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Experiences of caregivers of patients with traumatic brain injury during hospitalization in western China: A qualitative study. 中国西部脑外伤患者住院期间护理人员的经历:定性研究。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-11-01 DOI: 10.1080/09602011.2024.2423089
Xueping Ma, Qian Ning, Yang Yang, Yinping Li, Jia Xu, Rong Yang, Dong Zhou, Dengbin Liao

Family members frequently provide both physical and emotional support to patients. Previous studies have focused primarily on the experiences of patients with traumatic brain injury (TBI) and their caregivers during home care and the transition from hospital care to the community, with less emphasis on their experiences during acute hospital care immediately after TBI. This study aimed to explore the experiences of caregivers of patients with TBI during acute hospitalizations. A qualitative descriptive study using individual semistructured interviews was conducted at the trauma center of a tertiary hospital in western China. A purposive sample of 21 caregivers of patients with TBI were recruited. The interviews were conducted face to face in the inpatient ward from July to September 2023. Conventional content analysis was used to conduct the framework analysis. The experiences of caregivers were identified within three key themes: TBI consequences in patients (physical impairments, psychological distress, and cognitive dysfunctions), challenges of caregivers (physiological/emotional/economic burdens, conflicts, and concerns regarding recovery), and needs of caregivers (health information, medical services, and recovery expectations). This study highlights the experiences of caregivers of patients with TBI during hospital stays in western China. The challenges faced by caregivers and the needs of caregivers are multidimensional. Appropriate support should be provided to alleviate the burden of caregiving.

家庭成员经常为患者提供身体和精神上的支持。以往的研究主要关注创伤性脑损伤(TBI)患者及其护理人员在家庭护理和从医院护理向社区过渡期间的经历,而较少关注他们在创伤性脑损伤后立即接受急性住院治疗期间的经历。本研究旨在探讨创伤性脑损伤患者护理人员在急性住院期间的经历。研究在中国西部一家三甲医院的创伤中心进行,采用个人半结构式访谈进行定性描述研究。研究人员有目的性地抽取了 21 名创伤后应激障碍患者的护理人员。访谈于 2023 年 7 月至 9 月在住院病房面对面进行。采用常规内容分析法进行框架分析。护理人员的经历被归纳为三个关键主题:患者的创伤性脑损伤后果(身体损伤、心理困扰和认知功能障碍)、护理人员面临的挑战(生理/情感/经济负担、冲突和对康复的担忧)以及护理人员的需求(健康信息、医疗服务和康复期望)。本研究强调了中国西部创伤性脑损伤患者住院期间护理人员的经历。护理者面临的挑战和护理者的需求是多方面的。应提供适当的支持以减轻护理人员的负担。
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引用次数: 0
Experiences of loss and grief in adults with acquired brain injury (ABI): A systematic review and meta synthesis of qualitative studies. 后天性脑损伤(ABI)成人的损失和悲伤经历:定性研究的系统回顾与元综合。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-10-19 DOI: 10.1080/09602011.2024.2413898
Susan Mac Conaill, Aaron McGrath, Donal G Fortune

Objective: To synthesise the qualitative research related to the processes of loss and grief experienced by adults who have sustained a moderate to severe ABI.

Method: We conducted a systematic review and thematic synthesis of the experiences of loss and grief in adults with moderate to severe ABI. Five electronic database searches (PubMed, CINAHL, EMBASE, PsycINFO and Scopus) were conducted, identifying 2434 studies, of which 25 met inclusion criteria.

Findings: Thematic synthesis generated four overarching analytical themes: the loss within me; devaluation of social roles and social identity; acceptance of grief and loss as an active process; and an ambivalent experience of loss. Our findings indicate that the experiences of grief and loss following brain injury are dynamic processes, requiring significant adjustment to and reappraisal of the sense of self, an often uncomfortable reconstruction and sometimes reluctant acceptance of new personal and social identities, and development of tolerance for the ambiguity of one's experience.

Conclusion: Findings suggest that people with moderate to severe ABI go through a significant process of change and adaptation in relation to grief and loss and their sequelae. Given the enduring nature of the injury and changing needs of the individual, rehabilitation may need to be increasingly personalised and responsive.

目的综合与中度至重度缺血性脑损伤成人所经历的失落和悲伤过程有关的定性研究:我们对患有中度至重度脑损伤的成年人的失落和悲伤经历进行了系统性回顾和专题综合。我们对五个电子数据库(PubMed、CINAHL、EMBASE、PsycINFO 和 Scopus)进行了检索,共发现了 2434 项研究,其中 25 项符合纳入标准:专题综合产生了四个总体分析主题:我内心的损失;社会角色和社会身份的贬值;接受悲伤和损失是一个积极的过程;以及对损失的矛盾体验。我们的研究结果表明,脑损伤后的悲伤和失落体验是一个动态的过程,需要对自我意识进行重大调整和重新评估,需要重建新的个人和社会身份,有时还需要勉强接受新的身份,还需要发展对自身体验模糊性的容忍度:研究结果表明,中度至重度缺血性脑损伤患者在面对悲伤和丧失及其后遗症时,会经历一个重要的变化和适应过程。鉴于损伤的持久性和个人需求的不断变化,康复可能需要更加个性化和有针对性。
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引用次数: 0
Post-stroke fatigue severity is associated with executive dysfunction in chronic stroke. 中风后疲劳的严重程度与慢性中风的执行功能障碍有关。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-10-19 DOI: 10.1080/09602011.2024.2414864
Chloe Carrick, Andrea Kusec, Nele Demeyere

Following stroke, fatigue is highly prevalent and managing fatigue is consistently rated a key unmet need by stroke survivors and professionals. Domain-specific cognitive impairments have been associated with greater fatigue severity in earlier stages of stroke recovery, but it is unclear whether these associations hold in chronic (>2 years) stroke. The present cross-sectional observational study evaluates the relationship between domain-specific cognitive functioning and the severity of self-reported fatigue among chronic stroke survivors. Participants (N = 105; mean age = 72.92, 41.90% female; mean years post-stroke = 4.57) were assessed in domains of attention (Hearts Cancellation test), language (Boston Naming Test), episodic memory (Logical Memory Test), working memory (Digit Span Backwards task), and executive functioning (set-shifting: Trail Making Test, Part B), as part of the OX-CHRONIC study, a longitudinal stroke cohort. Fatigue was assessed using the Fatigue Severity Scale. In a multiple linear regression analysis inclusive of above cognitive domains, only poorer executive functioning was associated with increased fatigue severity. This provides insight into the cognitive impairment profile of post-stroke fatigue long-term after stroke, with executive functioning deficits as the key hallmark.

中风后,疲劳非常普遍,管理疲劳一直被中风幸存者和专业人员评为未满足的关键需求。在中风恢复的早期阶段,特定领域的认知障碍与更严重的疲劳程度有关,但目前还不清楚这些关联在慢性中风(>2 年)中是否成立。本横断面观察性研究评估了特定领域认知功能与慢性中风幸存者自我报告的疲劳严重程度之间的关系。作为中风纵向队列 OX-CHRONIC 研究的一部分,参与者(N = 105;平均年龄 = 72.92,女性占 41.90%;中风后平均年数 = 4.57)接受了注意力(红心取消测试)、语言(波士顿命名测试)、外显记忆(逻辑记忆测试)、工作记忆(数字跨度向后任务)和执行功能(集合转换:路径制作测试 B 部分)等领域的评估。疲劳采用疲劳严重程度量表进行评估。在包含上述认知领域的多元线性回归分析中,只有较差的执行功能与疲劳严重程度的增加有关。这有助于深入了解中风后长期疲劳的认知障碍特征,其中执行功能障碍是关键特征。
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引用次数: 0
Introducing a new social cognition online therapy: SoCoBo. 介绍一种新的社会认知在线疗法:SoCoBo.
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-10-16 DOI: 10.1080/09602011.2024.2413718
Sally Reckelkamm, Tobias Lohaus, Patrizia Thoma

Integrating technology-based therapies into existing treatment approaches has proven useful in the endeavour to improve impaired social cognition in patients with neurological diseases. To this end, we present a novel online-based therapy programme for the treatment of impairments of social cognition ("SoCoBo"), particularly tailored for patients with acquired brain injuries (ABIs). This study was designed to investigate the online therapy's feasibility including processing time and acceptability in a healthy older sample as, according to previous studies, older individuals show subtle impairments of social cognition. Between 50 and 52 participants (depending on outcome measures) underwent pre-post assessments, completed one out of three therapy modules (emotion recognition, perspective taking, social problem-solving) over a period of four weeks (four sessions per week) and evaluated the therapy concerning feasibility, acceptability and content aspects with a newly developed questionnaire. All modules showed comparable ratings on a low to moderate level in terms of feasibility, acceptability and content aspects, which seems plausible due to the sample under investigation. Processing time of the three modules was comparable for psychoeducation (mean 17.45 min) and training sessions (mean 21.91 min). The results provided important indications for necessary adjustments regarding a subsequently completed randomized controlled trial involving patients with ABIs.

事实证明,将基于技术的疗法与现有治疗方法相结合,有助于改善神经系统疾病患者受损的社会认知能力。为此,我们提出了一种治疗社会认知障碍的新型在线治疗方案("SoCoBo"),特别适合后天性脑损伤(ABI)患者。这项研究旨在调查在线疗法的可行性,包括在健康老年人样本中的处理时间和可接受性,因为根据以往的研究,老年人在社会认知方面表现出微妙的障碍。50 至 52 名参与者(取决于结果测量)接受了前后评估,在四周时间内完成了三个治疗模块(情绪识别、观点采取、社会问题解决)中的一个模块(每周四节课),并使用新开发的问卷对治疗的可行性、可接受性和内容方面进行了评估。在可行性、可接受性和内容方面,所有模块的评分都在中低水平,这与所调查的样本有关。心理教育(平均 17.45 分钟)和培训课程(平均 21.91 分钟)三个模块的处理时间相当。这些结果为随后完成的一项随机对照试验提供了重要依据,该试验涉及有全身性残疾的患者。
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引用次数: 0
IPV survivors' and service providers' perspectives on brain injury screening/evaluation process and impact. IPV 幸存者和服务提供者对脑损伤筛查/评估过程和影响的看法。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-10-01 Epub Date: 2024-02-19 DOI: 10.1080/09602011.2024.2314873
Shireen S Rajaram, Peggy Reisher, Matthew Garlinghouse, Kathy S Chiou

This study explores the perspectives of intimate partner violence (IPV) survivors and staff of brain injury (BI) screening, and the neuropsychological evaluation (NPE) process. We gathered qualitative data from 17 participants - 10 IPV survivors, at risk for a BI, who had received BI screening and a NPE and a total of 7 staff in IPV-serving organizations. Interviews were recorded, transcribed verbatim and analysed for key themes using thematic analysis. Survivors were over 18 years of age; the majority were between 19 and 45 years old, unemployed, unmarried, and had children. Survivors were angry, scared, and embarrassed to learn that they might have an IPV-related BI. They were thankful to have an explanation for some of their cognitive symptoms, which disrupted their daily activities, social relationships, and overall quality of life. Staff were pleased to be able to provide valuable information to their clients that could have a positive impact on their wellbeing. Overall, screening for a BI and participation in the NPE were well tolerated by IPV survivors with a possible BI. Inclusion of the perspectives of IPV survivors and support staff is an essential first step to better understanding their needs so interventions can be developed to aid their recovery.

本研究探讨了亲密伴侣暴力(IPV)幸存者和工作人员对脑损伤(BI)筛查和神经心理评估(NPE)过程的看法。我们收集了 17 名参与者的定性数据,其中包括 10 名有脑损伤风险、接受过脑损伤筛查和神经心理评估的亲密伴侣暴力幸存者,以及 7 名亲密伴侣暴力服务机构的工作人员。我们对访谈进行了录音和逐字记录,并使用主题分析法对关键主题进行了分析。幸存者的年龄均在 18 岁以上;大多数在 19 至 45 岁之间,失业,未婚,有子女。得知自己可能患有与 IPV 相关的 BI 时,幸存者感到愤怒、害怕和尴尬。他们很庆幸自己的一些认知症状得到了解释,这些症状扰乱了他们的日常活动、社会关系和整体生活质量。工作人员很高兴能为客户提供有价值的信息,从而对他们的健康产生积极影响。总体而言,IPV 幸存者对 BI 筛查和参与 NPE 的耐受性良好。将 IPV 幸存者和支持人员的观点纳入其中,是更好地了解他们的需求从而制定干预措施帮助他们康复的重要第一步。
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引用次数: 0
Fatigue in young patients with acquired brain injury in the outpatient rehabilitation setting: A 2-year follow-up study. 后天性脑损伤年轻患者在门诊康复环境中的疲劳问题:为期两年的跟踪研究。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-10-01 Epub Date: 2024-01-04 DOI: 10.1080/09602011.2023.2298628
Florian Allonsius, Frederike van Markus-Doornbosch, Arend de Kloet, Daniël Opschoor, Thea Vliet Vlieland, Menno van der Holst

Acquired brain injury (ABI) may cause fatigue and participation restrictions in young patients. However, knowledge regarding the course of these problems over time is lacking. This study aims to describe the course of fatigue and participation and their relationship over time in an observational two-year follow-up study among patients(5-24 years) with ABI referred for outpatient rehabilitation and their parents. Patients/parents completed the PedsQL™Multidimensional-Fatigue-Scale(PedsQL™MFS, totalscore/3-domains) and the Child/Adolescent-Scale of Participation(CASP, totalscore/4-domains). Scores ranged from 0-100: lower scores = more fatigue/participation problems. Linear mixed models and repeated measures correlations were used to determine the course over time (change-scores/95%CI) and correlations between fatigue/participation. At baseline, 223 patients/246 parents participated with 94/104 at either T1, T2 or both. Median age was 15 years (IQR:12-17), 74% had a traumatic brain injury. Mean(SD) patient/parent-reported PedsQL™MFS totalscores(baseline) were: 50.3(17.3) and 53.8(19.1), respectively. CASP totalscores were 78.0(16.4) and 87.1(13.6). Over time, patient-reported scores improved significantly (fatigue: + 8.8 (2.9;14.7), p < 0.05)/participation: + 10.5 (6.3;14.7), p < 0.05)). Similar results were found regarding parent-reported fatigue: + 8.7 (3.4;13.9), p < 0.05 but not regarding participation. Two years later, fatigue was still considerable(patients:59.1/parents:62.5). Moderate/fair correlations between fatigue/participation over time were found. Fatigue and participation in young patients with ABI improved two years after referral to rehabilitation. However, fatigue remained a considerable problem.

后天性脑损伤(ABI)可能会导致年轻患者出现疲劳和活动受限。然而,有关这些问题随时间变化的过程的知识却很缺乏。本研究旨在通过一项为期两年的观察性随访研究,描述转诊至门诊康复治疗的获得性脑损伤(ABI)患者(5-24 岁)及其父母在一段时间内的疲劳和参与过程及其关系。患者/家长填写了 PedsQL™多维疲劳量表(PedsQL™MFS,总分/3 个领域)和儿童/青少年参与量表(CASP,总分/4 个领域)。分数范围为 0-100:分数越低,疲劳/参与问题越多。采用线性混合模型和重复测量相关性来确定随时间变化的过程(变化分数/95%CI)以及疲劳/参与之间的相关性。基线时有 223 名患者/246 名家长参与,其中有 94/104 人在 T1、T2 或两个阶段都参与。年龄中位数为 15 岁(IQR:12-17),74% 的患者有脑外伤。患者/家长报告的 PedsQL™MFS 总分(基线)平均值(标度)为分别为 50.3(17.3)和 53.8(19.1)。CASP 总分分别为 78.0(16.4)和 87.1(13.6)。随着时间的推移,患者报告的评分有了明显改善(疲劳:+ 8.8(2.9)):+ 8.8 (2.9;14.7), p p p
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引用次数: 0
Family caregivers' sense-making of the results of functional neurodiagnostics for patients with Prolonged Disorders of Consciousness. 长期意识障碍患者的家庭护理人员对功能神经诊断结果的感知。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-10-01 Epub Date: 2024-01-17 DOI: 10.1080/09602011.2023.2299448
Damian Cruse, Kotryna Ragazinskaite, Amy Chinner, Corinne Bareham, Neil Roberts, Ruth Banner, Srivas Chennu, Darrelle Villa

Functional neuroimaging and electrophysiological assessments can identify evidence of residual consciousness and cognition in patients with prolonged disorders of consciousness (PDOC) who are otherwise behaviourally unresponsive. These functional neurodiagnostics are increasingly available in clinical settings and are recommended by international clinical guidelines to reduce diagnostic and prognostic uncertainty, and thereby assist family caregivers in their best-interests decision-making. Nevertheless, little is known about how family caregivers make sense of the results of these state-of-the-art functional neurodiagnostics. By applying Interpretative Phenomenological Analysis (IPA) to interviews with family caregivers of patients with diagnoses of PDOC who had received a functional neurodiagnostic assessment, we identify three primary themes of sense-making: The special significance of "brain scans"; A dynamic sense-making process; Holding on to hope and holding on to the person. These themes highlight the challenges of helping family caregivers to balance the relative importance of functional neurodiagnostic results with other clinical assessments and identify an ability of family caregivers to hold a contradiction in which they hope for recovery but simultaneously express a rational understanding of evidence to the contrary. We offer several recommendations for the ways in which family caregivers can be better supported to make sense of the results of functional neurodiagnostics.

功能性神经影像学和电生理学评估可以发现意识障碍(PDOC)持续时间较长但行为反应迟钝的患者残余意识和认知的证据。这些功能性神经诊断越来越多地应用于临床环境中,并被国际临床指南推荐用于减少诊断和预后的不确定性,从而帮助家庭护理者做出最有利的决策。然而,人们对家庭看护者如何理解这些最先进的功能神经诊断结果却知之甚少。通过运用解释性现象学分析(IPA)对接受过功能神经诊断评估的 PDOC 患者的家庭护理者进行访谈,我们发现了三个主要的感性认识主题:大脑扫描 "的特殊意义;动态的感知过程;坚持希望和坚持个人。这些主题突出了帮助家庭看护者平衡功能神经诊断结果与其他临床评估结果之间的相对重要性所面临的挑战,并确定了家庭看护者在希望康复的同时又对相反证据表达理性认识的矛盾能力。我们就如何更好地帮助家庭照护者理解功能神经诊断结果提出了几点建议。
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引用次数: 0
Augmented action observation: Theory and practical applications in sensorimotor rehabilitation. 增强行动观察:感知运动康复的理论与实际应用
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-10-01 Epub Date: 2023-12-20 DOI: 10.1080/09602011.2023.2286012
Fabio Castro, Kimberley C Schenke

Sensory feedback is a fundamental aspect of effective motor learning in sport and clinical contexts. One way to provide this is through sensory augmentation, where extrinsic sensory information are associated with, and modulated by, movement. Traditionally, sensory augmentation has been used as an online strategy, where feedback is provided during physical execution of an action. In this article, we argue that action observation can be an additional effective channel to provide augmented feedback, which would be complementary to other, more traditional, motor learning and sensory augmentation strategies. Given these similarities between observing and executing an action, action observation could be used when physical training is difficult or not feasible, for example during immobilization or during the initial stages of a rehabilitation protocol when peripheral fatigue is a common issue. We review the benefits of observational learning and preliminary evidence for the effectiveness of using augmented action observation to improve learning. We also highlight current knowledge gaps which make the transition from laboratory to practical contexts difficult. Finally, we highlight the key areas of focus for future research.

在运动和临床环境中,感觉反馈是有效运动学习的一个基本方面。提供这种反馈的一种方法是通过感觉增强,将外在感觉信息与运动联系起来,并通过运动进行调节。传统上,感觉增强被用作一种在线策略,即在身体执行动作时提供反馈。在本文中,我们认为动作观察可以作为提供增强反馈的另一个有效渠道,与其他更传统的运动学习和感觉增强策略相辅相成。鉴于观察和执行动作之间的相似性,动作观察可在体能训练困难或不可行时使用,例如在固定期间或康复方案的初始阶段,此时外周疲劳是一个常见问题。我们回顾了观察学习的益处,以及使用增强动作观察来提高学习效果的初步证据。我们还强调了当前的知识差距,这些差距使得从实验室到实际环境的过渡变得困难。最后,我们强调了未来研究的重点领域。
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引用次数: 0
Effect of stimulation-driven attention in virtual reality balloon search training of patients with left unilateral spatial neglect after stroke: A randomized crossover study. 中风后左侧单侧空间忽略患者在虚拟现实气球搜索训练中的刺激驱动注意力效果:随机交叉研究
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-10-01 Epub Date: 2023-07-21 DOI: 10.1080/09602011.2023.2236350
Shinpei Osaki, Kazu Amimoto, Yasuhiro Miyazaki, Junpei Tanabe, Nao Yoshihiro

Patients with unilateral spatial neglect (USN) commonly experiences stimulus-driven attention deficit characterized by unexpected stimuli detection. We investigated whether virtual reality (VR) balloon search training with the screen background shifted to left space could improve stimulus-driven attention in patients with USN. The participants were divided into two groups: immediate VR group (n = 14) and delayed VR group (n = 14). The immediate VR group first received VR balloon search training, followed by control training, for two weeks each. Delayed VR group received the same training in reverse order. Outcomes were changes in scores on Catherine Bergego Scale (CBS) and reaction time on the modified Posner task (MPT). There was significant improvement in CBS score change after VR balloon retrieval training (all F > 2.71; P < 0.002). In the invalid condition of MPT, significant improvements were shown after VR balloon search training in left-sided reaction time (improvement of stimulation-driven attention). This study shows that VR balloon search training can improve neglect symptoms by using an intensive intervention lasting 2 weeks.

单侧空间忽略(USN)患者通常会出现以意外刺激检测为特征的刺激驱动型注意力缺陷。我们研究了屏幕背景移至左侧空间的虚拟现实(VR)气球搜索训练能否改善单侧空间忽略症患者的刺激驱动注意力。参与者分为两组:即时 VR 组(14 人)和延迟 VR 组(14 人)。即时 VR 组首先接受 VR 气球搜索训练,然后接受对照组训练,每组为期两周。延迟 VR 组以相反的顺序接受相同的训练。结果是凯瑟琳-伯格戈量表(CBS)得分和改良波斯纳任务(MPT)反应时间的变化。经过 VR 气球检索训练后,CBS 分数的变化有了明显改善(均 F > 2.71;P < 0.05)。
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引用次数: 0
Post-COVID fatigue: Reduced quality-of-life associated with clinically relevant fatigue in mild disease courses. COVID 后疲劳:生活质量下降与轻度病程中的临床相关疲劳有关。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-10-01 Epub Date: 2024-02-21 DOI: 10.1080/09602011.2024.2314874
Chiara Biserni, Bob O De Groot, Anselm B M Fuermaier, Dick de Waard, Stefanie Enriquez-Geppert

Fatigue is a pervasive symptom experienced by many individuals after COVID-19. Despite its widespread occurrence, fatigue remains a poorly understood and complex phenomenon. Our aim is to evaluate the subjective experience of mental fatigue after COVID-19 and to assess its significance for daily life functioning. In this online questionnaire study (N = 220), the Fatigue Severity Scale (FSS), World Health Organization Quality-of-Life assessment (WHOQoL) and a subjective severity rating of the COVID-19 disease progression were used. For our statistical analyses we utilized independent samples t-tests, one-way ANOVA with post-hoc analyses, and a multiple regression. As expected our findings revealed the COVID group reported significantly higher levels of subjective fatigue compared to the control group. Moreover, there was a significant difference between experienced fatigue across the four severity groups. Participants who had a milder course of disease also experienced severe subjective fatigue. Subjective fatigue explained 40% variance in quality-of-life. In conclusion, severe subjective fatigue appears to be associated with increased self-reported COVID-19 symptom severity and lower quality-of-life but is already observable in milder cases. This underscores, firstly, the importance of considering also less severe cases and, secondly, the need to develop rehabilitation and psychological interventions for fatigue.

疲劳是许多人在接受 COVID-19 后出现的普遍症状。尽管疲劳现象普遍存在,但人们对其了解甚少,而且这种现象十分复杂。我们的目的是评估 COVID-19 后精神疲劳的主观感受,并评估其对日常生活功能的影响。在这项在线问卷调查(N = 220)中,我们使用了疲劳严重程度量表(FSS)、世界卫生组织生活质量评估(WHOQoL)和 COVID-19 疾病进展的主观严重程度评级。在统计分析中,我们采用了独立样本 t 检验、单因素方差分析(带事后分析)和多元回归。不出所料,我们的研究结果显示,与对照组相比,COVID 组的主观疲劳程度明显更高。此外,四个严重程度组之间的疲劳体验也存在显著差异。病程较轻的参与者也有严重的主观疲劳感。主观疲劳可以解释生活质量中 40% 的差异。总之,严重的主观疲劳似乎与自我报告的 COVID-19 症状严重程度增加和生活质量降低有关,但在病情较轻的病例中已经可以观察到。这首先强调了考虑较轻病例的重要性,其次强调了针对疲劳制定康复和心理干预措施的必要性。
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引用次数: 0
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Neuropsychological Rehabilitation
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