Analysis of Effectiveness of Cognitive Behavioral Therapy (CBT) on Mental Health and Psychological Adaptation among Patients with Neurotraumatic Diseases

Abstract

The present study investigated the effectiveness of Cognitive Behavioral Therapy (CBT) in improving mental health and psychological adaptation among patients with neurotraumatic diseases. An informal experimental single-group pre-test–post-test design was utilized to evaluate psychological changes following a structured CBT intervention. Participants were recruited through purposive sampling from hospitals, neurological centers, and rehabilitation clinics, considering the ethical and clinical limitations associated with withholding treatment from vulnerable populations. Standardized psychological instruments were administered before and after the intervention to assess anxiety, depression, psychological adjustment, life satisfaction, resilience, and overall well-being. Data analysis was conducted using IBM SPSS. Descriptive statistics were used to summarize demographic characteristics and baseline variables, while the Shapiro–Wilk test was applied to assess data normality. As most variables showed non-normal distributions, the Wilcoxon signed-rank test was primarily employed to examine pre–post intervention differences, whereas paired-samples t-tests were used for normally distributed variables. Spearman’s correlation analysis was performed to explore the relationship between mental health and psychological adaptation, and independent-samples t-tests were used to determine gender differences. The findings demonstrated significant reductions in anxiety and depression levels following the CBT intervention, along with notable improvements in psychological adjustment, resilience, and satisfaction with life. Furthermore, strong associations were observed between mental health difficulties and psychological adaptation, emphasizing the interconnected nature of emotional distress and adaptive functioning among neurotraumatic patients. Overall, the study provides empirical evidence supporting the effectiveness of CBT in enhancing psychological well-being and adaptive functioning in neurotraumatic populations, highlighting its practical significance in clinical and rehabilitation settings