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Health-related quality of life in chronic stroke: Translation and validation of the Romanian stroke and aphasia quality of life scale-39 g (RO-SAQOL-39 g) questionnaire. 慢性卒中患者与健康相关的生活质量:罗马尼亚卒中和失语生活质量量表-39 g (RO-SAQOL-39 g)问卷的翻译和验证
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2025-01-08 DOI: 10.1080/09602011.2024.2447298
Ioan Chirap-Mitulschi, Bogdan Ignat, Daniel Alexa, Andreea Chirap-Mitulschi, Sabina Antoniu

In the clinical context of stroke, health-related quality of life (HRQOL) is a crucial patient-reported outcome measure that is frequently used to assess the effectiveness of neurorehabilitation programs. Despite its significance, the absence of a stroke-specific quality-of-life instrument translated into Romanian and validated for use in Romanian stroke patients, including those with aphasia, presents a notable gap in current research. This study briefly describes the translation and cross-cultural adaptation of the Stroke and Aphasia Quality of Life Scale-39 g (SAQOL-39 g) into Romanian (RO-SAQOL-39 g). Subsequently, the results of a prospective cohort study on psychometric validation of the RO-SAQOL-39 g are presented. In enrolled stroke patients, measures such as the Barthel Index, HRQOL, and indices of stroke severity including NIHSS, MRC scale for Muscle Strength, and mRS were used. The RO-SAQOL-39 g exhibited excellent reliability (Cronbach's alpha = 0.95 for total score) and repeatability (ICC = 0.96). Moreover, the RO-SAQOL-39 g demonstrated utility as a metric of stroke burden in differentiating between mild and moderate-to-severe stroke, as assessed by NIHSS scores (p = 0.004). In summary, the RO-SAQOL-39 g exhibits promising attributes as a tool for assessing HRQOL in post-stroke individuals.

在脑卒中的临床背景下,与健康相关的生活质量(HRQOL)是一项重要的患者报告的结果测量指标,经常用于评估神经康复计划的有效性。尽管具有重要意义,但缺乏一种卒中特定的生活质量仪器翻译成罗马尼亚语并验证用于罗马尼亚卒中患者,包括失语症患者,这在当前的研究中存在显着的差距。本研究简要描述了卒中和失语生活质量量表-39 g (SAQOL-39 g)到罗马尼亚语(RO-SAQOL-39 g)的翻译和跨文化适应。随后,一项关于ro - saqol - 39g心理测量验证的前瞻性队列研究结果被提出。在入组的脑卒中患者中,采用Barthel指数、HRQOL和NIHSS、MRC肌肉力量量表和mRS等脑卒中严重程度指标。ro - saqol - 39g具有良好的信度(总分Cronbach's alpha = 0.95)和重复性(ICC = 0.96)。此外,通过NIHSS评分,ro - saqol - 39g证明了作为区分轻度和中度至重度卒中负担指标的效用(p = 0.004)。总之,ro - saqol - 39g作为评估脑卒中后患者HRQOL的工具具有良好的特性。
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引用次数: 0
Nature and correlates of self-esteem in young adult survivors of childhood traumatic brain injury. 儿童脑外伤幸存者中年轻成人自尊的性质和相关因素。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2024-03-11 DOI: 10.1080/09602011.2024.2326428
Noor Khan, Vicki Anderson, Louise Crossley, Stephen Hearps, Cathy Catroppa, Nicholas P Ryan

Despite growing research linking childhood traumatic brain injury (TBI) with reduced wellbeing, self-esteem, and psycho-social health, very few studies have examined self-esteem and its correlates in young adult survivors of childhood TBI. This very-long-term follow-up study evaluated self-esteem in 29 young adults with a history of childhood TBI (M time since injury = 13.84 years; SD = 0.74), and 10 typically developing controls (TDCs). All participants were originally recruited into a larger, longitudinal case-control study between 2007 and 2010. In the current follow-up study, both groups completed well-validated measures of self-esteem and mental health in young adulthood. Although group means for self-esteem did not significantly differ between TBI and TDC groups, a higher proportion of TBI participants rated their self-esteem in the clinical range (TBI group = 17%; TDC group = 0%). While self-esteem was not significantly associated with injury or pre-injury child or family characteristics, lower self-esteem was significantly correlated with greater concurrent feelings of loneliness (p = 0.007) and higher concurrent mood symptoms (p < 0.001).Our results suggest that social isolation and low mood may represent meaningful targets for psycho-social interventions to address poor self-worth in young adults with a history of childhood TBI.

尽管越来越多的研究将儿童创伤性脑损伤(TBI)与幸福感下降、自尊和社会心理健康联系起来,但很少有研究对儿童创伤性脑损伤年轻幸存者的自尊及其相关因素进行研究。这项长期跟踪研究评估了 29 名有儿童创伤性脑损伤病史的青壮年(平均受伤时间 = 13.84 年;标准差 = 0.74)和 10 名发育正常的对照组(TDCs)的自尊。所有参与者最初都是在 2007 年至 2010 年间的一项大型纵向病例对照研究中招募的。在目前的跟踪研究中,两组研究人员都完成了经过严格验证的成年后自尊和心理健康测量。虽然创伤性脑损伤组和创伤性脑损伤组的自尊心平均值没有显著差异,但创伤性脑损伤组的参与者中有更高比例的人将其自尊心评定在临床范围内(创伤性脑损伤组=17%;创伤性脑损伤组=0%)。虽然自尊与受伤或受伤前的儿童或家庭特征无明显关联,但较低的自尊与较高的并发孤独感(p = 0.007)和较高的并发情绪症状(p = 0.007)明显相关。
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引用次数: 0
Family involvement in rehabilitation programmes for children and adolescents with acquired brain injury: A scoping literature review. 后天性脑损伤儿童和青少年康复计划中的家庭参与:文献综述。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2024-03-22 DOI: 10.1080/09602011.2024.2330141
Taylor Jenkin, Kate D'Cruz, Edith Botchway, Frank Muscara, Vicki Anderson, Adam Scheinberg, Sarah Knight

Paediatric acquired brain injury (ABI) can adversely impact families, and it is widely accepted that families should be involved in the rehabilitation of children/adolescents with ABI. However, there is limited guidance about how to best involve families in paediatric ABI rehabilitation. Several programmes involving the families of children/adolescents with ABI have been developed, but there are no published reviews outlining their characteristics. This scoping literature review aimed to synthesize information about these programmes and develop an understanding of how families are involved in them. Four databases were systematically searched to identify sources of evidence that described programmes in paediatric ABI rehabilitation that involve family members. One hundred and eight sources of evidence describing 42 programmes were included. Programmes were categorized as: service coordination (n = 11), psychosocial (n = 17), support groups (n = 4), training/instruction (n = 9), and education (n = 1). Families' involvement in these programmes varied across programme development, delivery, and evaluation stages. The findings of this scoping literature review outline how families can be involved in paediatric ABI rehabilitation. While this review outlines many approaches to supporting families, it also highlights the need for models of family-centred care to better articulate how clinicians and services can involve families in paediatric ABI rehabilitation.

小儿后天性脑损伤(ABI)会给家庭带来不利影响,因此,家庭应参与到患有ABI的儿童/青少年的康复中来,这一点已被广泛接受。然而,关于如何最好地让家庭参与儿科后天性脑损伤康复的指导却很有限。目前已经制定了几项涉及有缺血性脑损伤的儿童/青少年家庭的计划,但还没有公开发表的综述概述这些计划的特点。本范围性文献综述旨在综合这些计划的相关信息,并了解家庭如何参与这些计划。我们对四个数据库进行了系统性检索,以确定描述有家庭成员参与的儿科 ABI 康复项目的证据来源。共纳入了 18 个证据来源,其中描述了 42 项计划。项目分为:服务协调(11 项)、社会心理(17 项)、支持小组(4 项)、培训/指导(9 项)和教育(1 项)。家庭参与这些计划的情况在计划制定、实施和评估阶段各不相同。本范围性文献综述的结果概述了家庭如何参与儿科 ABI 康复。虽然本综述概述了许多支持家庭的方法,但也强调了以家庭为中心的护理模式的必要性,以更好地阐明临床医生和服务机构如何让家庭参与儿科 ABI 康复。
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引用次数: 0
Cognitive and behavioural rehabilitation interventions for survivors of childhood cancer with neurocognitive sequelae: A systematic review. 对患有神经认知后遗症的儿童癌症幸存者进行认知和行为康复干预:系统综述。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2024-02-23 DOI: 10.1080/09602011.2024.2314880
Kaja Solland Egset, Magnhild Eitrem Røkke, Trude Reinfjell, Jan Egil Stubberud, Siri Weider

There is considerable interest in cognitive and behavioural interventions to manage and improve neurocognitive (dys)functions in childhood cancer survivors and the literature is rapidly growing. This systematic review aimed to examine the literature of such interventions and their impact on executive functions (EFs) and attention. A search of relevant manuscripts was performed in PubMed, PsycINFO, and Web of Science in March 2023 in accordance with the PRISMA statement. After screening 3737 records, 17 unique studies published between 2002 and 2022 were charted and summarized. Participants (N = 718) were mostly children (M = 12.2 years), who were long-term survivors (M = 5.0 years post treatment) of brain or CNS tumours (48%). Identified interventions included computerized cognitive training, physical activity, and cognitive interventions with compensatory strategy training. The highest quality RCT studies included computerized training (i.e., Cogmed), neurofeedback, and exergaming. Evidence suggests that Cogmed may improve the performance of certain working memory tasks (near transfer) and possibly improve visual attention tasks for individuals with working memory impairments. However, the evidence did not support far transfer of effects to real life. No significant effects (near or far-transfer) were found following neurofeedback and exergaming interventions. Finally, a knowledge gap was identified for interventions directed at long-term survivors in adulthood.

人们对通过认知和行为干预来管理和改善儿童癌症幸存者的神经认知(功能障碍)颇感兴趣,相关文献也在迅速增加。本系统性综述旨在研究此类干预措施及其对执行功能(EFs)和注意力影响的文献。根据 PRISMA 声明,我们于 2023 年 3 月在 PubMed、PsycINFO 和 Web of Science 上对相关手稿进行了检索。在筛选了 3737 条记录后,对 2002 年至 2022 年间发表的 17 项研究进行了统计和总结。参与者(N = 718)大多是儿童(M = 12.2 岁),他们是脑肿瘤或中枢神经系统肿瘤的长期幸存者(M = 治疗后 5.0 年)(48%)。已确定的干预措施包括计算机化认知训练、体育活动和带有补偿策略训练的认知干预措施。质量最高的 RCT 研究包括计算机化训练(即 Cogmed)、神经反馈和外部游戏。有证据表明,Cogmed 可改善某些工作记忆任务(近转移)的表现,并可能改善工作记忆障碍患者的视觉注意力任务。然而,证据并不支持将远期效果转移到现实生活中。在进行神经反馈和外联网游戏干预后,没有发现明显的效果(近转移或远转移)。最后,针对成年期长期幸存者的干预措施还存在知识空白。
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引用次数: 0
Biopsychosocial correlates of fatigue in young adult survivors of childhood traumatic brain injury: A prospective cohort study. 儿童脑外伤年轻幸存者疲劳的生物心理社会相关因素:前瞻性队列研究
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2024-02-21 DOI: 10.1080/09602011.2024.2319910
Nohely Lee Marmol, Nicholas P Ryan, Nikita Sood, Elle Morrison, Edith Botchway-Commey, Vicki Anderson, Cathy Catroppa

This prospective cohort study aimed to evaluate the potential role of injury, socio-demographic and individual psychological factors in predicting long-term fatigue outcomes in young adult survivors of childhood TBI at 16-years post-injury. The study included 51 young adults diagnosed with childhood TBI from 2-12 years of age. Twenty age-and-sex-matched controls were included for comparison. Findings showed that almost one-in-four TBI participants (24%) endorsed clinically elevated fatigue at 16-years post-injury. Despite the relatively large proportion of TBI participants endorsing clinically significant fatigue, group comparisons revealed that the TBI and control groups did not significantly differ on fatigue symptom severity or rates of clinically elevated fatigue. For the TBI group, post-injury fatigue was significantly associated with socio-demographic and psychological factors, including lower educational level, higher depression symptom severity, and more frequent substance use. Higher fatigue was also associated with lower self-reported quality of life (QoL) in the physical, psychological, and environmental domains, even after controlling for depressive symptom severity, socio-demographic, and injury-related factors. Overall, findings show that a substantial proportion of young adults with a history of childhood TBI experience clinically elevated fatigue at 16-years post-injury. Identification and treatment of modifiable risk-factors (e.g. depression symptoms, substance use) has potential to reduce fatigue.

这项前瞻性队列研究旨在评估损伤、社会人口学和个人心理因素在预测儿童创伤性脑损伤年轻幸存者伤后 16 年的长期疲劳结果方面的潜在作用。研究对象包括 51 名在 2-12 岁期间被诊断患有儿童创伤性脑损伤的年轻成年人。研究还纳入了 20 名年龄和性别匹配的对照组进行比较。研究结果表明,几乎四分之一的儿童创伤性脑损伤患者(24%)在伤后 16 年的临床表现为疲劳度升高。尽管有相对较大比例的创伤性脑损伤患者表示有明显的临床疲劳感,但分组比较显示,创伤性脑损伤组和对照组在疲劳症状严重程度或临床疲劳感升高率方面并无显著差异。对于创伤性脑损伤组而言,伤后疲劳与社会人口和心理因素有显著关联,包括教育水平较低、抑郁症状严重程度较高以及更频繁地使用药物。即使在控制了抑郁症状严重程度、社会人口和受伤相关因素后,较高的疲劳度也与身体、心理和环境领域自我报告的生活质量(QoL)较低有关。总之,研究结果表明,在有儿童创伤性脑损伤病史的年轻人中,有相当一部分人在伤后16年时会出现临床症状加重的疲劳感。识别和治疗可改变的风险因素(如抑郁症状、药物使用)有可能减轻疲劳。
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引用次数: 0
Rehabilitation of working memory after acquired brain injury and multiple sclerosis: A systematic review. 后天性脑损伤和多发性硬化症后工作记忆的康复:系统综述。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2024-03-02 DOI: 10.1080/09602011.2024.2319909
Guillaume Mazo, Stéphanie Pantaléo, Arianne van der Oord, Jean-Luc Picq, Lucie Hertz-Pannier, Eric Brunet, Philippe Azouvi, Claire Vallat-Azouvi

The objective is to study the effectiveness of working memory (WM) rehabilitation after Acquired brain injury (ABI) and multiple sclerosis (MS). A systematic database search of published studies, following PRISMA recommendations, with assessment of methodological quality and risk of bias, was conducted. The results were analysed according to the rehabilitation method used. 31 studies (including 14 class I) were included, and 11 different training programs were identified. Despite great variability in training methodology and outcome measures, the results were positive overall. However, only three rehabilitation programs showed a transfer effect to WM (near) and daily life with long-term maintenance. The results were more variable for protocols limited to the use of computerized n-back training tasks. Overall, the current evidence supports multi-task WM training rather than single-task-limited program. It also supports early and long duration training, with some therapist support. However, it is not possible, to date, to make strong recommendations regarding the rehabilitation program to be used preferentially. Although results are encouraging, level of evidence remains modest, particularly regarding the maintenance of the therapeutic effect after the end of training, and the transfer to everyday life skills. The influence of rehabilitation parameters (training duration, therapist involvement … ) remains difficult to assess.

目的是研究后天性脑损伤(ABI)和多发性硬化(MS)后工作记忆(WM)康复的有效性。根据 PRISMA 建议,对已发表的研究进行了系统的数据库检索,并对方法学质量和偏倚风险进行了评估。根据所使用的康复方法对结果进行了分析。共纳入了 31 项研究(包括 14 项 I 类研究),并确定了 11 种不同的训练计划。尽管在训练方法和结果测量方面存在很大差异,但总体结果是积极的。然而,只有三项康复计划显示了对 WM(近距离)和日常生活的转移效果,并能长期保持。对于仅限于使用电脑化 N-back 训练任务的方案,结果的差异更大。总之,目前的证据支持多任务 WM 训练,而不是局限于单一任务的方案。它还支持早期和长期训练,并得到一些治疗师的支持。然而,到目前为止,还无法就优先使用哪种康复计划提出强有力的建议。虽然结果令人鼓舞,但证据水平仍然不高,尤其是在训练结束后治疗效果的维持以及日常生活技能的转移方面。康复参数(训练持续时间、治疗师参与程度......)的影响仍然难以评估。
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引用次数: 0
Rehabilitation of hemianopia and visuospatial hemineglect with a mixed intervention including adapted boxing therapy: An exploratory case study. 采用包括适应性拳击疗法在内的混合干预方法,对偏盲和视觉空间偏盲进行康复治疗:一项探索性案例研究。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2024-03-20 DOI: 10.1080/09602011.2024.2329379
Louis Nahum, Radek Ptak

Visual field loss and visuospatial neglect are frequent consequences of cerebral stroke. They often have a strong impact on independence in many daily activities. Rehabilitation aiming to decrease these disabilities is therefore important, and several techniques have been proposed to foster awareness, compensation, or restitution of the impaired visual field. We here describe a rehabilitation intervention using adapted boxing therapy that was part of a pluridisciplinary intervention tailored for a particular case. A 58-year-old man with left homonymous hemianopia (HH) and mild visuospatial hemineglect participated in 36 sessions of boxing therapy six months after a right temporo-occipital stroke. Repeated stimulation of his blind and neglected hemifield, and training to compensate for his deficits through improved use of his healthy hemifield were performed through boxing exercises. The patient showed a stable HH before the beginning of the training. After six months of boxing therapy, he reported improved awareness of his visual environment. Critically, his HH had evolved to a left superior quadrantanopia and spatial attention for left-sided stimuli had improved. Several cognitive functions and his mood also showed improvement. We conclude that boxing therapy has the potential to improve the compensation of visuospatial impairments in individual patients with visual field loss.

视野缺失和视觉空间忽略是脑卒中的常见后果。它们通常会严重影响许多日常活动的独立性。因此,旨在减少这些残疾的康复治疗非常重要,目前已提出了几种技术来促进对受损视野的认识、补偿或恢复。我们在此介绍一种采用适应性拳击疗法的康复干预方法,该方法是针对一个特殊病例量身定制的多学科干预方法的一部分。一名 58 岁的男子患有左侧同形偏盲(HH)和轻度视觉空间偏盲,在右侧颞枕叶中风 6 个月后参加了 36 次拳击治疗。通过拳击练习,反复刺激其失明和被忽视的半球,并通过改善健康半球的使用来弥补其缺陷。训练开始前,患者的 HH 显示稳定。经过 6 个月的拳击治疗后,他对视觉环境的感知有所改善。重要的是,他的 HH 已演变为左上象限失明,对左侧刺激的空间注意力也有所改善。他的一些认知功能和情绪也有所改善。我们的结论是,拳击疗法有可能改善个别视野缺损患者的视觉空间障碍补偿。
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引用次数: 0
Valued living after mild traumatic brain injury: Characteristics and relationship with outcomes. 轻度脑外伤后的有价值生活:特点及其与结果的关系。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2024-03-18 DOI: 10.1080/09602011.2024.2328876
Josh W Faulkner, Diane Whiting, Alice Theadom, Deborah L Snell, Maree Roche, Suzanne Barker-Collo

Psychological factors are strong predictors of mild traumatic brain injury (mTBI) recovery, consequently, psychological interventions can form part of an individual's rehabilitation. This may include enhancing valued living (VL), an approach that is effective in severe and mixed acquired brain injury samples. This study aimed to characterize VL in mTBI and explore its relationship with mTBI and mental health outcomes. 56 participants with a mTBI completed self-report measures before engaging in a psychological intervention. Pre-injury mental health and other demographic and injury-related variables, VL, post-concussion symptoms (PCS), functional disability, and stress, anxiety and depression were measured. A pre-injury mental health condition was significantly associated with VL. VL was uniquely associated with depression after mTBI (β = -0.08, p = .05), however, there was no relationship with PCS, functional disability, stress or anxiety (p > .05). Following mTBI individuals with a pre-injury mental health condition or who experience heightened depressive symptoms may benefit from a values-based intervention as part of their rehabilitation. Future research, however, is needed to examine the role of VL in mTBI recovery.

心理因素是轻度创伤性脑损伤(mTBI)康复的有力预测因素,因此,心理干预可以成为个人康复的一部分。这可能包括提高有价值的生活(VL),这种方法在严重和混合型后天性脑损伤样本中很有效。本研究旨在描述 mTBI 中的 VL 特征,并探讨其与 mTBI 和心理健康结果之间的关系。56 名患有 mTBI 的参与者在接受心理干预前完成了自我报告测量。对受伤前的心理健康及其他人口统计学和受伤相关变量、VL、脑震荡后症状(PCS)、功能性残疾以及压力、焦虑和抑郁进行了测量。受伤前的心理健康状况与 VL 有显著相关性。VL 与 mTBI 后的抑郁独特相关(β = -0.08,p = .05),但与 PCS、功能性残疾、压力或焦虑没有关系(p > .05)。创伤后创伤性脑损伤后,伤前有心理健康问题或抑郁症状加重的人可能会从以价值观为基础的干预中受益,这也是他们康复的一部分。然而,未来的研究还需要对价值观念在创伤性脑损伤康复中的作用进行研究。
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引用次数: 0
Social support after TBI: an investigation of Facebook posts in open access support groups. 脑外伤后的社会支持:对开放获取支持小组中Facebook帖子的调查。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-12-24 DOI: 10.1080/09602011.2024.2442583
Nicole Cruse, Helena Sabo, Melissa Brunner

Traumatic Brain Injury (TBI) significantly affects social interactions and emotional well-being. Following COVID-19, there has been growing interest in how individuals with TBI use online social media groups for support. This study examined engagement patterns in four Facebook support groups: two for TBI and two control groups. A deductive approach was used to categorize 4,133 posts and comments into a framework of support discourse, including seeking and giving support, and non-social support. Each category was further subdivided to analyze post content in more detail. Comments on posts were coded for helpfulness/appropriateness. Results revealed that posts in all groups fell into the identified discourse categories, with comments generally being appropriate. Minor differences were noted between TBI and control groups, suggesting that individuals with TBI engage in online support similarly to others. These findings highlight the role of online support groups for individuals with TBI, offering insights that can guide the development of more tailored interventions and improve support services for this population.

创伤性脑损伤(TBI)显著影响社会交往和情绪健康。继2019冠状病毒病之后,人们越来越关注脑外伤患者如何利用在线社交媒体群寻求支持。这项研究调查了四个Facebook支持小组的参与模式:两个是TBI小组,两个是对照组。采用演绎方法将4133篇帖子和评论分类为支持话语框架,包括寻求和给予支持以及非社会支持。每个类别进一步细分,以更详细地分析帖子内容。对帖子的评论根据有用性/适当性进行编码。结果显示,所有组的帖子都属于确定的话语类别,评论通常是适当的。在TBI组和对照组之间发现了细微的差异,这表明TBI患者的在线支持与其他人相似。这些发现强调了在线支持小组对TBI患者的作用,提供了可以指导更有针对性的干预措施的发展和改善对这一人群的支持服务的见解。
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引用次数: 0
What psychological interventions are effective for individuals with prolonged post-concussion symptoms of at least 12 months following mild traumatic brain injury? A systematic review. 哪些心理干预措施对轻度脑外伤后脑震荡症状持续至少 12 个月的患者有效?系统综述。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-12-16 DOI: 10.1080/09602011.2024.2435283
Adele Smith, Nigel S King, Neil Carrigan, Natasha Reed

For some, post-concussion symptoms following a mild traumatic brain injury (mTBI) are prolonged in nature, lasting for a minimum of 12 months and up to many years. There remains limited insight into the effectiveness of psychological interventions for the treatment of prolonged post-concussion symptoms (PrPCS). This systematic review aimed to evaluate the effectiveness of psychological interventions for PrPCS (>12 months post mTBI). A search was performed across five databases (PsychINFO, Medline, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), & PubMed). Two independent researchers assessed the studies against pre-defined eligibility criteria and completed quality appraisals. Ten studies were included in the review and underwent narrative synthesis. Four psychological interventions for PrPCS were found (i.e., Cognitive Behavioural Therapy (CBT), Neurofeedback Therapy, Psychoeducation, & Mindfulness-based therapy). Emerging empirical data tends to support the assertion that psychological interventions can improve PrPCS and quality of life. CBT appears to have the strongest evidence base to date and to be the most effective in improving anxiety, anger, and overall mental well-being. However, the evidence base is still very much in its infancy and requires research with more robust methodological designs to be conducted before any conclusions can be reliably asserted.

对于某些人来说,轻度脑外伤(mTBI)后的脑震荡症状会持续很长时间,最少持续 12 个月,最长可达数年。目前,人们对心理干预治疗长期脑震荡后症状(PrPCS)的有效性了解仍然有限。本系统性综述旨在评估心理干预对 PrPCS(创伤后超过 12 个月)的有效性。我们在五个数据库(PsychINFO、Medline、Web of Science、Cumulative Index to Nursing and Allied Health Literature (CINAHL)、PubMed)中进行了检索。两名独立研究人员根据预先设定的资格标准对研究进行了评估,并完成了质量鉴定。十项研究被纳入综述并进行了叙述性综合。研究发现了四种针对 PrPCS 的心理干预方法(即认知行为疗法 (CBT)、神经反馈疗法、心理教育和正念疗法)。新出现的经验数据倾向于支持心理干预可以改善 PrPCS 和生活质量的说法。到目前为止,CBT 似乎拥有最坚实的证据基础,在改善焦虑、愤怒和整体心理健康方面也最为有效。然而,证据基础在很大程度上仍处于起步阶段,需要采用更可靠的方法设计进行研究,才能得出可靠的结论。
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Neuropsychological Rehabilitation
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