Neuropsychological intervention in the acute phase: A pilot study of emotional wellbeing of relatives of patients with severe brain injury Anne Norup, Lars Siert, Erik Lykke Mortensen
Journal of Rehabilitation Medicine
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
... ter 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.