Effectiveness of Psychotherapy for Post-Traumatic Stress Disorder in Subjects Suffering from Traumatic Brain Injuries After Motor Vehicle Accidents

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cris.lastimport.scopus2025-12-14T04:10:16Z
dc.abstract.enBackground and Objectives: PTSD and traumatic brain injury (TBI) frequently co-occur in survivors of combat exposure, blasts, assaults, or motor vehicle accidents (MVAs), yet the impact of TBI on the psychotherapy outcomes for PTSD, especially in civilians, remains underexplored and frequently underestimated. Methods: This study focused on analysis of the effectiveness of psychotherapies (trauma-focused: prolonged exposure (PE); non-trauma-focused: self-efficacy-focused cognitive therapy (SEF-CT)) in individuals with PTSD, comparing those with and without TBIs. The data of 45 PTSD patients with TBIs were drawn from a clinical trial cohort, with a total of 134 completing treatment. PTSD symptoms were assessed pre- and post-treatment using CAPS-5 and PDS-5. Cognitive functioning was measured via tests of fluid and crystallized intelligence. ANCOVA models examined the level of post-treatment PTSD symptoms with the control of pretreatment symptoms and the effects of TBI, treatment type, gender, age, education, time since the MVA, and level of cognitive functioning. Results: Both psychotherapies were equally effective in reducing PTSD symptoms, regardless of TBI status. The early initiation of treatment predicted better outcomes in non-TBI patients but not in those with TBIs. The TBI participants who began treatment earlier exhibited lower fluid intelligence scores, suggesting mild cognitive impairments that may have moderated the therapy benefits. Conclusions: Patients with PTSD and TBIs can benefit from both trauma-focused and non-trauma-focused CBT. While earlier intervention is beneficial for patients with PTSD alone, cognitive impairments may reduce this advantage in those with TBIs.
dc.affiliationInstytut Psychologii, ACSTEC—Advanced Clinical Studies and Therapy Excellence Center, SWPS University
dc.affiliationInstytut Psychologii
dc.contributor.authorPopiel, Agnieszka
dc.contributor.authorBanaszak, Beata
dc.contributor.authorPragłowska, Ewa
dc.contributor.authorZawadzki, Bogdan
dc.date.access2025-05-20
dc.date.accessioned2025-11-12T10:07:43Z
dc.date.available2025-11-12T10:07:43Z
dc.date.created2025-05-15
dc.date.issued2025-05-20
dc.description.abstract<jats:p>Background and Objectives: PTSD and traumatic brain injury (TBI) frequently co-occur in survivors of combat exposure, blasts, assaults, or motor vehicle accidents (MVAs), yet the impact of TBI on the psychotherapy outcomes for PTSD, especially in civilians, remains underexplored and frequently underestimated. Methods: This study focused on analysis of the effectiveness of psychotherapies (trauma-focused: prolonged exposure (PE); non-trauma-focused: self-efficacy-focused cognitive therapy (SEF-CT)) in individuals with PTSD, comparing those with and without TBIs. The data of 45 PTSD patients with TBIs were drawn from a clinical trial cohort, with a total of 134 completing treatment. PTSD symptoms were assessed pre- and post-treatment using CAPS-5 and PDS-5. Cognitive functioning was measured via tests of fluid and crystallized intelligence. ANCOVA models examined the level of post-treatment PTSD symptoms with the control of pretreatment symptoms and the effects of TBI, treatment type, gender, age, education, time since the MVA, and level of cognitive functioning. Results: Both psychotherapies were equally effective in reducing PTSD symptoms, regardless of TBI status. The early initiation of treatment predicted better outcomes in non-TBI patients but not in those with TBIs. The TBI participants who began treatment earlier exhibited lower fluid intelligence scores, suggesting mild cognitive impairments that may have moderated the therapy benefits. Conclusions: Patients with PTSD and TBIs can benefit from both trauma-focused and non-trauma-focused CBT. While earlier intervention is beneficial for patients with PTSD alone, cognitive impairments may reduce this advantage in those with TBIs.</jats:p>
dc.description.accesstimeat_publication
dc.description.grantnumber2012/06/A/HS6/00340
dc.description.granttitlePTSD: Diagnosis Therapy Prevention
dc.description.issue10
dc.description.physical1-15
dc.description.sdgGoodHealthAndWellBeing
dc.description.versionfinal_published
dc.description.volume13
dc.identifier.doi10.3390/healthcare13101194
dc.identifier.issn2227-9032
dc.identifier.urihttps://share.swps.edu.pl/handle/swps/1975
dc.identifier.weblinkhttps://www.mdpi.com/2227-9032/13/10/1194
dc.languageen
dc.pbn.affiliationpsychologia
dc.rightsCC-BY
dc.rights.questionYes_rights
dc.share.articleOPEN_JOURNAL
dc.subject.enpost-traumatic stress disorder (PTSD)
dc.subject.entraumatic brain injury (TBI)
dc.subject.eneffectiveness
dc.subject.enpsychotherapy
dc.subject.enprolonged exposure
dc.subject.enmotor vehicle accident (MVA)
dc.swps.sciencecloudsend
dc.titleEffectiveness of Psychotherapy for Post-Traumatic Stress Disorder in Subjects Suffering from Traumatic Brain Injuries After Motor Vehicle Accidents
dc.title.journalHealthcare
dc.typeJournalArticle
dspace.entity.typeArticle