Non pharmacological treatments for psychological and behavioural disorders following traumatic brain injury (TBI). A systematic literature review and expert opinion leading to recommendations / Laurent Wiart in Annals of physical and rehabilitation medicine, Vol. 59, n°1 (February 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n°1 (February 2016) . - p.31-41 Titre : Non pharmacological treatments for psychological and behavioural disorders following traumatic brain injury (TBI). A systematic literature review and expert opinion leading to recommendations Type de document : texte imprimé Auteurs : Laurent Wiart ; Jacques Luauté ; Angélique Stéfan Année de publication : 2016 Article en page(s) : p.31-41 Langues : Anglais (eng) Mots-clés : traumatisme cérébral  troubles du comportement  psychologie  psychothérapie  trouble cognitif  thérapie holistique  thérapie familiale Résumé : Introduction The non pharmacological approach is an important issue in the treatment of psychological and behavioural disorders in traumatic brain injury (TBI) patients. It remains nevertheless insufficiently known and defined. The objective of this work was to develop precise recommendations for caregivers and relatives. Method The elaboration of these guidelines followed the procedure validated by the French health authority for good practice recommendations, close to the Prisma statement, involving a systematic, critical review of the literature and the expert opinions of the French Society of Physical Medicine and Rehabilitation (SOFMER) group. Results 458 articles were identified, among which 98 were selected for their relevance to the theme of the research. None of the studies reached the highest level of evidence. Fifteen controlled studies reached a relatively high level of evidence (level 2); other studies were case series or expert opinions, and other articles again were reviews of the literature and theoretical points of view. The holistic approach structured into programmes, cognitive-behavioural therapy, and family and systemic therapy, despite the low levels of proof, are recommended in first intention at all stages in the evolution of TBI. Relational and adaptive approaches, rehabilitation and vocational approaches, and psychoanalytical therapies may be useful, provided that therapists are familiar with and trained in traumatic brain injury. Conclusion Despite the small number of publications and a low level of proof, a number of recommendations for the non-pharmacological approach to psychological and behavioural disorders in TBI is proposed by the consensus conference of experts. Scientific research in this domain is needed to confirm and complete these first recommendations. Permalink : ./index.php?lvl=notice_display&id=42780 [article] Non pharmacological treatments for psychological and behavioural disorders following traumatic brain injury (TBI). A systematic literature review and expert opinion leading to recommendations [texte imprimé] / Laurent Wiart ; Jacques Luauté ; Angélique Stéfan . - 2016 . - p.31-41. Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 59, n°1 (February 2016) . - p.31-41 Mots-clés : traumatisme cérébral  troubles du comportement  psychologie  psychothérapie  trouble cognitif  thérapie holistique  thérapie familiale Résumé : Introduction The non pharmacological approach is an important issue in the treatment of psychological and behavioural disorders in traumatic brain injury (TBI) patients. It remains nevertheless insufficiently known and defined. The objective of this work was to develop precise recommendations for caregivers and relatives. Method The elaboration of these guidelines followed the procedure validated by the French health authority for good practice recommendations, close to the Prisma statement, involving a systematic, critical review of the literature and the expert opinions of the French Society of Physical Medicine and Rehabilitation (SOFMER) group. Results 458 articles were identified, among which 98 were selected for their relevance to the theme of the research. None of the studies reached the highest level of evidence. Fifteen controlled studies reached a relatively high level of evidence (level 2); other studies were case series or expert opinions, and other articles again were reviews of the literature and theoretical points of view. The holistic approach structured into programmes, cognitive-behavioural therapy, and family and systemic therapy, despite the low levels of proof, are recommended in first intention at all stages in the evolution of TBI. Relational and adaptive approaches, rehabilitation and vocational approaches, and psychoanalytical therapies may be useful, provided that therapists are familiar with and trained in traumatic brain injury. Conclusion Despite the small number of publications and a low level of proof, a number of recommendations for the non-pharmacological approach to psychological and behavioural disorders in TBI is proposed by the consensus conference of experts. Scientific research in this domain is needed to confirm and complete these first recommendations. Permalink : ./index.php?lvl=notice_display&id=42780

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Projet REFESCAR / Angélique Stéfan in La lettre de Médecine Physique et de Réadaptation, vol. 29/3 (septembre 2013)

Public ISBD [article]  inLa lettre de Médecine Physique et de Réadaptation > vol. 29/3 (septembre 2013) . - p. 154-162 Titre : Projet REFESCAR : expériences éducatives dans le champ de l’escarre de la personne lésée médullaire en France Titre original : REFESCAR project : educational experiences concerning pressure ulcer in persons with spinal cord injury Type de document : texte imprimé Auteurs : Angélique Stéfan ; et al. ; D. GAULT ; C. RECH Année de publication : 2013 Article en page(s) : p. 154-162 Langues : Français (fre) Mots-clés : Education patient  Escarre  Blessé médullaire Résumé : Dans le cadre d’un projet d’élaboration d’un référentiel d’éducation thérapeutique sur la prise en charge de l’escarre chez le lésé médullaire (REFESCAR), une enquête sur les pratiques éducatives a été réalisée fin 2012. Ce travail représente la synthèse des expériences éducatives de huit équipes référentes dans le suivi des personnes blessées médullaires. Permalink : ./index.php?lvl=notice_display&id=16564 [article] Projet REFESCAR = REFESCAR project : educational experiences concerning pressure ulcer in persons with spinal cord injury : expériences éducatives dans le champ de l’escarre de la personne lésée médullaire en France [texte imprimé] / Angélique Stéfan ; et al. ; D. GAULT ; C. RECH . - 2013 . - p. 154-162. Langues : Français (fre) in La lettre de Médecine Physique et de Réadaptation > vol. 29/3 (septembre 2013) . - p. 154-162 Mots-clés : Education patient  Escarre  Blessé médullaire Résumé : Dans le cadre d’un projet d’élaboration d’un référentiel d’éducation thérapeutique sur la prise en charge de l’escarre chez le lésé médullaire (REFESCAR), une enquête sur les pratiques éducatives a été réalisée fin 2012. Ce travail représente la synthèse des expériences éducatives de huit équipes référentes dans le suivi des personnes blessées médullaires. Permalink : ./index.php?lvl=notice_display&id=16564

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The evaluation of behavioural changes in brain-injured patients: SOFMER recommendations for clinical practice / Antoinette Prouteau in Annals of physical and rehabilitation medicine, Vol. 59, n°1 (February 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n°1 (February 2016) . - p.23-30 Titre : The evaluation of behavioural changes in brain-injured patients: SOFMER recommendations for clinical practice Type de document : texte imprimé Auteurs : Antoinette Prouteau ; Angélique Stéfan ; L. Wiart Année de publication : 2016 Article en page(s) : p.23-30 Langues : Anglais (eng) Mots-clés : comportement  évaluation  traumatisme cérébral Résumé : Behavioural changes are the main cause of difficulties in interpersonal relationships and social integration among traumatic brain injury (TBI) patients. The Société française de médecine physique et réadaptation (SOFMER) decided to develop recommendations for the treatment and care provision for these problem under the auspices of the French health authority, the Haute Autorité de la santé (HAS). Assessment of behaviour is essential to describe, understand and define situations, assess any change and suggest lines for intervention. The relationship of these behavioural changes with the brain lesion is likewise of crucial importance in legal and forensic expertise. Permalink : ./index.php?lvl=notice_display&id=42777 [article] The evaluation of behavioural changes in brain-injured patients: SOFMER recommendations for clinical practice [texte imprimé] / Antoinette Prouteau ; Angélique Stéfan ; L. Wiart . - 2016 . - p.23-30. Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 59, n°1 (February 2016) . - p.23-30 Mots-clés : comportement  évaluation  traumatisme cérébral Résumé : Behavioural changes are the main cause of difficulties in interpersonal relationships and social integration among traumatic brain injury (TBI) patients. The Société française de médecine physique et réadaptation (SOFMER) decided to develop recommendations for the treatment and care provision for these problem under the auspices of the French health authority, the Haute Autorité de la santé (HAS). Assessment of behaviour is essential to describe, understand and define situations, assess any change and suggest lines for intervention. The relationship of these behavioural changes with the brain lesion is likewise of crucial importance in legal and forensic expertise. Permalink : ./index.php?lvl=notice_display&id=42777

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What are the disruptive symptoms of behavioral disorders after traumatic brain injury? A systematic review leading to recommendations for good practices / Angélique Stéfan in Annals of physical and rehabilitation medicine, Vol. 59, n°1 (February 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n°1 (February 2016) . - p.5-17 Titre : What are the disruptive symptoms of behavioral disorders after traumatic brain injury? A systematic review leading to recommendations for good practices Type de document : texte imprimé Auteurs : Angélique Stéfan ; Jean-François Mathé ; The SOMFER group Année de publication : 2016 Article en page(s) : p.5-17 Langues : Anglais (eng) Mots-clés : troubles comportementaux  lésion cérébrale  recommandation Résumé : Behavioral disorders are major sequelae of severe traumatic brain injury. Before considering care management of these disorders, and in the absence of a precise definition for TBI-related behavioral disorder, it is essential to refine, according to the data from the literature, incidence, prevalence, predictive factors of commonly admitted disruptive symptoms. Permalink : ./index.php?lvl=notice_display&id=42773 [article] What are the disruptive symptoms of behavioral disorders after traumatic brain injury? A systematic review leading to recommendations for good practices [texte imprimé] / Angélique Stéfan ; Jean-François Mathé ; The SOMFER group . - 2016 . - p.5-17. Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 59, n°1 (February 2016) . - p.5-17 Mots-clés : troubles comportementaux  lésion cérébrale  recommandation Résumé : Behavioral disorders are major sequelae of severe traumatic brain injury. Before considering care management of these disorders, and in the absence of a precise definition for TBI-related behavioral disorder, it is essential to refine, according to the data from the literature, incidence, prevalence, predictive factors of commonly admitted disruptive symptoms. Permalink : ./index.php?lvl=notice_display&id=42773

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