.585 · Cited by 207
Expectancy, homework compliance, and initial change in cognitive-behavioral therapy for anxiety.
Westra, H. A., Dozois, D. J. A., & Marcus, M. (2007) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.75.3.363 · Cited by 200
Motivational Interviewing Early After Acute Stroke: A Randomized, Controlled Trial
Watkins, C. L., Auton, M. F., Deans, C. F., Dickinson, H. A., Jack, C. I. A., Lightbody, C. E., Sutton, C. J., van den Broek, M. D., & Leathley, M. J. (2007) · Stroke · doi:10.1161/01.str.0000258114.28006.d7 · Cited by 166
Dahm, J., Wong, D., & Ponsford, J. (2013) · Journal of Affective Disorders · doi:10.1016/j.jad.2013.06.011 · Cited by 155
Self-citationFann, J. R., Bombardier, C. H., Vannoy, S., Dyer, J., Ludman, E., Dikmen, S., Marshall, K., Barber, J., & Temkin, N. (2015) · Journal of Neurotrauma · doi:10.1089/neu.2014.3423 · Cited by 147
Measuring Psychosocial Recovery after Traumatic Brain Injury: Psychometric Properties of a New Scale
Tate, R. L., Hodgkinson, A. E., Veerabangsa, A., & Maggiotto, S. (1999) · Journal of Head Trauma Rehabilitation · doi:10.1097/00001199-199912000-00003 · Cited by 144
Medley, A. R., & Powell, T. (2010) · Neuropsychological Rehabilitation · doi:10.1080/09602010903529610 · Cited by 144
Understanding the Neuropsychological Consequences of Deployment Stress: A Public Health Framework
Vasterling, J. J., & Proctor, S. P. (2010) · Journal of the International Neuropsychological Society · doi:10.1017/s1355617710001116 · Cited by 124
Psychological treatment for anxiety in people with traumatic brain injury
Soo, C. A., & Tate, R. L. (2007) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005239.pub2 · Cited by 123
Bédard, M., Felteau, M., Marshall, S., Cullen, N. K., Gibbons, C., Dubois, S. J., Maxwell, H., Mazmanian, D. S., Weaver, B., Rees, L. M., et al. (2013) · Journal of Head Trauma Rehabilitation · doi:10.1097/htr.0b013e3182a615a0 · Cited by 115
Pagulayan, K. F., Hoffman, J. M., Temkin, N. R., Machamer, J., & DIKMEN, S. S. (2008) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2008.03.019 · Cited by 111
Hsieh, M.-Y., Ponsford, J., Wong, D., Schönberger, M., Taffe, J., & Mckay, A. (2012) · Neuropsychological Rehabilitation · doi:10.1080/09602011.2012.678860 · Cited by 102
Self-citationPsychiatric aspects of traumatic brain injury
Rao, V., & Lyketsos, C. G. (2002) · Psychiatric Clinics of North America · doi:10.1016/s0193-953x(03)00052-2 · Cited by 97
Schönberger, M., & Ponsford, J. L. (2010) · Psychiatry Research · doi:10.1016/j.psychres.2009.07.003 · Cited by 97
Self-citationWaldron, B., Casserly, L. M., & O'Sullivan, C. (2013) · Neuropsychological Rehabilitation · doi:10.1080/09602011.2012.724196 · Cited by 93
O'Donnell, M. L., Lau, W., Tipping, S., Holmes, A. C. N., Ellen, S., Judson, R., Varker, T., Elliot, P., Bryant, R. A., Creamer, M. C., et al. (2012) · Journal of Traumatic Stress · doi:10.1002/jts.21677 · Cited by 93
Self-citationSchönberger, M., Ponsford, J. L., Gould, K. R., & Johnston, L. (2011) · Journal of the International Neuropsychological Society · doi:10.1017/s1355617711000701 · Cited by 90
Self-citationAssociation between psychiatric state and outcome following traumatic brain injury
Whelan-Goodinson, R., Ponsford, J. L., & Schönberger, M. (2008) · Journal of Rehabilitation Medicine · doi:10.2340/16501977-0271 · Cited by 88
Self-citationAshman, T., Cantor, J. B., Tsaousides, T., Spielman, L., & Gordon, W. (2014) · Journal of Head Trauma Rehabilitation · doi:10.1097/htr.0000000000000098 · Cited by 83
Gould, K. R., Ponsford, J. L., Johnston, L., & Schönberger, M. (2011) · Journal of Head Trauma Rehabilitation · doi:10.1097/htr.0b013e3182036799 · Cited by 70
Self-citationHodgson, J., McDonald, S., Tate, R. L., & Gertler, P. (2005) · Brain Impairment · doi:10.1375/brim.2005.6.3.169 · Cited by 70
Why Does Neurorehabilitation Fail?
van den Broek, M. D. (2005) · Journal of Head Trauma Rehabilitation · doi:10.1097/00001199-200509000-00007 · Cited by 59
Motivational Interviewing in the Treatment of Psychological Problems
Schmetzer, A. D. (2008) · Annals of Clinical Psychiatry · doi:10.1080/10401230802362308 · Cited by 54
Hsieh, M.-Y., Ponsford, J. L., Wong, D. K., & McKay, A. (2011) · Disability and Rehabilitation · doi:10.3109/09638288.2011.607219 · Cited by 39
Self-citationHsieh, M.-Y., Ponsford, J. L., Wong, D. K., Schönberger, M., McKay, A., & Haines, K. (2012) · Brain Injury · doi:10.3109/02699052.2011.635365 · Cited by 33
Self-citationFactor structure of the Depression Anxiety Stress Scales in individuals with traumatic brain injury
Wong, D. K., Dahm, J., & Ponsford, J. L. (2013) · Brain Injury · doi:10.3109/02699052.2013.823662 · Cited by 33
Self-citationHsieh, M.-Y., Ponsford, J., Wong, D., Schönberger, M., McKay, A., & Haines, K. (2012) · Neuropsychological Rehabilitation · doi:10.1080/09602011.2012.676284 · Cited by 20
Self-citationCognitive-Behavioral Treatment of Generalized Anxiety Disorder: (555002011-004)
Newman, M. G., & Borkovec, T. D. (1995) · PsycEXTRA Dataset · doi:10.1037/e555002011-004 · Cited by 16
Research works printed but not linked: 6
- Beck, 1979, Cognitive Therapy of Depression
- Westra, 2003, Motivational Interviewing Adapted for Anxiety. Treatment Manual
- Nelson, 1991, National Adult Reading Test (NART): Test Manual
- Dugas, 2005, The Cognitive-Behavioral Treatment for Generalized Anxiety Disorder
- Coughlin, 2007, Memory and Information Processing Battery
- First, 2007, Structured Clinicial Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition (SCID-I/P)
Cited by
Sorted by citations
The Glasgow Outcome Scale — 40 years of application and refinement
McMillan, T. M., Wilson, L., Ponsford, J. L., Levin, H. S., Teasdale, G. M., & Bond, M. (2016) · Nature Reviews Neurology · doi:10.1038/nrneurol.2016.89 · Cited by 424
Self-citationRest and treatment/rehabilitation following sport-related concussion: a systematic review
Schneider, K., Leddy, J. J., Guskiewicz, K. M., Seifert, T., McCrea, M., Silverberg, N. D., Feddermann‐Demont, N., Iverson, G. L., Hayden, A., & Makdissi, M. (2017) · British Journal of Sports Medicine · doi:10.1136/bjsports-2016-097475 · Cited by 309
A prescription for “nature” – the potential of using virtual nature in therapeutics
White, M. P., Yeo, N. L., Vassiljev, P., Lundstedt, R., Wallergård, M., Albin, M. C., & Lõhmus, M. (2018) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s179038 · Cited by 258
Marker, I., & Norton, P. J. (2018) · Clinical Psychology Review · doi:10.1016/j.cpr.2018.04.004 · Cited by 112
Sandel, N. K., Reynolds, E., Cohen, P. E., Gillie, B. L., & Kontos, A. P. (2017) · Sport Exercise and Performance Psychology · doi:10.1037/spy0000098 · Cited by 107
“Research suggests that CBT effectively reduces symptoms of anxiety and depression in a concussed population, particularly when using an adapted protocol for individuals with cognitive impairments and when implemented early in the recovery period (Mittenberg et al., 2001; Ponsford et al., 2016).”
Metadata
- Authors
- Ponsford, J., Lee, N. K., Wong, D., McKay, A., Haines, K., Alway, Y., Downing, M., Furtado, C., & O'Donnell, M. L.
- Affiliations
- Monash University (AU)
- Flinders University (AU)
- The University of Melbourne (AU)
- Corresponding author
- Ponsford, J.
- Venue
- Psychological Medicine
- Publisher
- Cambridge University Press (CUP)
- Published
- 2015-12-28
- Volume
- 46
- Issue
- 5
- Pages
- 1079-1090
- ISSN
- 0033-2917 (ISSN-L)
- 1469-8978
- OpenAlex
- W2229032733
- Cited by
- 173
- References
- 50
- Citations by year
- 2026: 8 · 2025: 19 · 2024: 18 · 2023: 12 · 2022: 31 · 2021: 17 · 2020: 18 · 2019: 22 · 2018: 17 · 2017: 8 · 2016: 3
- FWCI
- 7.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Medicine (publishedVersion)
- PubMed (publishedVersion)
- eSpace (Curtin University) (submittedVersion)
- Funders
- National Health and Medical Research Council
- Topics
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- traumatic brain injury, anxiety, depression, motivational interviewing, cognitive behavioral therapy, booster sessions, non-directive counseling, psychosocial functioning, post-traumatic stress, treatment response
- MeSH terms
- Brain Injuries, Traumatic, Adult, Anxiety, Anxiety Disorders, Australia, Depression, Depressive Disorder, Female, Humans, Male, Middle Aged, Regression Analysis, Severity of Illness Index, Cognitive Behavioral Therapy, Treatment Outcome, Diagnostic and Statistical Manual of Mental Disorders, Motivational Interviewing
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