Journal
JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT
Volume 47, Issue 1, Pages 43-60Publisher
JOURNAL REHAB RES & DEV
DOI: 10.1682/JRRD.2009.02.0019
Keywords
blast injury; cognitive aids; cognitive rehabilitation; combat veterans; compensatory strategies; Operation Enduring Freedom (OEF); Operation Iraqi Freedom (OIF); postconcussive syndrome; posttraumatic stress disorder; traumatic brain injury
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Funding
- VA Rehabilitation Research and Development Service Merit Review Study [B5060R]
- NATIONAL INSTITUTE OF MENTAL HEALTH [R01MH080150] Funding Source: NIH RePORTER
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We aimed to determine whether group-based Cognitive Strategy Training (CST) for combat veterans with mild cognitive disorder and a history of traumatic brain injury (TBI) has significant posttreatment effects on self-reported compensatory strategy usage, functioning, and psychiatric symptoms. Participants included 21 veterans returning from conflicts in Iraq or Afghanistan with a diagnosis of Cognitive Disorder, Not Otherwise Specified and a history of combat-related TBI. Participants attended 6- to 8-week structured CST groups designed to provide them training in and practice with a variety of compensatory cognitive strategies, including day planner usage. Of the participants, 16 completed pre- and posttreatment assessment measures. Following CST, participants reported significantly increased use of compensatory cognitive strategies and day planners; an increased perception that these strategies were useful to them; increased life satisfaction; and decreased depressive, memory, and cognitive symptom severity. Group-based CST is a promising intervention for veterans with mild cognitive disorder, and randomized controlled trials are required to further evaluate its efficacy.
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