Resilience-oriented intervention for war veterans with traumatic brain injury in remote period: study protocol and empirical evaluation of methodology

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Abstract

Much attention is paid worldwide to the development of interventions that affect veterans' resilience to reduce post-concussion and post-traumatic symptoms. However, today there are a few of them and they have insufficient evidence base for effectiveness in improving the mental state of veterans. This article presents a protocol and results of empirical evaluation of methodology of research aimed at improving the effectiveness of rehabilitation of war veterans with traumatic brain injury in remote period, based on the study of resilience cognitive and emotional components and its recovery by improving the complex of psychocorrection and prognosis. We plan to conduct the study on 2019-2023 with participation a total of 140 demobilized combatants in the ATO/OUF zone. For psychological assessment we plan to use the scale of neurobehavioral symptoms, the posttraumatic stress disorder checklist 5, hospital anxiety and depression scale, Montreal cognitive assessment scale, Chaban quality of life scale, Connor-Davidson resilience scale. To study the variability of dependent variables under the influence of psychocorrection, we plan to use analysis of variance. To study the prognostic value of changes in the cognitive and emotional components of resilience during the process of rehabilitation we plan to use a regression analysis. Based on the results of an empirical assessment, the selected methods make it possible to obtain a detailed characteristic of the resilience of war veterans with traumatic brain injury in remote period, to evaluate the effectiveness of the psychocorrection program and the prognostic value of changes in the cognitive and emotional components of resilience. Taking into account the methodology empirical assessment results, it can be expected that the main group and the comparison group socio-demographic and clinical indicators will be equivalent to each other, which will make it possible to assert their homogeneity and use for comparison. Methods of statistical processing of the data obtained correspond to the nature of the statistical data, make it possible to systematize the data, establish the degree of reliability and confirm the results obtained.
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战后退伍军人创伤性脑损伤的远程康复干预:研究方案与方法的实证评价
世界范围内对影响退伍军人恢复力的干预措施的发展给予了很大的关注,以减少脑震荡后和创伤后症状。然而,目前已有的研究较少,缺乏有效改善退伍军人心理状态的证据基础。本文提出了一种基于弹性、认知和情绪成分的研究,通过改善心理矫正和预后复核,提高创伤性脑损伤退伍军人远程康复效果的研究方法的方案和结果。我们计划在2019-2023年开展这项研究,共有140名复员战斗人员参加北约/OUF地区。心理评估拟采用神经行为症状量表、创伤后应激障碍清单5、医院焦虑抑郁量表、蒙特利尔认知评估量表、Chaban生活质量量表、Connor-Davidson弹性量表。为了研究因变量在心理矫正影响下的变异性,我们计划使用方差分析。为了研究康复过程中心理弹性的认知和情绪成分变化的预后价值,我们计划使用回归分析。在实证评估结果的基础上,所选择的方法可以获得创伤性脑损伤退伍军人心理弹性的详细特征,评估心理矫正方案的有效性以及心理弹性的认知和情绪成分变化的预测价值。考虑到方法的经验评估结果,可以预期主要组和比较组的社会人口和临床指标将彼此相等,这将有可能断言它们的同质性并用于比较。对所获得的数据进行统计处理的方法与统计数据的性质相对应,使数据系统化,建立可靠度和确认所获得的结果成为可能。
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