Poster 108 Neuropsychological Rehabilitation to Enhance Quality of Life, Perceived Control and Psychological Well-Being

      The purpose of the study is to examine the effects of EEG neurofeedback training (NFT) and computerized cognitive retraining (CR) on quality of life, perceived control, and psychological well-being in patients diagnosed with posttraumatic stress disorder (PTSD), mild traumatic brain injury (mTBI), and/or related diagnoses (e.g., anxiety disorder, cognitive disorder). The pre- and post-treatment self-report questionnaire data of 29 active duty service members was examined. Participants completed 20 hours of NFT, CR, or a combination of the two modalities; specific training goals were individualized and based on the major problem areas identified by their referring provider. A series of Wilcoxon matched pairs tests were computed to compare questionnaire scores pre- and post-intervention. Results indicated a statistically significant increase in scores on measures assessing positive affect, satisfaction with life, and quality of life in the physical, psychological, and environmental domains. Scores were significantly reduced on measures of negative affect and negative perceived control. There was no change in quality of life in the social domain or in positive perceived control. This was a pilot study to determine the feasibility of a full study, and it is recognized that interpretation of the results is limited. Nonetheless, the current results suggest that adjunctive neuropsychological therapies, such as NFT and CR, may contribute to improved quality of life, perceived control and psychological well-being in active duty service members with the aforementioned diagnoses. Future research should include a control group, a more standardized treatment process, and a more homogeneous sample.
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