CLINICAL AND PSYCHOLOGICAL FEATURES OF THE CONDITION AFTER TRAUMATIC BRAIN INJURY AND APPROACHES TO THEIR COMPREHENSIVE REHABILITATION

Authors

DOI:

https://doi.org/10.32689/2663-0672-2023-5-19

Keywords:

neurological status, Glasgow coma scale, MMSE, MoCA, MMPI, computed tomography.

Abstract

Abstract. The article examines the clinical and psychological features of the rehabilitation of patients after a brain injury. The study aims to determine individual and general factors affecting rehabilitation effectiveness and develop optimal approaches to psychological support for patients. Goal. The purpose of the study was to thoroughly analyze the clinical and psychological aspects of the rehabilitation of patients after a brain injury to determine the psychological factors affecting the effectiveness and individualization of the recovery process. Scientific novelty. The scientific novelty of the study of clinical and psychological features of rehabilitation after traumatic brain injury consists of a comprehensive approach that combines advanced methods of psychological and medical science with innovative technologies to achieve the most effective recovery of patients. Methods. The study studied the clinical and psychological features of rehabilitation after a brain injury using the MMPI and MoCA tests. A sample consisting of 331 people (n=331) was used for this purpose. The results. The results of the study were aimed at improving rehabilitation programs and developing optimal psychotherapy strategies for patients with traumatic brain injury. According to the MMPI, the following characteristics of the main scales were derived based on the average values of the sample size M=331: L (Lie):; Average (M): 51.04; Standard deviation (SD): 7.64; Minimum (Min.): 35; Maximum (Max.): 65; F (Infrequency):; M: 61.31; SD: 11.82; Min.: 37; Max.: 89; K (Correction):; M: 47.87; SD: 9.28; Min.: 30; Max.: 65; Scales 1-0 (Hs, D, Hy, Pd, Mo, Pa, Pt, Sc, Mb, Si):; M: From 52.75 to 69.66; SD: From 11.37 to 15.50; Min.: From 24 to 123; Max.: From 86 to 114. An analysis of the MoCA test and morphometric characteristics of the brain (according to CT data) was carried out in 331 patients with the consequences of TBI. 26.3% of patients were diagnosed with moderate and 42.7% with mild cognitive decline. Conclusions. The results of this study will help to solve practical tasks in the field of clinical psychology and rehabilitation, contributing to the further improvement of rehabilitation programs and psychotherapeutic approaches for patients with traumatic brain injury.

References

Kowalski R. G. et al. Recovery of consciousness and functional outcome in moderate and severe traumatic brain injury.

JAMA neurology. 2021. Т. 78. № 5. С. 548–557.

Wagner A. K. et al. Traumatic brain injury. Braddom’s Physical Medicine and Rehabilitation. Elsevier, 2021. С. 916–953. e19.

Crupi R. et al. Management of traumatic brain injury: from present to future. Antioxidants. 2020. Т. 9. № 4. С. 297.

Maas A. I. R. et al. Traumatic brain injury: progress and challenges in prevention, clinical care, and research. The Lancet

Neurology. 2022. Т. 21. № 11. С. 1004–1060.

Rousseau, Anne-Françoise, et al. “Long-term outcomes after critical illness: recent insights”.Critical Care 25.1

(2021): 1–7.

Sander A. M. et al. A randomized controlled trial of acceptance and commitment therapy for psychological distress among

persons with traumatic brain injury. Neuropsychological rehabilitation. 2021. Т. 31. № 7. С. 1105–1129.

Haarbauer-Krupa J. et al. Epidemiology of chronic effects of traumatic brain injury. Journal of neurotrauma. 2021. Т. 38.

№ 23. С. 3235–3247.

Jöhr J. et al. Recovery in cognitive motor dissociation after severe brain injury: a cohort study. PLoS One. 2020. Т. 15.

№ 2. С. e0228474

Rapport L. J., Wong C. G., Hanks R. A. Resilience and well-being after traumatic brain injury. Disability and rehabilitation.

Т. 42. № 14. С. 2049–2055.

Mikolić A. et al. Differences between men and women in treatment and outcome after traumatic brain injury.

Journal of neurotrauma. 2021. Т. 38. № 2. С. 235–251.

Okonkwo O. Program Guide for Division 40 (Society forClinical Neuropsychology) at the annual Convention of the

American Psychological Association, August 8–11, 2019; Chicago, IL: DIVISION 40 PROGRAMMING: Quick Reference. The Clinic

al Neuropsychologist. 2019. Т. 33. № 7. С. 1216–1348.

Lippa S. M. et al. White Matter Integrity Relates to Cognition in Service Members and Veterans after Complicated Mild,

Moderate, and Severe Traumatic Brain Injury, But Not Uncomplicated Mild Traumatic Brain Injury. Journal of neurotrauma.

Т. 40. № 3-4. С. 260–273.

Caplan B. et al. Rehabilitation needs at 5 years post-traumatic brain injury: a VA TBI model systems study.

Journal of Head Trauma Rehabilitation. 2021. Т. 36. № 3. С. 175–185.

Howlett J. R., Nelson L. D., Stein M. B. Mental health consequences of traumatic brain injury. Biological psychiatry. 2022.

Т. 91. № 5. С. 413–420.

Merz Z. C. et al. Furthering the understanding of Wechsler adult intelligence scale-factor structure in a clinical sample.

Applied Neuropsychology: Adult. 2021. Т. 28. № 1. С. 12–23.

Published

2024-01-09

How to Cite

БАКУРІДЗЕ, Н., КЛИМЕНКО, І., & КУЛЬМАТИЦЬКИЙ, А. (2024). CLINICAL AND PSYCHOLOGICAL FEATURES OF THE CONDITION AFTER TRAUMATIC BRAIN INJURY AND APPROACHES TO THEIR COMPREHENSIVE REHABILITATION. Modern Medicine, Pharmacy and Psychological Health, (5(14), 115-121. https://doi.org/10.32689/2663-0672-2023-5-19

Most read articles by the same author(s)