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Cognitive Rehabilitation Therapy for Traumatic Brain Injury Evaluating the Evidence (2011) / Chapter Skim
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9 Language and Social Communication
Pages 163-174

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From page 163...
... All four trials were in the outpatient setting and enrolled moderate-severe TBI patients in the chronic phase of recovery. Two of the four RCTs focused solely on CRT for emotion perception deficits, one RCT focused on social communication skills training, and one RCT incorporated a combination of both social skills training and social/ 163
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From page 164...
... had the goal of teasing apart the effective components of the intervention in the trial described above, by separating and comparing an errorless learning strategy with self-instruction training (which were combined in the 2008a study intervention) , with a waitlist control group; both interventions also aimed to remediate emotion perception deficits.
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From page 165...
... , While the intervention known to be effective with Current Status – Self Ratings group performed the TBI population. better posttreatment on scores of one form of the matching measure, there was no difference between groups on the alternate form of the matching measure, naming facial expression, or psychosocial reintegration.
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From page 166...
... and there is limited evidence self-instruction training group social inferences based on to suggest that SIT (SIT) , for improving emotional demeanor may be a favorable deficits in emotion ▪ Higher order social inference approach for this type perception.
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From page 167...
... . ▪ Social Performance Survey BRISS-R, while no Schedule treatment effects were ▪ Sydney Psychosocial found for the other Reintegration Scale primary outcomes or any of the secondary outcomes.
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From page 168...
... No Content: ▪ FAM improvements in speech Patients who did • Societal participation: intelligibility, problem not join the day ▪ Community Integration solving, memory, treatment program Questionnaire (CIQ) attention, and social integration scores in the FIM/FAM and scores in social integration and productive activity in the CIQ.
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From page 169...
... Secondary outcomes were two assessments of community integration and one measure of life satisfaction. The researchers found that 12 weeks after the treatment sessions had ended, the intervention versus the control group had better scores on 7 of 10 scales of the primary outcome measure, which was the objective measure of social communication skills, as well as on the subjective assessment of social communication.
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From page 170...
... Secondary outcomes included a relative's rating of social behavior on the Katz Adjustment Scale, a social performance survey, a communication questionnaire, and both selfand relative ratings on a psychosocial reintegration scale. Findings showed that the social skills treatment arm performed significantly better on the Partner Directed Behavior Scale compared to the social activity or waitlist trial arms (p = 0.004; effect size 0.70)
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From page 171...
... While the groups did not differ on total social cognition, communication, or FIM motor score improvement, the participants improved more than controls on 5 of 12 FIM/FAM scales including social integration, attention, memory, problem solving, and speech intelligibility. On the CIQ, program participants improved significantly more on the total score and on subscale scores of social integration and productive activity than did controls; there was no difference in improvement on home integration.
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From page 172...
... Two studies focused solely on CRT for emotion perception deficits, one focused on social communication skills training, and one incorporated a combination of both social skills training and social/emotion perception training. Participant eligibility included having sufficient language and cognitive capability to participate in a group, and impairment in social communication skills either based on a questionnaire or a referring clinician's assessment.
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From page 173...
... 2007. Treatment efficacy of social communication skills training after traumatic brain injury: A randomized treatment and deferred treatment controlled trial.
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Key Terms

  • communication skills
  • emotion perception
  • social skills
  • skills training
  • outcome measures

  • cognitive rehabilitation
  • facial expression
  • perception deficits
  • treatment program
  • social performance

  • social inference
  • day treatment
  • perception training
  • treatment arm
  • crt interventions

  • psychosocial reintegration
  • rehabilitation therapy
  • brain injury
  • waitlist control
  • social perception

  • social behavior
  • social integration
  • perception deficit
  • primary outcomes
  • traumatic brain

  • acquired brain
  • performance survey
  • sufficient language
  • social inferences
  • cial communication


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