SLPProtocolClinical rehabilitation2019

Social cognition and emotion regulation: a multifaceted treatment (T-ScEmo) for patients with traumatic brain injury.

Herma J Westerhof-Evers, Annemarie C Visser-Keizer, Luciano Fasotti and 1 others

PMID 30798631

WHAT IT FOUND

A 20-session neuropsychologist-led T-ScEmo protocol targets emotion recognition, perspective taking and social behavior after traumatic brain injury, with a life partner involved.

The article reports the protocol and a case report, not proof that it works.

Key findings

01The protocol contains three interdependent modules delivered over 20 sessions, covering emotion perception, perspective taking and theory of mind, and social behavior.

02The paper cites a survey among 443 therapists worldwide in which 78% reported they rarely or never assessed social cognition with standardized tests.

03The article includes a case report of a 55-year-old man with moderate traumatic brain injury who, after treatment, was able to attend to his wife's feelings and join business meetings and negotiations without temper flares.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

This is a protocol description and case report, not a full report of the randomized controlled trial, so it does not provide enough original data to judge effectiveness. The case report describes a single person, so his changes cannot be generalized to other patients with traumatic brain injury. The multifaceted protocol uses several components together, so the contribution of any single module or ingredient cannot be separated. The paper states that the therapist should be at neuropsychologist level, so it may not be directly transferable to PT, OT or SLP settings without adaptation. It excludes patients whose social behavior requires medication or a protective environment, and patients with severe memory, language or perception impairments that interfere with treatment, so it says little about more severely impaired TBI patients.

Declared interests

The authors declared no potential conflicts of interest. Funding was provided by the Dutch Brain Foundation, grant F2008 (1)-18.

The easy way to misread this

Do not read the reported improvements in emotion recognition, theory of mind, empathy, partner relationship quality, quality of life and societal participation as evidence from this article. This paper describes the protocol and a case report, and it does not present the randomized controlled trial methods or outcome data.

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