부산대학교 도서관

Objectives: Severe traumatic brain injury (TBI) patients have a challenging road to returning to their careers due to multiple impairments in their mental functions. In this case report, a patient with severe TBI is used as an example to discuss the effect of comprehensive-holistic neuropsychotherapy from cognitive function to daily living adjustment. Methods: The case is about a 33-year-old male, single, who fell from a height while at work and caused severe brain trauma, including bilateral frontal contusions, subdural hemorrhage, and subarachnoid hemorrhage. The neuropsychological assessment results showed that the patient's higher-order cognitive function was impaired. In addition, due to economic difficulties and insufficient family support, the case also presented emotional and disease adaptation problems. Based on the above assessment results, individualized short-, medium- and long-term comprehensive neuropsychological treatment goals were formulated, and a total of three levels of neuropsychological assessments were conducted to analyze changes in the baseline, post-intervention, and one-year follow-up. Results: After the comprehensive-holistic neuropsychotherapy, the three-level indicators of neuropsychological function, emotional state, and daily life adaptation performance of the patients all improved, and they returned to work full-time, and the follow-up results showed that the intervention effect was maintained stably. Conclusions: This case shows that comprehensive-holistic neuropsychotherapy can achieve generalized and sustained efficacy in patients with severe TBI.