Efficacy of two-step resilience-oriented intervention for veterans with a remote traumatic brain injury
Bibliographic record
Abstract
Researchers argue that rehabilitation interventions which cultivate resilience maypotentiate the effect of standard treatment and promote the readaptation of veterans withtraumatic brain injury. At the same there is a lack of such interventions. The objective of thearticle was to investigate the efficacy of two-step resilience-oriented intervention for veteranswith traumatic brain injury in remote period. We hypothesized that, compared with patientswho received standardized treatment and rehabilitation in inpatient setting, those whoreceived standardized treatment plus TROI would report increase in resilience effectivenessand positive outcomes, as well as reduced clinical symptoms. A total of 146 veterans withtraumatic brain injury were enrolled into a randomized controlled trial either intointervention group, which received two-step resilience-oriented intervention and standardtreatment and rehabilitation or to control group, which received only standard treatment andrehabilitation. Psychometric measures were administered at baseline, post-treatment, and 3months follow-up. Connor-Davidson Resilience Scale (CD-RISC), Neurobehavioral SymptomInventory (NSI), Montreal Cognitive Assessment Scale (MoCA), Hospital Anxiety andDepression Scale (HADS), Positive and Negative Affect Scale (PANAS), Posttraumatic StressDisorder Checklist 5 (PCL-5), Chaban Quality of Life Scale (CQLS) were used to assess thetreatment effectiveness. A linear mixed effect modelling was used to model each outcome.Improvements in all outcomes at post-treatment were observed in both intervention and TAUgroups. After adjusting for the baseline cognitive performance, gender, brain injury clinicaltype and time since last trauma, the intervention group demonstrated more favorable score onCD-RISC, MoCA, PCL-5, PANAS while demonstrating no clinically significant improvementin NSI, HADS and CQLS at both post-treatment and follow-up. Difference between groups inresilience-related outcomes like positive affect and quality of life only increased throughouttime, making a good follow-up prognosis. In summary, targeting cognitive and emotionalfactors in a single psychological intervention improves the resilience in veterans withtraumatic brain injury, making veterans more adaptable and more effective in managing both persistent clinical symptoms and comorbid post-traumatic stress. Adding such resilience-oriented program to the standard inpatient treatment and rehabilitation providesimprovement in clinical outcomes and better prognoses than just following usual treatmentstrategies.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".