{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T16:04:43Z","timestamp":1793376283266,"version":"4.5.0"},"reference-count":61,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T00:00:00Z","timestamp":1758758400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Functional (nonepileptic) seizures (FS) frequently co\u2010occurs with traumatic brain injury (TBI) and reduces social functioning. In the current study, we aimed to identify whether psychotherapy is associated with changes in social functioning in TBI\u2009+\u2009FS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants were 96 adults with TBI, 48 of whom had FS and 48 of whom did not. Both TBI cohorts received standard medical care (SMC), and the TBI\u2009+\u2009FS group received adjunctive 12\u2010session neurobehavioral therapy (NBT) for seizures. Neuropsychiatric evaluations measured sociodemographics, mental health, cognition, medications, social functioning, and quality of life, with a subset of items completed at 8\u2010 and 12\u2010month post\u2010enrollment follow ups. Social functioning was assessed with a quality of life scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Baseline seizure worry was the most reliable correlate of baseline social functioning (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.52;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; multivariable linear regression:\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.42,\n                      <jats:italic>t<\/jats:italic>\n                      \u2009=\u20092.80,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04) in the TBI\u2009+\u2009FS cohort. A 2\u2010time (treatment baseline to endpoint) \u00d7 2\u2010group (TBI\u2009+\u2009FS\n                      <jats:italic>vs.<\/jats:italic>\n                      TBI comparison) mixed ANOVA showed improved QOLIE\u201031 Social Functioning in the SMC\u2009+\u2009NBT\u2010treated TBI\u2009+\u2009FS cohort but not for SMC TBI\u2010only participants,\n                      <jats:italic>F<\/jats:italic>\n                      (1, 94)\u2009=\u200917.62,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001, partial\n                      <jats:italic>\u03b7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.16. NBT was associated with improved social activities and leisure time, reduced social limitations, and increased work status. None of the baseline clinical variables predicted pre\u2010post change in social functioning in TBI\u2009+\u2009FS participants.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion and Implications for Practice<\/jats:title>\n                    <jats:p>Seizure worry appears to be an important component of social functioning in patients with FS and TBI and could be a worthwhile target of intervention. Our results suggest that multimodal NBT may be associated with improvements in aspects of social functioning for these patients. Those with TBI who were treated with SMC (no NBT) displayed no symptomatic or social benefit. This study highlights the importance of assessing and considering treatments for social functioning in FS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>Data in this secondary analysis came from ClinicalTrials. gov: NCT03441867.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jclp.70047","type":"journal-article","created":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T14:14:21Z","timestamp":1758809661000},"page":"84-96","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Neurobehavioral Therapy Is Associated With Improvements in Social Functioning in Patients With Functional Seizures and Traumatic Brain Injury"],"prefix":"10.1002","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6203-6688","authenticated-orcid":false,"given":"Ryan","family":"Van Patten","sequence":"first","affiliation":[{"name":"VA Providence Healthcare System Center for Neurorestoration &amp; Neurotechnology Providence RI USA"},{"name":"Department of Psychiatry and Human Behavior Brown University Providence RI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica","family":"Cotton","sequence":"additional","affiliation":[{"name":"Department of Psychiatry &amp; Behavioral Sciences and Department of Neurology Northwestern University Chicago IL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence","family":"Chan","sequence":"additional","affiliation":[{"name":"LifeStance Health Providence RI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamada","family":"Altalib","sequence":"additional","affiliation":[{"name":"Department of Neurology and Department of Psychiatry Yale University New Haven CT USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krista","family":"Tocco","sequence":"additional","affiliation":[{"name":"VA Providence Healthcare System Center for Neurorestoration &amp; Neurotechnology Providence RI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler E.","family":"Gaston","sequence":"additional","affiliation":[{"name":"Birmingham VA and University of Alabama Birmingham Birmingham AL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslie P.","family":"Grayson","sequence":"additional","affiliation":[{"name":"University of Alabama at Birmingham Birmingham AL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amber","family":"Martin","sequence":"additional","affiliation":[{"name":"University of Alabama at Birmingham Birmingham AL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Fry","sequence":"additional","affiliation":[{"name":"University of Alabama at Birmingham Birmingham AL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Goodman","sequence":"additional","affiliation":[{"name":"University of Alabama at Birmingham Birmingham AL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane B.","family":"Allendorfer","sequence":"additional","affiliation":[{"name":"University of Alabama at Birmingham Birmingham AL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Blum","sequence":"additional","affiliation":[{"name":"Departments of Psychiatry and Neurology Rhode Island Hospital Providence RI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerzy P.","family":"Szaflarski","sequence":"additional","affiliation":[{"name":"University of Alabama at Birmingham Birmingham AL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"W. 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