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Exploring the potential of Braingame Brian for executive function improvement in Spanish-speaking children with ADHD: A pilot study. 探索大脑游戏布莱恩对西班牙语多动症儿童执行功能改善的潜力:一项试点研究。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-12-16 DOI: 10.1080/09602011.2024.2439614
Nelly Revollo Carrillo, Karol Gutiérrez-Ruiz, Tania Iglesias Rodríguez, Soraya Lewis Harb

Considering the implications of executive function (EF) in the core symptoms of attention deficit hyperactivity disorder (ADHD), further research is required on strategies such as therapies, treatments, and rehabilitation programs focused on improving EF. This study aimed to assess the potential of an EF training program called "Braingame Brian" in improving working memory, inhibition, and cognitive flexibility in children with ADHD. The programme was developed in the Netherlands and has been shown to be effective in pilot studies of ADHD populations conducted in this country. However, it has not been used before in the Spanish-speaking population. A total of 41 children (aged 8-12 years) were assigned to the EF training or waitlist control groups. The intervention consisted of a 25-session training programme of approximately 45 min per day for nine consecutive weeks. Treatment outcomes were assessed using cognitive tasks of the trained EF, as well as evaluations of EF behaviors by parents and teachers. The initial findings suggest that the implementation of the Braingame Brian programme may be associated with improvements in working memory, inhibition, and cognitive flexibility. These preliminary results also indicate the potential for enhancements in parents' and teachers' perceptions of EF difficulties in children with ADHD.

考虑到执行功能(EF)对注意力缺陷多动障碍(ADHD)核心症状的影响,需要对侧重于改善执行功能的疗法、治疗和康复计划等策略进行进一步研究。本研究旨在评估一项名为 "Braingame Brian "的EF训练计划在改善多动症儿童的工作记忆、抑制能力和认知灵活性方面的潜力。该项目由荷兰开发,在该国进行的针对多动症人群的试点研究中已被证明是有效的。不过,该方案以前从未在西班牙语人群中使用过。共有 41 名儿童(8-12 岁)被分配到 EF 训练组或候补对照组。干预措施包括连续九周、共 25 节、每天约 45 分钟的训练课程。治疗结果通过受训幼儿的认知任务以及家长和教师对幼儿行为的评价进行评估。初步研究结果表明,布赖恩-布莱恩计划的实施可能与工作记忆、抑制和认知灵活性的改善有关。这些初步结果还表明,家长和教师对多动症儿童的 EF 困难的看法有可能得到改善。
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引用次数: 0
After the buzzer sounds: Adults unveil the consequences of concussions sustained during adolescence. 蜂鸣器响起后:成年人揭开青少年时期脑震荡的后果。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-12-16 DOI: 10.1080/09602011.2024.2439332
Heather A Shepherd, Meghan L Critchley, Carolyn A Emery, Jeffrey G Caron

Concussions are commonly occurring injuries in sport. The short-term impacts of concussions, including symptoms and recovery trajectories, often are the focus of concussion research. However, limited studies have explored the long-term consequences of concussions, especially in adolescents. The purpose of this study was to explore adults' experiences with concussions sustained during their adolescence (5-15 years prior). This qualitative study was guided by an interpretivist philosophy. Twenty young adults (11 men, 9 women, median age 26) who had sustained at least one sport-related concussion during their adolescence participated in a one-on-one semi-structured interview. We aimed to explore their experiences with their concussion at the time of injury and any consequences they experienced as a result of their concussion. We organized participants' concussion experiences into six main themes: (1) Concussion diagnosis and experiences with health care providers; (2) Emotional symptoms following concussion; (3) Concussion recovery; (4) Change in sport participation and engagement; (5) Concern about the potential long-term consequences; and (6) Impact on social relationships. We used the Biopsychosocial Model of Sport Injury Rehabilitation to organize the themes. Future research should explore how acute multi-disciplinary support could reduce the negative long-term consequences of concussion in adolescents.

脑震荡是体育运动中常见的损伤。脑震荡的短期影响,包括症状和恢复轨迹,往往是脑震荡研究的重点。然而,对脑震荡的长期后果,尤其是对青少年脑震荡的长期后果的研究却十分有限。本研究旨在探讨成年人在青春期(5-15 年前)遭受脑震荡的经历。这项定性研究以解释主义哲学为指导。20 名在青春期至少遭受过一次运动相关脑震荡的年轻人(11 名男性,9 名女性,中位年龄 26 岁)参加了一对一的半结构化访谈。我们的目的是探究他们受伤时的脑震荡经历,以及他们因脑震荡而经历的任何后果。我们将参与者的脑震荡经历分为六大主题:(1) 脑震荡诊断和与医疗服务提供者的经历;(2) 脑震荡后的情绪症状;(3) 脑震荡恢复;(4) 运动参与和投入的变化;(5) 对潜在长期后果的担忧;以及 (6) 对社会关系的影响。我们使用运动损伤康复的生物心理社会模型来组织这些主题。未来的研究应探索如何通过急性多学科支持来减少青少年脑震荡的长期负面影响。
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引用次数: 0
A qualitative study investigating the views of stroke survivors and their family members on discussing post-stroke cognitive trajectories. 一项定性研究,调查中风幸存者及其家人对讨论中风后认知轨迹的看法。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-12-01 Epub Date: 2024-02-17 DOI: 10.1080/09602011.2024.2314882
Georgina Hobden, Eugene Yee Hing Tang, Nele Demeyere

Cognitive impairment is common early after stroke but trajectories over the long term are variable. Some stroke survivors make a full recovery, while others retain a stable impairment or decline. This study explored the perceived advantages and disadvantages of discussing potential cognitive trajectories with stroke survivors and their family members. Stroke survivors at least six-months post-stroke were purposively sampled from an existing pool of research volunteers recruited originally for the OCS-Recovery study. They were invited, alongside a family member, to participate in a semi-structured interview. Interviews were audio recorded, transcribed, and analyzed using reflexive thematic analysis. Twenty-six stroke survivors and eleven family members participated. We identified one overarching theme and three related subthemes. The overarching theme was: One size does not fit all. The subthemes were: (1) Hearing about potential cognitive trajectories helps to develop realistic expectations; (2) Discussions about cognitive trajectories may be motivating; (3) Cognitive decline and post-stroke dementia discussions may be anxiety-provoking and depressing. Healthcare professionals should adopt a person-centred approach to sharing information about post-stroke cognitive trajectories. Discussions should be tailored to individual needs and preferences, with dementia-related topics in particular addressed with the utmost selectivity and sensitivity.

认知功能障碍在中风后早期很常见,但长期的发展轨迹却各不相同。一些中风幸存者完全康复,而另一些则保持稳定的损伤或衰退。本研究探讨了与中风幸存者及其家人讨论潜在认知轨迹的利弊。研究人员从现有的研究志愿者库中有目的地抽取了中风后至少六个月的幸存者,这些志愿者最初是为 OCS-Recovery 研究而招募的。他们与一名家庭成员一起被邀请参加半结构化访谈。访谈进行了录音、转录,并使用反思性主题分析法进行了分析。共有 26 名中风幸存者和 11 名家属参加了访谈。我们确定了一个总体主题和三个相关次主题。总主题是不能一刀切。次主题是(1) 了解潜在的认知轨迹有助于形成现实的期望;(2) 关于认知轨迹的讨论可能具有激励作用;(3) 关于认知衰退和中风后痴呆的讨论可能会令人焦虑和沮丧。医护人员在分享有关卒中后认知轨迹的信息时,应采取以人为本的方法。讨论应根据个人的需要和偏好进行,尤其是与痴呆相关的话题,要有最大的选择性和敏感性。
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引用次数: 0
"Communicative competence assessment of the person with aphasia caregiver: Standardization of the ACCA-CHECKLIST". "失语症患者护理人员的沟通能力评估:ACCA-CHECKLIST 标准化"。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-12-01 Epub Date: 2024-03-05 DOI: 10.1080/09602011.2024.2315772
Giada Bartolini, Lara Laschi, Francesca Dorgali, Laura Abbruzzese, Alessio Damora, Alessandra Stocchi, Maria Assunta Saieva, Fabio Ferretti, Lucia Ferroni, Costanza Papagno, Alessandra Caporali, Giuseppe Mancini, Mauro Mancuso

Aphasia constitutes a very complex clinical entity that requires a "competent" caregiver to interact with the person with aphasia (PWA). The literature lacks a valid and reliable set of standardized tools which can offer objective and quantifiable data of a caregiver's communicative competence. The aim of the study was to develop, standardize and validate an evaluation tool suited to measur the caregivers' competence in communicating with family members affected by aphasic disorders. Forty-two patients with aphasia and their respective caregivers were enrolled in the study. Caregivers' communicative competence was assessed through a new evaluation tool called ACCA-cl. Aphasia severity and functional communication abilities of the PWA were also investigated. Our data showed encouraging results regarding the reliability and the validity of the ACCA-cl scale in detecting the caregiver's communicative competence, especially as far as verbal content was considered. This scale can also be used to assess the improvement achieved by the caregiver after a communication training. The analysis provides encouraging findings for verbal content scales of the ACCA-cl and its possible use in clinical settings as a quantitative tool for detecting changes induced by the educational method of the caregiver. The tool is currently available in Italian.

失语症是一种非常复杂的临床症状,需要 "称职 "的护理人员与失语症患者(PWA)进行交流。文献中缺乏一套有效、可靠的标准化工具,能够提供客观、可量化的数据来衡量照顾者的沟通能力。本研究的目的是开发、标准化并验证一种评估工具,用于测量照顾者与受失语症影响的家庭成员沟通的能力。研究共招募了 42 名失语症患者及其照顾者。照顾者的沟通能力通过一种名为 ACCA-cl 的新评估工具进行评估。此外,还对 PWA 的失语严重程度和功能性交流能力进行了调查。我们的数据显示,ACCA-cl 量表在检测照顾者的沟通能力方面,尤其是在语言内容方面,具有令人鼓舞的可靠性和有效性。该量表还可用于评估护理人员在接受沟通培训后所取得的进步。这项分析为 ACCA-cl 的言语内容量表提供了令人鼓舞的结果,并可将其作为一种定量工具用于临床环境,以检测护理人员的教育方法所引起的变化。该工具目前有意大利语版本。
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引用次数: 0
Cognitive remediation in residential substance use treatment: A randomized stepped-wedge trial. 住院药物使用治疗中的认知矫正:阶梯式随机试验
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-12-01 Epub Date: 2024-02-15 DOI: 10.1080/09602011.2024.2314879
Talia Nardo, Jamie Berry, Daniel Barker, Hassan Assareh, Jo Lunn, Antoinette Sedwell, Jennifer Batchelor, Anthony Shakeshaft, Peter J Kelly, Pooria Sarrami, Skye Russell, Megan James

ABSTRACTExecutive dysfunction is common in individuals with substance use disorder (SUD) and presents a barrier to treatment engagement. The study aimed to investigate the effectiveness of cognitive remediation (CR) for improving executive functioning and treatment retention in patients with SUD, using a stepped-wedge cluster randomized controlled trial. The sample included 527 adults enrolled across ten residential SUD treatment providers in NSW, Australia. The intervention consisted of 12 hours of CR delivered over six weeks in a group format. The comparator was treatment-as-usual (TAU). Primary outcomes included self-reported executive functioning and proportion of treatment completed (PoTC), measured as the number of days in treatment divided by the planned treatment duration. Intention-to-treat analysis did not find significant differences for self-reported executive functioning (mean difference = -2.49, 95%CI [-5.07, 0.09], p = .059) or PoTC (adjusted mean ratio = 1.09, 95%CI [0.88, 1.36], p = .442). Due to high dropout from the intention-to-treat sample (56%) a post-hoc analysis was conducted using a per-protocol approach, in which CR was associated with improved self-reported executive functioning (mean difference = -3.33, 95%CI [-6.10, -0.57], p = .019) and improved likelihood of treatment graduation (adjusted odds ratio = 2.43, 95%CI [1.43, 4.11], p < .001). More research is required to develop a CR approach that results in service-wide treatment effectiveness.

摘要执行功能障碍在药物使用障碍(SUD)患者中很常见,是参与治疗的一个障碍。本研究采用阶梯式群组随机对照试验,旨在调查认知矫正(CR)对改善药物滥用障碍患者的执行功能和治疗保持率的有效性。样本包括在澳大利亚新南威尔士州十家药物滥用住院治疗机构接受治疗的 527 名成人。干预措施包括在六周内以小组形式进行 12 小时的 CR 治疗。对照组为常规治疗(TAU)。主要结果包括自我报告的执行功能和完成治疗的比例(PoTC),以治疗天数除以计划治疗时间来衡量。意向治疗分析未发现自我报告的执行功能(平均差异 = -2.49,95%CI [-5.07, 0.09],p = .059)或 PoTC(调整后平均比率 = 1.09,95%CI [0.88, 1.36],p = .442)有显著差异。由于意向治疗样本的高辍学率(56%),我们采用按协议方法进行了事后分析,结果显示 CR 与自我报告的执行功能改善有关(平均差 = -3.33,95%CI [-6.10, -0.57],p = .019),与治疗毕业的可能性改善有关(调整后的几率比 = 2.43,95%CI [1.43, 4.11],p = .059)。
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引用次数: 0
Comparing high definition transcranial direct current stimulation to left temporoparietal junction and left inferior frontal gyrus for logopenic primary progressive aphasia: A single-case study. 比较高清经颅直流电刺激左侧颞顶叶交界处和左侧额叶下回治疗对数开放性原发性进行性失语症:一项单例研究。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-12-01 Epub Date: 2024-02-15 DOI: 10.1080/09602011.2024.2314878
Samuel J Crowley, Alexandru D Iordan, Kayla Rinna, Sami Barmada, Benjamin M Hampstead

Logopenic variant primary progressive aphasia (lvPPA) is characterized by word-finding deficits and phonologic errors in fluent speech. Transcranial direct current stimulation (tDCS) targeting either left temporoparietal junction (TPJ) or left inferior frontal gyrus (IFG) show evidence of improving language function in lvPPA. The present case study evaluated the effects of two separate rounds of high definition tDCS (HD-tDCS) (4 mA; 30 sessions) on language and functional neuroimaging in a 57-year-old woman with lvPPA. Stimulation was centred on two different regions across rounds: (1) left TPJ, and (2) left (IFG). Results showed an improved proportion of content to floorholder words during a naturalistic speech task through both rounds as well as change in confrontation naming after TPJ (improvement) and IFG (worsened) stimulation. fMRI connectivity during task showed left lateralized positive correlations following round 1 and anti-correlations with components of the default mode network following round 2. Resting state segregation of a language-associated functional network increased following both rounds, and task-based segregation of the same network increased following IFG stimulation. These results suggest that stimulation to both regions using HD-tDCS may improve language function in lvPPA, while simultaneously eliciting widespread changes beyond the targeted area in neuronal activity and functional connectivity.

对数变异型原发性进行性失语症(lvPPA)的特点是在流利言语中出现找词障碍和语音错误。有证据表明,针对左侧颞顶叶交界处(TPJ)或左侧额叶下回(IFG)的经颅直流电刺激(tDCS)可改善lvPPA患者的语言功能。本病例研究评估了两轮独立的高清 tDCS(HD-tDCS)(4 mA;30 次治疗)对一名 57 岁女性 lvPPA 患者的语言和功能神经影像学的影响。两轮刺激分别以两个不同区域为中心:(1) 左侧 TPJ,(2) 左侧(IFG)。结果显示,在自然言语任务中,两轮刺激后内容词与底层词的比例均有所改善,TPJ(改善)和 IFG(恶化)刺激后对抗命名也发生了变化。任务期间的 fMRI 连接显示,第一轮刺激后出现左侧正相关,第二轮刺激后出现与默认模式网络成分的反相关。在两轮刺激后,语言相关功能网络的静息状态分离增加,而在刺激 IFG 后,同一网络的任务分离增加。这些结果表明,使用HD-tDCS刺激这两个区域可以改善lvPPA患者的语言功能,同时在神经元活动和功能连接方面引起目标区域以外的广泛变化。
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引用次数: 0
SIFT IT: A feasibility and preliminary efficacy randomized controlled trial of a social cognition group treatment programme for people with acquired brain injury. SIFT IT:针对后天性脑损伤患者的社会认知小组治疗计划的可行性和初步疗效随机对照试验。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-12-01 Epub Date: 2024-02-13 DOI: 10.1080/09602011.2024.2314876
A Cassel, M Kelly, E Wilson, M Filipčíková, S McDonald

Making sense of social situations requires social cognitive skills, which can be impaired after acquired brain injury (ABI), yet few evidence-based treatment options are available. This study aimed to evaluate the feasibility of a multi-faceted social cognition group treatment programme, SIFT IT, for people after ABI using an RCT design. Twenty-eight participants were recruited, and 23 were randomized into either Treatment or Waitlist. SIFT IT consisted of 14 weekly 90-minute small group sessions facilitated by a Clinical Psychologist. Topics included: emotion self-awareness, emotion perception, perspective taking, and choosing adaptive social responses. Preliminary efficacy outcomes were assessed at baseline, post-treatment, and three-month follow-up. Demand for treatment was evident with 61% recruitment and 91% post-treatment retention rates, with 63% attending at least 13/14 sessions. Large between-group treatment effects (with non-zero 95% confidence intervals) were observed for emotion perception, detecting hints, and informant ratings of social cognitive deficits. Implementation challenges recruiting to groups and maintaining group allocation fidelity, with a small sample size does, however, raise questions about the appropriateness of an RCT design in a future efficacy trial. Overall, this study showed there is demand for social cognitive interventions after ABI and the SIFT IT programme was practicable and acceptable to participants.Trial registration: Australian New Zealand Clinical Trials Registry identifier: ACTRN12617000405314.

要想在社交场合有所作为,就必须具备社交认知能力,而这种能力在后天性脑损伤(ABI)后可能会受到损害,但目前却鲜有循证治疗方案。本研究旨在采用 RCT 设计评估针对后天性脑损伤患者的多方面社会认知小组治疗项目 SIFT IT 的可行性。共招募了 28 名参与者,其中 23 人被随机分配到治疗组或等待组。SIFT IT包括14节每周90分钟的小组课程,由一名临床心理学家主持。主题包括:情绪自我意识、情绪感知、观点采取和选择适应性社会反应。在基线、治疗后和三个月的随访中对初步疗效进行了评估。治疗需求明显,招募率为 61%,治疗后保留率为 91%,63% 的人至少参加了 13/14 次治疗。在情绪感知、察觉暗示和社会认知缺陷的信息评定方面,观察到了较大的组间治疗效果(95% 置信区间不为零)。然而,由于样本量较小,在小组招募和保持小组分配一致性方面遇到了挑战,这也引发了在未来疗效试验中采用 RCT 设计是否合适的问题。总之,这项研究表明,ABI后对社会认知干预有需求,SIFT IT项目切实可行,参与者也能接受:试验注册:澳大利亚-新西兰临床试验注册中心(Australian New Zealand Clinical Trials Registry)标识符:ACTRN12617000405314。
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引用次数: 0
Microstructural brain changes following prospective memory rehabilitation in traumatic brain injury: An observational study. 脑外伤患者前瞻性记忆康复后大脑微结构的变化:一项观察性研究。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-11-20 DOI: 10.1080/09602011.2024.2423861
Xuan Vinh To, Ning Zhu, Abdalla Z Mohamed, Jennifer Fleming, Caitlin Hamilton, Sarah Swan, Megan E J Campbell, Lewis Campbell, Tamara Ownsworth, David H K Shum, Fatima Nasrallah

Prospective memory (PM) impairment is a common consequence of moderate-severe traumatic brain injury (TBI). Compensatory strategy training and rehabilitation (COMP) is the usual treatment of PM deficits through environmental modification and the use of assistive methods such as diaries and routines. The study intends to examine the changes in white matter integrity, as measured by advanced diffusion magnetic resonance imaging (dMRI) following COMP intervention in moderate-severe TBI patients. Nine COMP intervention and twelve routine care comparison cohort moderate-severe TBI patients were recruited from level 1 trauma centres in the Brisbane metropolitan area. Both groups were imaged at least one-month post-TBI for a baseline scan. COMP group was imaged again after a 6-week COMP intervention program and the comparison group was imaged again at least 6 weeks after the baseline scan. MRI scan included structural imaging and dMRI, which the latter fitted for the Neurite Orientation Dispersion and Density Imaging (NODDI) model. Only the comparison group had decreased Neurite Density Index in the major white matter tracts and increased isotropic diffusion in the fluid space between the cortical folds. Our results indicated that COMP intervention slowed down the neural degeneration in moderate-severe TBI patients as compared to routine medical care/rehabilitation.

前瞻性记忆(PM)障碍是中重度创伤性脑损伤(TBI)的常见后果。补偿策略训练和康复(COMP)是通过改变环境和使用辅助方法(如日记和例行程序)来治疗前瞻性记忆障碍的常用方法。本研究旨在通过先进的扩散磁共振成像(dMRI)检查中重度 TBI 患者在接受 COMP 干预后白质完整性的变化。研究人员从布里斯班大都会地区的一级创伤中心招募了 9 名 COMP 干预组和 12 名常规护理对比组中度严重创伤性脑损伤患者。两组患者均在创伤后至少一个月接受基线扫描。COMP 组在接受为期 6 周的 COMP 干预计划后再次接受成像,对比组在基线扫描后至少 6 周再次接受成像。核磁共振成像扫描包括结构成像和 dMRI,后者适用于神经元定向分散和密度成像(NODDI)模型。结果显示,只有对比组主要白质束的神经元密度指数下降,皮质褶皱间流体空间的各向同性扩散增加。我们的研究结果表明,与常规医疗/康复治疗相比,COMP干预减缓了中度严重创伤性脑损伤患者的神经退化。
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引用次数: 0
Alterations of cognitive functions post traumatic upper limb injuries in adults: A longitudinal study. 成人上肢创伤后认知功能的改变:纵向研究
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-11-13 DOI: 10.1080/09602011.2024.2424982
Xue Zhang, Tamara Tse, Kai-Yi Qiu, Shao-Zhen Chen, Xia Li, Maryam Zoghi

Recent studies have demonstrated a possible association between cognitive impairments and traumatic upper limb injuries. This study aims to track the cognitive changes in individuals with such injuries. In this longitudinal study, 36 participants with traumatic upper limb injuries and 36 uninjured participants were enrolled. Cognitive functions were assessed using the Rey Auditory Verbal Learning Test (RAVLT) and the Stroop Color and Word Test (SCWT) over a period of 6 months, with evaluations conducted on three occasions: 1 month (T1), 3 months (T2), and 6 months (T3). The results revealed that participants with nerve injuries exhibited significantly lower RAVLT scores overall and at each time point (Overall: Wald χ2 = 7.99, P < .05; T1: Wald χ2 = 7.61, P < .05; T2: Wald χ2 = 5.95, P < .05; T3: Wald χ2 = 5.76, P < .05). In contrast, no significant impairment in RAVLT performance was observed in participants without nerve injuries. Additionally, the SCWT showed no significant differences between injured and uninjured participants over the six-month period (P > .05). In conclusion, traumatic nerve injuries to the upper limbs negatively affect memory, and this impairment does not spontaneously recover within six months.

最近的研究表明,认知障碍与上肢创伤之间可能存在关联。本研究旨在跟踪上肢创伤患者的认知变化。在这项纵向研究中,共招募了 36 名上肢外伤患者和 36 名未受伤的患者。研究人员使用雷伊听觉言语学习测试(RAVLT)和施特罗普颜色和词语测试(SCWT)对他们的认知功能进行了为期 6 个月的评估:评估分别在 1 个月(T1)、3 个月(T2)和 6 个月(T3)进行。结果显示,神经损伤的参与者在总体和每个时间点的 RAVLT 分数都明显较低(总体:Wald χ2 = 7.99,P 2 = 7.61,P 2 = 5.95,P 2 = 5.76,P > .05)。总之,上肢创伤性神经损伤会对记忆力产生负面影响,而且这种损伤不会在六个月内自动恢复。
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引用次数: 0
The Buddy Program: High school students inform the design of a school-based peer support program for concussion. 伙伴计划:高中生为脑震荡校内同伴支持计划的设计提供信息。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-11-07 DOI: 10.1080/09602011.2024.2423082
Heather A Shepherd, Carla van den Berg, Nick Reed, Jeffrey G Caron, Keith O Yeates, Carolyn A Emery

Prior research provides little guidance on how to support return to school post-concussion. Peer support may be one strategy to enable adolescents to return to school post-concussion. The purpose of this study was to explore what high school students preferred in a school-based peer support program post-concussion. We conducted a qualitative instrumental case study in one high school in Calgary, Canada. Seven semi-structured focus groups were conducted with 53 high school students (16 boys, 36 girls, 1 preferring not to disclose gender; median age = 16 years, range = 15-18 years). All adolescents were enrolled in a sport medicine course and had either a history of concussion (n = 20) or were interested in supporting peers who had sustained a concussion (n = 33). Focus group questions aimed to solicit which factors the adolescents believed should be considered in the development of a post-concussion peer support program. We analyzed the focus group transcriptions using content analysis. Adolescents preferred a one-on-one Buddy Program. A one-on-one environment would provide a trusting and confidential relationship between the student with a concussion and their buddy. Peer support could include social support, advocacy support for academic accommodations, tutoring support, and concussion education. In future, the Buddy Program should be piloted in high schools.

先前的研究很少就如何支持脑震荡后重返校园提供指导。同伴互助可能是让青少年在脑震荡后重返校园的一种策略。本研究旨在探讨高中生在脑震荡后参加校内同伴互助项目的偏好。我们在加拿大卡尔加里的一所高中开展了一项定性工具性案例研究。我们与 53 名高中生(16 名男生,36 名女生,1 名不愿意透露性别;年龄中位数 = 16 岁,范围 = 15-18 岁)进行了 7 次半结构化焦点小组讨论。所有青少年都参加了运动医学课程,他们或有脑震荡病史(20 人),或有兴趣为遭受脑震荡的同龄人提供支持(33 人)。焦点小组的问题旨在了解青少年认为在制定脑震荡后同伴支持计划时应考虑哪些因素。我们采用内容分析法对焦点小组的记录进行了分析。青少年更喜欢一对一的伙伴计划。一对一的环境将为脑震荡学生和他们的伙伴之间提供一种信任和保密的关系。同伴支持可包括社会支持、学业辅导支持、辅导支持和脑震荡教育。今后,"伙伴计划 "应在高中进行试点。
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引用次数: 0
期刊
Neuropsychological Rehabilitation
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