Treating Emotional Processing Impairments in Individuals With TBI
| Status: | Recruiting |
|---|---|
| Conditions: | Neurology |
| Therapuetic Areas: | Neurology |
| Healthy: | No |
| Age Range: | 18 - 65 |
| Updated: | 12/16/2017 |
| Start Date: | September 2015 |
| End Date: | May 2018 |
| Contact: | Angela Smiith, MA |
| Email: | asmith@kesslerfoundation.org |
| Phone: | 973-324-8448 |
Treating Emotional Processing Impairments in Individuals With TBI: A Randomized Controlled Trial
The current project will examine the impact of an emotional processing intervention on
emotional processing abilities in a sample of 50 persons with moderate to severe TBI. Outcome
will be assessed across 3 domains. We will document changes resulting from treatment: (1) in
emotional processing tasks (2) in other areas of function including QOL, social functioning,
mood and cognition that are also likely to be impacted (3) in brain structure and function.
The examination of efficacy in the above three areas will further our knowledge of emotional
processing deficits in TBI and more importantly, identify an effective means of treating such
deficits.
emotional processing abilities in a sample of 50 persons with moderate to severe TBI. Outcome
will be assessed across 3 domains. We will document changes resulting from treatment: (1) in
emotional processing tasks (2) in other areas of function including QOL, social functioning,
mood and cognition that are also likely to be impacted (3) in brain structure and function.
The examination of efficacy in the above three areas will further our knowledge of emotional
processing deficits in TBI and more importantly, identify an effective means of treating such
deficits.
Emotional processing deficits have a significant negative impact on the lives of persons with
TBI. There is emerging research indicating that, in addition to cognitive and behavioral
impairments, social and emotional difficulties following TBI are common and are related to
significant problems in social relationships, poor social participation, impaired empathy,
and a high degree of caregiver stress. Emotional processing is a critical component of social
cognition, including the abilities to both identify and discriminate basic universal
emotions. The stability of emotional processing deficits following TBI indicates that these
impairments likely impact individuals with TBI consistently across the lifespan, and do not
appear to resolve with time.
The goals of the trial are to (a) Evaluate the effectiveness of an emotional processing
intervention to improve performance on tests of emotional processing in individuals with TBI,
(b) Evaluate the improvement of secondary outcomes of psychological, cognitive, and
functional abilities following the emotional processing intervention in individuals with TBI,
(c) To examine differences in brain activation patterns during emotional processing following
treatment in individuals with TBI, BOLD activation in the experimental group will be compared
to BOLD patterns of the control group during performance of the QFDT, a facial affect
recognition task.
TBI. There is emerging research indicating that, in addition to cognitive and behavioral
impairments, social and emotional difficulties following TBI are common and are related to
significant problems in social relationships, poor social participation, impaired empathy,
and a high degree of caregiver stress. Emotional processing is a critical component of social
cognition, including the abilities to both identify and discriminate basic universal
emotions. The stability of emotional processing deficits following TBI indicates that these
impairments likely impact individuals with TBI consistently across the lifespan, and do not
appear to resolve with time.
The goals of the trial are to (a) Evaluate the effectiveness of an emotional processing
intervention to improve performance on tests of emotional processing in individuals with TBI,
(b) Evaluate the improvement of secondary outcomes of psychological, cognitive, and
functional abilities following the emotional processing intervention in individuals with TBI,
(c) To examine differences in brain activation patterns during emotional processing following
treatment in individuals with TBI, BOLD activation in the experimental group will be compared
to BOLD patterns of the control group during performance of the QFDT, a facial affect
recognition task.
Inclusion Criteria:
- diagnosis of Traumatic Brain Injury (TBI)
- can read and speak English fluently
Exclusion Criteria:
- prior stroke or neurological disease.
- history of significant psychiatric illness (for example, bipolar disorder,
schizophrenia, or psychosis) or a current diagnosis of Major Depressive Disorder,
Schizophrenia, Epilepsy, Bipolar Disorder
- significant alcohol or drug abuse history
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