Hella Thielen, Nora Tuts, Lies Welkenhuyzen, Irene M. C. Huenges Wajer, Christophe Lafosse, Céline R. Gillebert
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引用次数: 4
Abstract
Patients with acquired brain injury frequently report experiencing sensory stimuli as abnormally under- (sensory hyposensitivity) or overwhelming (sensory hypersensitivity). Although they can negatively impact daily functioning, these symptoms are poorly understood. To provide an overview of the current evidence on atypical sensory sensitivity after acquired brain injury, we conducted a systematic literature review. The primary aim of the review was to investigate the behavioural and neural mechanisms that are associated with self-reported sensory sensitivity. Studies were included when they studied sensory sensitivity in acquired brain injury populations, and excluded when they were not written in English, consisted of non-empirical research, did not study human subjects, studied pain, related sensory sensitivity to peripheral injury or studied patients with a neurodegenerative disorder, meningitis, encephalitis or a brain tumour. The Web of Science, PubMed and Scopus databases were searched for appropriate studies. A qualitative synthesis of the results of the 81 studies that were included suggests that abnormal sensory thresholds and a reduced information processing speed are candidate behavioural mechanisms of atypical subjective sensory sensitivity after acquired brain injury. Furthermore, there was evidence for an association between subjective sensory sensitivity and structural grey or white matter abnormalities, and to functional abnormalities in sensory cortices. However, further research is needed to explore the causation of atypical sensory sensitivity. In addition, there is a need for the development of adequate diagnostic tools. This can significantly advance the quantity and quality of research on the prevalence, aetiology, prognosis and treatment of these symptoms.
获得性脑损伤患者经常报告感觉刺激异常不足(感觉低敏)或过度(感觉超敏)。尽管它们会对日常功能产生负面影响,但人们对这些症状知之甚少。为了提供关于获得性脑损伤后非典型感觉敏感性的现有证据的概述,我们进行了系统的文献综述。回顾的主要目的是调查与自我报告的感觉敏感性相关的行为和神经机制。当研究获得性脑损伤人群的感觉敏感性时,研究被纳入,当它们不是用英语写的,由非经验研究组成,没有研究人类受试者,研究疼痛,与周围损伤相关的感觉敏感性或研究患有神经退行性疾病,脑膜炎,脑炎或脑肿瘤的患者时,研究被排除。在Web of Science、PubMed和Scopus数据库中搜索合适的研究。对81项研究结果的定性综合表明,异常的感觉阈值和信息处理速度降低是获得性脑损伤后非典型主观感觉敏感性的候选行为机制。此外,有证据表明主观感觉敏感性与结构灰质或白质异常以及感觉皮质功能异常之间存在关联。然而,非典型感觉敏感性的病因尚需进一步研究。此外,还需要开发适当的诊断工具。这可以显著提高这些症状的患病率、病因、预后和治疗研究的数量和质量。
期刊介绍:
The Journal of Neuropsychology publishes original contributions to scientific knowledge in neuropsychology including:
• clinical and research studies with neurological, psychiatric and psychological patient populations in all age groups
• behavioural or pharmacological treatment regimes
• cognitive experimentation and neuroimaging
• multidisciplinary approach embracing areas such as developmental psychology, neurology, psychiatry, physiology, endocrinology, pharmacology and imaging science
The following types of paper are invited:
• papers reporting original empirical investigations
• theoretical papers; provided that these are sufficiently related to empirical data
• review articles, which need not be exhaustive, but which should give an interpretation of the state of research in a given field and, where appropriate, identify its clinical implications
• brief reports and comments
• case reports
• fast-track papers (included in the issue following acceptation) reaction and rebuttals (short reactions to publications in JNP followed by an invited rebuttal of the original authors)
• special issues.