ABSTRACT

Interventions to improve awareness of brain injury and support the development of coping strategies may help reduce potential longer-term impacts. A 10 session, group-based, cognitive behavioural therapy (CBT) and mindfulness intervention was conducted in prison, with adult men reporting a history of brain injury. Following completion of the intervention, 17/36 (47.2%) participants were interviewed about their experiences of TBI and the intervention. Interviews were audio-recorded, transcribed verbatim and analysed using thematic analysis. Four themes were identified: the journey into jail, learning from others, new understandings and developing new ways of coping. The results revealed that the intervention improved self-understanding, enabling them to be more accepting of their difficulties and experiencing hope through learning new ways of responding to life situations. Increased breaks, a focus on wider TBI implications and a follow-up session were suggested improvements.

摘要

提高对脑损伤的认识并支持制定应对策略的干预措施可能有助于减少潜在的长期影响。在监狱中进行了为期 10 次的小组认知行为治疗 (CBT) 和正念干预，成年男性报告有脑损伤史。干预完成后，17/36 (47.2%) 的参与者接受了关于他们的 TBI 经历和干预的采访。采访内容均进行录音、逐字转录，并使用主题分析进行分析。确定了四个主题：入狱之旅、向他人学习、新的理解和制定新的应对方式。结果显示，干预提高了自我理解，通过学习应对生活状况的新方法，使他们能够更加接受自己的困难并体验希望。建议改进措施包括增加休息时间、关注更广泛的 TBI 影响以及后续会议。