Neuropsychological Consequences of Massive Trauma: Implications and Clinical Interventions

Medicina (Kaunas). 2023 Dec 6;59(12):2128. doi: 10.3390/medicina59122128.

Abstract

Traumatic events, especially massive trauma resulting from catastrophic incidents, wars, or severe abuse can elicit significant neuropsychological alterations, with profound implications for cognitive, emotional, and behavioral functioning. This mini-review delineates the primary neural changes post-trauma and underscores the importance of timely neuropsychological and clinical interventions. Specific brain regions, including the amygdala and prefrontal cortex, undergo physiological changes that can lead to memory impairments, attention deficits, and emotional disturbances. PTSD, a commonly diagnosed condition post-trauma, exemplifies the intricate relationship between trauma and memory processing. Furthermore, the concept of neuroplasticity, the brain's inherent ability to adapt and rewire, offers hope for recovery. Current clinical interventions, such as cognitive behavioral therapy, mindfulness practices, and biofeedback, leverage this neuroplastic potential to foster healing. The review underscores the vital importance of early intervention to mitigate long-term neuropsychological impacts, emphasizing the role of timely and targeted clinical interventions. The synthesis of this knowledge is crucial for clinicians, allowing for informed therapeutic approaches that holistically address both the physiological and psychological dimensions of trauma.

Keywords: clinical intervention; cognitive rehabilitation; massive trauma; neuroplasticity; neuropsychology; therapeutic interventions.

Publication types

  • Review

MeSH terms

  • Brain
  • Cognitive Behavioral Therapy*
  • Humans
  • Memory
  • Mindfulness*
  • Stress Disorders, Post-Traumatic* / complications
  • Stress Disorders, Post-Traumatic* / therapy

Grants and funding

This research received no external funding.