Evidence map›Paper›PMID 39410977›Full record

ArticleBMJ neurology open2024

Pilot feasibility randomised controlled trial of cognitive-behavioural therapy for functional cognitive disorder after concussion.

Mathilde Rioux, Rinni Mamman, Miles T Byworth, William J Panenka, Andrew K Howard, David L Perez, Julia Schmidt, Caitlin Courchesne, Joelle LeMoult, Manraj Ks Heran and 1 more

2 registry-linked trialsAbstract read
In one paragraph

Article in BMJ neurology open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05581810 nacompletednot on this map

Feasibility of Cognitive Behavioural Therapy for Functional Memory Symptoms After Concussion

TypeinterventionalSponsorUniversity of British ColumbiaRan2022 to 2023Enrolled30ConditionsMild Traumatic Brain Injury, Functional Neurological DisorderArmsCognitive Behavioural Therapy (CBT), Cognitive Rehabilitation
NCT06956417 narecruitingnot on this mapstarted 2025, after this paper: background citation

REhabilitation of MEMory Symptoms After BRain Concussion

TypeinterventionalSponsorUniversity of British ColumbiaRan2025 to 2029Enrolled184ConditionsConcussion, Brain, Mild Traumatic Brain InjuryArmsCognitive behavioral therapy, Cognitive rehabilitation
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Concussion: A Comprehensive Review of Current Evidence.Current reviews in musculoskeletal medicine · 2026
    Review
  2. Review
  3. The Journal of neuropsychiatry and clinical neurosciences · 2026
    Article
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Mathilde RiouxDepartment of Psychology, The University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0009-0003-6885-5662
Rinni MammanGraduate Program in Rehabilitation Sciences, Faculty of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.
Miles T ByworthBC Neuropsychiatry Program, The University of British Columbia, Vancouver, British Columbia, Canada.
William J PanenkaBC Neuropsychiatry Program, The University of British Columbia, Vancouver, British Columbia, Canada.
Andrew K HowardBC Neuropsychiatry Program, The University of British Columbia, Vancouver, British Columbia, Canada.
David L PerezDepartment of Neurology and Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA.
Julia SchmidtGF Strong Rehabilitation Research Program, Centre for Aging SMART, Vancouver Coastal Health Research Institute, Vancouver, British Columbia, Canada.
Caitlin CourchesneDepartment of Psychology, Simon Fraser University, Burnaby, British Columbia, Canada.
Joelle LeMoultDepartment of Psychology, The University of British Columbia, Vancouver, British Columbia, Canada.
Manraj Ks HeranDepartment of Radiology, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada.
Noah D SilverbergDepartment of Psychology, The University of British Columbia, Vancouver, British Columbia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Functional cognitive disorder (FCD) may be common after a concussion, and no evidence-based treatment options are available. The current study evaluated the feasibility of a novel cognitive-behavioural therapy (CBT) protocol tailored to FCD after concussion. Methods: Participants were randomised to CBT (n=11) or the current standard of care, cognitive rehabilitation (n=13). Both interventions consisted of eleven 50 min manualised videoconference sessions. CBT involved cognitive reappraisal and exposure-based strategies. Cognitive rehabilitation involved traditional memory compensation strategy training. Prespecified feasibility criteria were set for recruitment, perceived credibility, patient adherence, therapist protocol compliance and retention. The primary efficacy outcome was the Multifactorial Memory Questionnaire-Satisfaction (MMQ-S). The first five CBT completers completed a semistructured interview about their experience with the intervention. Results: Most feasibility benchmarks were met, as 86% of invited patients consented, 96% of participants rated their intervention as credible, participants attended 96% of sessions, therapists covered all essential content in 94% of sessions and 100% of participants completed the post-treatment evaluation. Both groups improved on the MMQ-S. Post-treatment MMQ-S scores were similar between groups (Cohen's d=-0.05 (95% CI [-0.86, 0.75])). Two themes resulted from the qualitative data analysis, which highlighted aspects of the CBT interventions that participants valued. Implications: This pilot trial supports the feasibility of CBT tailored to FCD after concussion and suggests that patients with FCD may benefit from either CBT or standard cognitive rehabilitation. A larger trial is needed to evaluate the efficacy of these interventions for FCD after concussion and potentially FCD in other clinical contexts. Trial registration number: NCT05581810.

Indexed as

CONCUSSIONFUNCTIONAL NEUROLOGICAL DISORDERPSYCHOLOGYRANDOMISED TRIALSREHABILITATION

Identifiers

PMID39410977
PMCPMC11474702

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.