Enhanced Cognitive Rehabilitation to Treat Comorbid TBI and PTSD

Abstract

This study is a randomized trial of a hybrid treatment for Iraq and Afghanistan Veterans with a history of mild to moderate TBI (mTBI) and PTSD. Emotional symptoms are likely a main cause of the persistence of post-concussive symptoms while thinking problems and emotional control problems associated with mTBI can impede recovery from PTSD. However, there is no PTSD treatment specifically designed to accommodate the difficulties with attention, memory, and problem solving that patients with TBI may have. Therefore, this study integrates therapeutic approaches and tests a modification of cognitive processing therapy (CPT), an empirically supported treatment for PTSD, in which CPT is enhanced with compensatory cognitive rehabilitation principles. The enhanced CPT, called SMART-CPT is being compared to standard CPT in a group of Iraq and Afghanistan Veterans with a history of both mTBI and PTSD. Half of the participants are randomly assigned to receive standard CPT and half to receive SMART-CPT. This year was dedicated recruitment, enrollment, and treatment, with 107 Veterans enrolled and 50 who have completed active components of the protocol, to date.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2016
Accession Number
AD1023951

Entities

People

  • Amy J. Jak

Tags

DTIC Thesaurus Topics

  • Afghanistan
  • Afghanistan Conflict
  • Anxiety Disorders
  • Attrition
  • Biomedical Research
  • Brain Injuries
  • Cognition
  • Data Analysis
  • Diseases And Disorders
  • Iraqi-War
  • Mental Health
  • Recovery
  • Rehabilitation
  • Standards
  • Therapy
  • Thinking
  • Traumatic Stress Disorder

Readers

  • Psychological Intervention/Treatment for Stress, Anxiety, PTSD, and Related Emotional and Cognitive Health Symptoms.
  • Traumatic Brain Injury (TBI) and Cognitive Aging in the Guam and Border Populations Affected by Alzheimer's Disease and Tau-Associated Dementias.