Authors: Miotto, Eliane¹; Evans, Jonathan²; Souza de Lucia, Mara¹; Scaff, Milberto¹

Source: Neuropsychological Rehabilitation, Volume 19, Number 4, August 2009 , pp. 517-540(24)

Publisher: Psychology Press, part of the Taylor & Francis Group

Abstract:

In this study, the effectiveness of a group-based attention and problem solving (APS) treatment approach to executive impairments in patients with frontal lobe lesions was investigated. Thirty participants with lesions in the frontal lobes, 16 with left frontal (LF) and 14 with right frontal (RF) lesions, were allocated into three groups, each with 10 participants. The APS treatment was initially compared to two other control conditions, an information/education (IE) approach and treatment-as-usual or traditional rehabilitation (TR), with each of the control groups subsequently receiving the APS intervention in a crossover design. This design allowed for an evaluation of the treatment through assessment before and after treatment and on follow up, six months later. There was an improvement on some executive and functional measures after the implementation of the APS programme in the three groups. Size, and to a lesser extent laterality, of lesion affected baseline performance on measures of executive function, but there was no apparent relationship between size, laterality or site of lesion and level of benefit from the treatment intervention. The results were discussed in terms of models of executive functioning and the effectiveness of domain specific interventions in the rehabilitation of executive dysfunction.

Keywords: Executive function; Problem solving; Rehabilitation; Frontal lobes; Brain injury

Document Type: Research article

DOI: http://dx.doi.org/10.1080/09602010802332108

Affiliations: 1: Hospital das Clinicas, University of Sao Paulo, Brasil 2: Section of Psychological Medicine, University of Glasgow, UK,Oliver Zangwill Centre for Neuropsychological Rehabilitation, Ely, UK

Publication date: 2009-08-01

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