Serco New Zealand Limited, Auckland, New Zealand.
Department of Psychology, School of Clinical Sciences, Faculty of Health and Environmental Studies, Auckland University of Technology, Auckland, New Zealand.
Clin Rehabil. 2021 Aug;35(8):1185-1195. doi: 10.1177/0269215521998535. Epub 2021 Mar 11.
To determine whether a psychological intervention improves coping, post-concussion symptoms and decreases in-prison infractions in adult males with a history of traumatic brain injury.
A single centre, randomised, wait-list, pilot study.
A high security prison in New Zealand.
Fifty-five adult male participants who had experienced at least one traumatic brain injury in their lifetime (mean age 37.29 +/-9.81 years).
A manualised ten session, in-person, group based combined Cognitive Behavioural Therapy /Mindfulness Based Stress Reduction intervention versus wait list control.
The Negative Affect Repair Questionnaire and Rivermead Post-concussion Symptom Questionnaire were completed at baseline, post-intervention (five weeks) and at 12 week follow up. In-prison misconduct charges and negative file notes were reviewed for the previous five weeks at each assessment time point.
There was an improvement in the use of calming and distraction strategies in the intervention group from baseline ( = 17.38, SD = 3.57) to post-intervention ( = 18.67, SD = 3.84) and 12-week follow up ( = 18.13, SD = 2.63). Participants in the intervention group had significantly higher negative affect repair on the calming and distractive strategies subscale following completion of the intervention, compared to wait-list controls ( = 4.69, = 0.04) with a moderate effect size (η = 0.11). Improvements in use of calming and distractive strategies was not sustained at the twelve-week follow-up ( = 0.87, = 0.36). There was no-significant improvement on other negative affect subscales or for post-concussion symptoms or decrease in-prison infractions.
A manualised psychological intervention may have the potential to facilitate the development of positive coping strategies in prisoners with a history of traumatic brain injury.
确定心理干预是否能改善成年男性创伤性脑损伤患者的应对方式、脑震荡后症状和减少狱中违规行为。
单中心、随机、等待名单、试点研究。
新西兰一所高度安全的监狱。
55 名成年男性参与者，他们一生中至少经历过一次创伤性脑损伤（平均年龄 37.29 ± 9.81 岁）。
一个十节、面对面、基于团体的认知行为疗法/正念减压干预与等待名单对照。
在基线、干预后（五周）和 12 周随访时完成负面情感修复问卷和 Rivermead 脑震荡后症状问卷。在每个评估时间点，回顾前五周的狱中不当行为指控和负面文件记录。
干预组从基线（ = 17.38，SD = 3.57）到干预后（ = 18.67，SD = 3.84）和 12 周随访（ = 18.13，SD = 2.63），使用镇静和分散注意力策略的能力有所提高。与等待名单对照组相比（ = 4.69， = 0.04），干预组在完成干预后，在镇静和分散注意力策略子量表上的负面情感修复得分显著更高，具有中等效应量（η = 0.11）。在 12 周随访时，使用镇静和分散注意力策略的改善没有持续（ = 0.87， = 0.36）。其他负面情感亚量表、脑震荡后症状或减少狱中违规行为均无显著改善。
有针对性的心理干预可能有潜力促进创伤性脑损伤患者积极应对策略的发展。
