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Graded exposure therapy for adults with persistent symptoms after mTBI: A historical comparison study. 针对创伤后脑损伤持续症状成人的分级暴露疗法:历史比较研究。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-09-27 DOI: 10.1080/09602011.2024.2403647
Mathilde Rioux, Penelope M A Brasher, Gabriel McKeown, Keith Owen Yeates, Ana-Maria Vranceanu, Deborah L Snell, Molly Cairncross, William J Panenka, Grant L Iverson, Chantel T Debert, Mark T Bayley, Cindy Hunt, Matthew J Burke, Noah D Silverberg

Fear avoidance behaviour is associated with slow recovery from mild traumatic brain injury (mTBI). This study is a preliminary evaluation of graded exposure therapy (GET), which directly targets fear avoidance behaviour, for reducing post-concussion symptoms (PCS) and disability following mTBI. In a historical comparison design, we compared two groups from independent randomized trials. The GET + UC group (N = 34) received GET (delivered over 16 videoconference sessions) in addition to usual care (UC). The historical comparison group (N = 71) received UC only. PCS severity (Rivermead Post Concussion Symptoms Questionnaire; RPQ) and disability (World Health Organization Disability Assessment Schedule; WHODAS 2.0 12-item) were measured at clinic intake (M = 2.7, SD = 1.1 months after injury) and again at M = 4.9 (SD = 1.1) months after injury. Between-group differences were estimated using linear mixed effects regression, with a sensitivity analysis controlling for injury-to-assessment intervals. The estimated average change on the RPQ was -14.3 in the GET + UC group and -5.3 in the UC group. The estimated average change on the WHODAS was -5.3 in the GET + UC group and -3.2 in the UC group. Between-group differences post-treatment were -5.3 on the RPQ and -1.5 on the WHODAS. Treatment effects were larger in sensitivity analyses. Findings suggest that a randomized controlled trial is warranted.

恐惧回避行为与轻度脑外伤(mTBI)的缓慢恢复有关。本研究对直接针对恐惧回避行为的分级暴露疗法(GET)进行了初步评估,以减轻轻度脑损伤后的脑震荡症状(PCS)和残疾程度。在历史比较设计中,我们对独立随机试验中的两组进行了比较。GET + UC 组(N = 34)在常规护理(UC)的基础上接受 GET(通过 16 次视频会议进行)。历史对比组(N = 71)仅接受 UC。PCS 严重程度(Rivermead 脑震荡后症状调查表;RPQ)和残疾程度(世界卫生组织残疾评估表;WHODAS 2.0 12 项)分别在诊所接诊时(M = 2.7,SD = 1.1 个月后)和 M = 4.9(SD = 1.1)个月后进行测量。采用线性混合效应回归法估算组间差异,并进行敏感性分析,控制从受伤到评估的时间间隔。GET + UC 组的 RPQ 平均变化估计为 -14.3,UC 组为 -5.3。据估计,GET + UC 组的 WHODAS 平均变化为-5.3,UC 组为-3.2。治疗后,RPQ 的组间差异为-5.3,WHODAS 为-1.5。在敏感性分析中,治疗效果更大。研究结果表明,有必要进行随机对照试验。
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引用次数: 0
Ecological assessment of unilateral spatial neglect in immersive virtual reality: A multiple-case study to assess the feasibility and relevance of a Baking Tray Task. 沉浸式虚拟现实中单侧空间忽略的生态评估:多案例研究,评估烘烤托盘任务的可行性和相关性。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-09-23 DOI: 10.1080/09602011.2024.2394527
Marine Gaffard, Clémence Bourlon, Tristan-Gael Bara, Tifanie Bouchara, Florence Colle, Silvia Silvestri, Perrine Quentin, Alma Guilbert

The assessment of unilateral spatial neglect (USN) primarily relies on paper-and-pencil tests, which do not fully represent daily life difficulties. To address this limitation, ecological tests, like the Baking Tray Test (BTT), have been developed. However, the original BTT identifies the presence of USN without providing information on its severity. In this aim, a new severity measure, the Centre of Mass (CoM), has been proposed, but its calculation in real environments poses challenges. Immersive virtual reality (VR) offers a promising solution for implementing a BTT in which measures are automatically calculated. This study aimed to assess the feasibility and relevance of an immersive VR BTT. Nineteen right brain-damaged patients with and without USN and 25 healthy participants were included. Group analyses showed an equivalence between the two BTT versions. Individual analyses revealed that all USN patients, except one, had pathological results in both versions. They also underlined pathological scores in patients without USN signs on paper-and-pencil tests. Finally, the CoM strongly correlated with paper-and-pencil tests and appeared to be a good indicator of USN severity. These findings support the relevance of implementing the BTT in an immersive VR version, suggesting its potential to enhance USN assessment.

对单侧空间忽略(USN)的评估主要依赖于纸笔测验,而纸笔测验并不能完全反映日常生活中的困难。为了解决这一局限性,人们开发了生态测试,如烘烤盘测试(BTT)。然而,最初的 BTT 仅能识别是否存在 USN,却不能提供其严重程度的信息。为此,有人提出了一种新的严重程度测量方法--质量中心(CoM),但在真实环境中计算该方法却面临挑战。身临其境的虚拟现实(VR)为实施可自动计算测量值的 BTT 提供了一种很有前景的解决方案。本研究旨在评估沉浸式 VR BTT 的可行性和相关性。研究对象包括 19 名患有或未患有 USN 的右脑受损患者和 25 名健康参与者。群体分析表明,两个 BTT 版本之间具有等效性。个体分析表明,除一名患者外,所有 USN 患者在两个版本中都有病理结果。他们还强调了在纸笔测试中没有 USN 征兆的患者的病理得分。最后,CoM 与纸笔测验密切相关,似乎是 USN 严重程度的良好指标。这些研究结果证明了在身临其境的 VR 版本中实施 BTT 的相关性,表明其具有增强 USN 评估的潜力。
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引用次数: 0
Feasibility of Concussion Essentials: A multimodal intervention for persisting post-concussion symptoms among children and adolescents. 脑震荡要点》的可行性:针对儿童和青少年持续性脑震荡后症状的多模式干预。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-09-21 DOI: 10.1080/09602011.2024.2402564
Vanessa C Rausa, Franz E Babl, Katie Davies, Michael Takagi, Gavin A Davis, Audrey McKinlay, Bianca Charles, Stephen J C Hearps, Nicholas Anderson, Cathriona Clarke, Peter Barnett, Kevin Dunne, Vicki Anderson

This study examined the feasibility of "Concussion Essentials" (CE), an individualized, multimodal intervention for persisting post-concussion symptoms (pPCS). Thirteen 6-18 year-olds with pPCS at 1-month post-concussion, as determined by the Post Concussion Symptom Inventory - Parent Report (PCSI-P), completed education, physiotherapy, and psychology modules, for up to 8-weeks or until pPCS resolved. Intervention participants were matched to a longitudinal observational cohort who received usual care (n = 13). The study enrolled 70% of participants symptomatic on screening and the dropout rate was <30% between baseline and post-programme assessments (4-weeks to 3-months post-injury). Symptoms improved for 100% of CE participants, with the number of symptomatic items on the PCSI-P reducing from 4-weeks, Median (IQR) = 14.0 (8.0-19.0) to 3-months, Median (IQR) = 1.0 (0.0-5.0). Comparatively, symptoms improved for approximately half of matched usual care participants. CE participants (n = 8) and their parents (n = 11) completed acceptability questionnaires. Most parents (91%) agreed CE was acceptable for children with concussion. All participants agreed CE was appropriate for concussion, while approximately 88% agreed they enjoyed the intervention and would recommend CE to others. Findings suggest CE is a feasible and acceptable treatment for paediatric pPCS. Further investigation within a larger scale randomized clinical trial is warranted.

本研究探讨了 "脑震荡要点"(CE)的可行性,这是一种针对持续性脑震荡后症状(pPCS)的个性化、多模式干预措施。根据 "脑震荡后症状量表--家长报告"(PCSI-P),13 名 6-18 岁的儿童在脑震荡后 1 个月出现了持续性脑震荡后症状(pPCS),他们完成了教育、物理治疗和心理治疗模块,持续时间长达 8 周或直到持续性脑震荡后症状得到缓解。干预参与者与接受常规护理的纵向观察队列(n = 13)相匹配。该研究招募了 70% 在筛查时有症状的参与者,辍学率为
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引用次数: 0
SMART-goal domains and goal attainment in an individualized, goal-oriented intervention for children with acquired brain injury and their families 针对后天性脑损伤儿童及其家庭的个性化目标导向干预中的 SMART 目标域和目标实现情况
IF 2.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-09-16 DOI: 10.1080/09602011.2024.2402095
Ingvil Laberg Holthe, Nina Marit Rohrer-Baumgartner, Edel Jannecke Svendsen, Cecilie Røe, Ida M. H. Borgen, Solveig Lægreid Hauger, Jennie L. Ponsford, Jens Egeland, Shari Wade, Marianne Løvstad
Pediatric acquired brain injury (pABI) may lead to long-lasting challenges in need of rehabilitation-efforts years after the insult. The Child in Context Intervention (CICI) is an individualized, g...
小儿后天性脑损伤(pABI)可能会导致长期的挑战,需要在受伤多年后进行康复治疗。儿童情境干预(CICI)是一种个性化、全面的儿童康复方法。
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引用次数: 0
Cognitive vulnerabilities and depressed mood in acquired brain injury. 后天性脑损伤的认知脆弱性和抑郁情绪。
IF 2.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-09-12 DOI: 10.1080/09602011.2024.2393374
Fionnuala C Murphy,Polly V Peers,Tilak Das,Tom Manly
ABSTRACTAcquired Brain Injury (ABI), an important cause of long-term disability, is associated with increased rates of depression in addition to common cognitive and physical consequences. Past research has linked post-ABI depression to injury severity (e.g., extent of physical or cognitive impairment) and premorbid mood problems. In the general (non-ABI) population, depression is associated with cognitive vulnerabilities that have informed the development of psychological interventions. In this observational study in a heterogeneous sample of individuals with chronic stage ABI, we examine two cognitive vulnerabilities - dysfunctional attitudes (DAs) and autobiographical memory specificity - and explore whether these are linked to depression symptoms and ongoing cognitive difficulties as in the general population. Compared to control participants, individuals with an ABI demonstrated increased endorsement of DAs and reduced specificity of autobiographical memory recall. Within the ABI group, cognitive vulnerability-depression symptom correlations were detected for an explicit measure of DAs, but not for a more implicit DA measure or for autobiographical memory specificity. While individual differences in injury severity and other factors likely obscured subtle relationships between mood and cognitive vulnerabilities, evidence of these vulnerabilities may be relevant to changes in identity and psychological interventions that target low mood in ABI.
摘要获得性脑损伤(ABI)是导致长期残疾的一个重要原因,除了常见的认知和身体后果外,还与抑郁症发病率的增加有关。过去的研究表明,脑损伤后抑郁与损伤严重程度(如身体或认知障碍程度)和病前情绪问题有关。在普通(非脑损伤)人群中,抑郁与认知方面的脆弱性有关,这为心理干预措施的开发提供了依据。在这项针对慢性期ABI患者的异质性样本的观察性研究中,我们检查了两种认知脆弱性--功能障碍态度(DAs)和自传体记忆特异性--并探讨了它们是否与普通人群中的抑郁症状和持续的认知困难有关。与对照组受试者相比,有 ABI 的受试者对 DAs 的认可度增加,而对自传体记忆回忆的特异性降低。在缺血性心肌梗死组中,认知脆弱性与抑郁症状之间的相关性在一项明确的认知障碍测量中被检测到,但在一项更隐性的认知障碍测量或自传体记忆特异性测量中却没有被检测到。虽然受伤严重程度的个体差异和其他因素可能掩盖了情绪和认知脆弱性之间的微妙关系,但这些脆弱性的证据可能与针对 ABI 情绪低落的身份变化和心理干预有关。
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引用次数: 0
Improving emotion regulation ability after brain injury: A systematic review of targeted interventions. 提高脑损伤后的情绪调节能力:有针对性干预措施的系统回顾。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-09-04 DOI: 10.1080/09602011.2024.2398029
Natalie Pepping, Michael Weinborn, Carmela F Pestell, David A Preece, Maya Malkani, Sammy Moore, James J Gross, Rodrigo Becerra

Emotion dysregulation is a common sequela after a brain injury, and it can have serious negative consequences for individuals, families, and the community. A systematic review of the literature was conducted to identify and evaluate interventions designed to improve emotion regulation ability in adults with acquired brain injury. Studies were identified on ProQuest, PsycInfo, ScienceDirect, Scopus, and Web of Science; last searched on 3 August 2023. A review protocol was prospectively registered on PROSPERO (CRD42020218175). Risk of bias was assessed using the Cochrane Risk-of-Bias tool (version 2). Sixteen studies were included in the review comprising one case series, five pilot studies, four pre-post studies, and six RCTs. There was a total of 652 participants across studies. Fourteen of the sixteen studies reported statistically significant improvements in at least one emotional functioning variable. Ten studies reported medium-large effect sizes. Limitations included inconsistency in the measurement, reporting of intervention outcomes and processes. Future directions are discussed.

情绪失调是脑损伤后常见的后遗症,会给个人、家庭和社区带来严重的负面影响。我们对相关文献进行了系统性回顾,以确定和评估旨在改善后天性脑损伤成人情绪调节能力的干预措施。相关研究在 ProQuest、PsycInfo、ScienceDirect、Scopus 和 Web of Science 上进行了搜索,最后一次搜索时间为 2023 年 8 月 3 日。综述协议已在 PROSPERO(CRD42020218175)上进行了前瞻性注册。采用 Cochrane 偏倚风险工具(第 2 版)对偏倚风险进行了评估。综述共纳入 16 项研究,包括 1 项病例系列研究、5 项试点研究、4 项前后期研究和 6 项研究性临床试验。各项研究共有 652 名参与者。在 16 项研究中,有 14 项研究报告称,至少在一个情绪功能变量上取得了统计学意义上的显著改善。十项研究报告了中-大效应量。局限性包括干预结果和过程的测量、报告不一致。讨论了未来的发展方向。
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引用次数: 0
A rapid realist review of clinical neuropsychology rehabilitation programmes to improve psychological wellbeing and quality of life for people with acquired brain injuries. 临床神经心理学康复方案,以改善心理健康和生活质量的人获得性脑损伤的快速现实审查。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-09-01 Epub Date: 2023-11-17 DOI: 10.1080/09602011.2023.2273580
K Fletcher, S Wydera, N Thorpe, K Radford, R das Nair, V Booth

Approximately 20% of acquired brain injury (ABI) survivors experience reduced psychological wellbeing (PWB). Neuropsychological rehabilitation (NPR) is one approach supporting people with ABI to participate meaningfully in activities despite challenges. Although literature supports NPR effectiveness, little is known about change mechanisms. This systematic realist review identifies what NPR programmes have been designed, delivered, and evaluated for people with ABI to improve PWB and/or quality of life (QOL), as well as providing a context-relevant understanding of what NPR includes and how NPR might lead to positive outcomes. A rapid realist review was conducted in three phases: (1) structured retrieval and evidence extraction; (2) stakeholder consultation; (3) analysis and synthesis. Searches were completed, and findings from 35 publications and one stakeholder consultation were synthesized into a refined logic model. Six context-mechanism-outcome chains (CMOCs) were identified. Participants' relationships to internal experiences, and feelings of self-worth, mastery, and connection appeared to be mechanisms that led to improved PWB and QOL. Adaptation and individualized programmes were also key mechanisms to explain successful NPR. Embedding CMOCs into NPR could improve PWB and/or QOL for people with ABI. The logic model will inform ongoing development of a new online, group-based, NPR programme.

大约20%的获得性脑损伤(ABI)幸存者经历了心理健康(PWB)的下降。神经心理康复(NPR)是一种支持ABI患者在挑战中有意义地参与活动的方法。虽然文献支持NPR的有效性,但对其变化机制知之甚少。这篇系统的现实主义综述确定了为ABI患者设计、交付和评估的NPR计划,以改善PWB和/或生活质量(QOL),并提供了NPR包括什么以及NPR如何导致积极结果的上下文相关理解。快速现实主义回顾分为三个阶段:(1)结构化检索和证据提取;(2)利益相关者协商;(3)分析综合。完成了搜索,并将35份出版物和一次利益相关者咨询的结果合成为一个精炼的逻辑模型。确定了6条情境-机制-结果链(cmoc)。参与者与内在体验的关系、自我价值感、掌控感和联系感似乎是导致PWB和QOL改善的机制。适应和个性化方案也是解释NPR成功的关键机制。将cmoc嵌入NPR可以改善ABI患者的PWB和/或生活质量。这个逻辑模型将为正在进行的新的在线、以小组为基础的国家公共广播节目的开发提供信息。
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引用次数: 0
Coping with emotional dysregulation among young adults with ADHD: A mixed-method study of self-awareness and strategies in daily life. 青少年ADHD患者情绪失调的应对:日常生活中自我意识和策略的混合方法研究。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-09-01 Epub Date: 2023-11-16 DOI: 10.1080/09602011.2023.2279181
Maayan Ben-Dor Cohen, Mor Nahum, Ruthie Traub Bar-Ilan, Eran Eldar, Adina Maeir

Background: Emotional dysregulation (ED) impacts functional outcomes among individuals with attention-deficit hyperactivity disorder (ADHD). Self-awareness and strategies may enhance coping with ED yet are rarely studied in ADHD.

Objectives: To explore ED-related self-awareness and strategies in daily life of adults with ADHD, and to examine the interrelations between them and their association with symptoms.

Methods: Sixty young adults with ADHD participated in a mixed-method study. At baseline, self-awareness and strategies were assessed using the Self-Regulation Skills Interview (SRSI); ADHD symptoms were self-rated using the ASRS symptom checklist. Then, symptoms were rated over 5-days using ecological momentary assessment (EMA).

Results: Significant challenges in self-awareness and strategies were demonstrated quantitatively and qualitatively. Awareness of ED was associated with variability of ADHD symptoms on EMA yet not with symptom severity. Qualitative content analysis revealed a range of self-awareness levels, which were related to noticing ED-related cues and understanding contextual factors predictive of ED. Self-awareness and strategies were significantly associated. Strategies varied regarding effort, individual preference and temporality.

Conclusions: Variability of ADHD symptoms was negatively associated with self-awareness of ED. Strategy selection in daily-life among adults with ADHD may be affected by self-awareness and by a possible trade-off between short-term effort and long-term effectiveness.

背景:情绪失调(ED)影响注意缺陷多动障碍(ADHD)患者的功能结局。自我意识和策略可能会增强ED的应对能力,但很少在ADHD中进行研究。目的:探讨ADHD成人日常生活中ed相关的自我意识和策略,并探讨两者之间的相互关系及其与症状的关联。方法:60名患有多动症的年轻成年人参加了一项混合方法研究。在基线时,使用自我调节技能访谈(SRSI)评估自我意识和策略;使用ASRS症状表对ADHD症状进行自评。然后,使用生态瞬时评估(EMA)对5天内的症状进行评分。结果:定量和定性地展示了自我意识和策略方面的重大挑战。对ED的认识与EMA患者ADHD症状的变异性相关,但与症状严重程度无关。定性内容分析揭示了自我意识水平的范围,这些水平与注意ED相关线索和理解ED预测的上下文因素有关,自我意识和策略显著相关。策略因努力程度、个人偏好和时间性而异。结论:ADHD症状的可变性与ED的自我意识呈负相关。ADHD成人日常生活中的策略选择可能受到自我意识的影响,并可能受到短期努力和长期效果之间的权衡的影响。
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引用次数: 0
Profiling self-awareness in brain injury rehabilitation: A mixed methods study. 脑损伤康复中的自我意识特征分析:一项混合方法研究。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-09-01 Epub Date: 2023-12-03 DOI: 10.1080/09602011.2023.2282656
Danielle Sansonetti, Jennifer Fleming, Freyr Patterson, Natasha A Lannin

ABSTRACTImpaired self-awareness impacts outcomes for individuals with brain injury. Self-awareness is a complex construct, with little known about how its presentation differs across diagnostic groups, or how brain injury-related changes are expressed by individuals in the early phase post-brain injury. This study aims to identify differences and similarities in patterns of self-awareness between patients with different brain injury diagnoses, and provide a clinical account of how individuals with ABI describe changes to themselves arising from brain injury. This is a mixed methods retrospective cohort study involving an audit of medical files that included extraction of data from the Self-Awareness of Deficits Interview. Quantitative and qualitative techniques were used to analyse data from 173 participants. Individuals identified a range of brain injury-related impairments across domains, with greatest difficulty noted with linking impairments to functional implications and setting realistic goals. There were similarities and distinct differences in the expression of changes across diagnostic groups. Two main themes that aligned with self-awareness theory were identified from the data: 1/ Development of self-awareness; and 2/ Dimensions of self-awareness. These interrelated themes demonstrated the multifaceted nature of the clinical presentation of self-awareness, and highlight the need for an individualized approach to cognitive rehabilitation.

自我意识缺失影响脑损伤患者的预后。自我意识是一个复杂的结构,很少有人知道它在不同诊断组中的表现如何不同,或者在脑损伤后早期个体如何表达与脑损伤相关的变化。本研究旨在确定不同脑损伤诊断的患者自我意识模式的异同,并为ABI患者如何描述脑损伤引起的自我变化提供临床解释。这是一项混合方法的回顾性队列研究,涉及对医疗档案的审计,包括从缺陷自我意识访谈中提取的数据。定量和定性技术用于分析来自173名参与者的数据。个体识别出一系列跨领域的脑损伤相关损伤,最大的困难是将损伤与功能影响联系起来,并设定现实的目标。不同诊断组的变化表达既有相似之处,也有明显差异。从数据中确定了与自我意识理论一致的两个主要主题:1/自我意识的发展;2/自我意识的维度。这些相互关联的主题展示了自我意识临床表现的多面性,并强调了个性化认知康复方法的必要性。
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引用次数: 0
Communication between rehabilitation staff and people with traumatic brain injury: A systematic review. 康复工作人员与创伤性脑损伤患者之间的沟通:一项系统综述。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-09-01 Epub Date: 2023-11-09 DOI: 10.1080/09602011.2023.2274625
Iben Christensen, Emma Power, Leanne Togher, Sophie Brassel, Elise Elbourn, Naomi Folder, Lise Randrup Jensen

This systematic review aimed to synthesize barriers and facilitators in communicative interactions between staff and people with traumatic brain injury (TBI) in the rehabilitation context. Searches captured published evidence up to November 2022 in MEDLINE, Embase, SCOPUS, Web of Science, CINAHL, AMED, and PsycINFO. Eligible studies reported on the communicative interaction between rehabilitation staff and adults with TBI. In total, 31 studies were included in the review; including quantitative, qualitative, and mixed-methods designs. Quality assessment was carried out using standard checklists. Quantitative studies and quantitative components of mixed-method studies were synthesized descriptively according to reported communication barriers and facilitators. Qualitative studies and qualitative components of mixed-method studies were analysed through an inductive thematic meta-synthesis; generating six main themes with four subthemes. Themes were categorized as barriers or facilitators to communicative interaction. Findings demonstrated that cognitive-communication disorders of people with TBI challenge the communicative interaction between rehabilitation staff and people with TBI. However, the extent to which these disorders create a communicative barrier is closely related to staff's communicative approach. While staff holding a collaborative and acknowledging approach and using supportive strategies may facilitate successful communicative interactions, staff using the opposite approach may exacerbate communication barriers.

这篇系统综述旨在综合康复背景下工作人员和创伤性脑损伤患者之间沟通互动的障碍和促进者。截至2022年11月,搜索在MEDLINE、Embase、SCOPUS、Web of Science、CINAHL、AMED和PsycINFO上捕获了已发表的证据。符合条件的研究报告了康复工作人员和患有创伤性脑损伤的成年人之间的交流互动。共有31项研究被纳入审查;包括定量、定性和混合方法设计。使用标准检查表进行质量评估。根据报告的沟通障碍和促进者,描述性地综合了定量研究和混合方法研究的定量组成部分。定性研究和混合方法研究的定性组成部分通过归纳主题元综合进行分析;生成六个主题和四个子主题。主题被归类为沟通互动的障碍或促进者。研究结果表明,脑外伤患者的认知沟通障碍挑战了康复人员与脑外伤患者之间的沟通互动。然而,这些障碍在多大程度上造成了沟通障碍,这与员工的沟通方式密切相关。虽然工作人员采取合作和承认的方法并使用支持性策略可能有助于成功的沟通互动,但使用相反方法的工作人员可能会加剧沟通障碍。
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引用次数: 0
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Neuropsychological Rehabilitation
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