Pub Date : 2024-07-01Epub Date: 2023-08-20DOI: 10.1080/09602011.2023.2247153
Jasmine R Aziz, Gail A Eskes
Prism adaptation (PA) is both a visuomotor learning task and potential treatment for spatial neglect after stroke. While PA's aftereffects can improve neglect symptoms, therapeutic benefits vary across individuals, possibly due to differences in neglect subtypes. Neglect symptoms can be described along an information processing pathway, yielding perceptual (input) and premotor (output) neglect subtypes. There is some evidence that PA mainly benefits persons with premotor neglect. We investigated whether PA modulates the premotor stage of information processing by examining whether PA could induce a premotor bias in healthy adults. We measured perceptual and premotor biases using a speeded reach task that compares the initiation time of leftward and rightward reaches to lateralized targets from different hand start positions. Using a randomized mixed experimental design, 30 right-handed healthy adults completed this speeded reach task before and after either left-shifting (n = 15) or right-shifting (n = 15) PA. As hypothesized, left-shifting PA speeded initiation time specifically for reaches in the rightward direction, regardless of target location (p = .02, ηp2 = .18), suggesting that PA induced a premotor bias in the direction of the prism aftereffect. These findings have implications for PA's underlying mechanisms, which can inform visuomotor learning theories and PA's use as a treatment for spatial neglect.
棱镜适应(PA)既是一项视觉运动学习任务,也是治疗中风后空间忽略的潜在方法。虽然 PA 的后效应可以改善忽视症状,但治疗效果因人而异,这可能是由于忽视亚型的差异造成的。忽视症状可以沿着信息加工路径进行描述,产生知觉(输入)和前运动(输出)忽视亚型。有证据表明,PA 主要有利于前运动性忽视患者。我们通过研究 PA 是否会诱发健康成年人的前运动偏差,来探讨 PA 是否会调节信息处理的前运动阶段。我们使用了一种加速伸手任务来测量知觉偏差和前运动偏差,该任务比较了从不同的手开始位置向左和向右伸手到侧向目标的启动时间。采用随机混合实验设计,30 名右手健康的成年人在左移(n = 15)或右移(n = 15)PA 之前和之后完成了这项加速到达任务。正如假设的那样,无论目标位置如何,左移 PA 都加快了向右伸手的启动时间(p = .02, ηp2 = .18),这表明 PA 诱导了棱镜后效方向的前运动偏差。这些发现对PA的潜在机制有一定的影响,可以为视觉运动学习理论和PA作为空间忽视的治疗方法提供参考。
{"title":"Investigating premotor reaching biases after prism adaptation.","authors":"Jasmine R Aziz, Gail A Eskes","doi":"10.1080/09602011.2023.2247153","DOIUrl":"10.1080/09602011.2023.2247153","url":null,"abstract":"<p><p>Prism adaptation (PA) is both a visuomotor learning task and potential treatment for spatial neglect after stroke. While PA's aftereffects can improve neglect symptoms, therapeutic benefits vary across individuals, possibly due to differences in neglect subtypes. Neglect symptoms can be described along an information processing pathway, yielding perceptual (input) and premotor (output) neglect subtypes. There is some evidence that PA mainly benefits persons with premotor neglect. We investigated whether PA modulates the premotor stage of information processing by examining whether PA could induce a premotor bias in healthy adults. We measured perceptual and premotor biases using a speeded reach task that compares the initiation time of leftward and rightward reaches to lateralized targets from different hand start positions. Using a randomized mixed experimental design, 30 right-handed healthy adults completed this speeded reach task before and after either left-shifting (<i>n </i>= 15) or right-shifting (<i>n </i>= 15) PA. As hypothesized, left-shifting PA speeded initiation time specifically for reaches in the rightward direction, regardless of target location (<i>p </i>= .02, <i>η<sub>p</sub></i><sup>2 </sup>= .18), suggesting that PA induced a premotor bias in the direction of the prism aftereffect. These findings have implications for PA's underlying mechanisms, which can inform visuomotor learning theories and PA's use as a treatment for spatial neglect.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10088982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01Epub Date: 2023-07-27DOI: 10.1080/09602011.2023.2238950
Brenda C Lovette, Millan R Kanaya, Victoria A Grunberg, Ellen McKinnon, Ana-Maria Vranceanu, Jonathan Greenberg
Purpose: Young adults with anxiety are vulnerable to developing persistent symptoms following concussions. In order to develop psychosocial interventions to prevent persistent post-concussion symptoms, we need to understand patients' 1) experiences with treatments offered by health care providers; 2) experiences with attempted concussion management strategies; and 3) needs after their injury.
Methods: We conducted in-depth interviews with 17 young adults with recent (≤ 10 weeks) concussions who have at least mild anxiety (Generalized Anxiety Disorder Assessment-7 ≥ 5). We used a hybrid deductive-inductive approach to thematic analysis.
Results: Findings provide insight into recommended treatments (e.g., active/avoidant strategies, accommodations, referrals), attempted strategies (e.g., lifestyle changes, pacing, relationships, acceptance-based coping skills), and patient needs (e.g., education, accommodations, referrals for cognitive and emotional skills). Participants frequently expressed that treatment recommendations were confusing and difficult to implement. They initiated non-prescribed strategies that helped promote recovery and expressed a desire for more interdisciplinary treatment and education on concussions.
Conclusion: Patients' perceptions of health care provider recommendations after concussions did not fully meet patients' perceived needs. Young adults with concussions and anxiety would benefit from more education, guidance, and psychosocial and rehabilitation services. Addressing these gaps may help align treatments with patients' needs and therefore help optimize their recovery.
{"title":"\"Alone in the dark\": A qualitative study of treatment experiences among young adults with a recent concussion and anxiety.","authors":"Brenda C Lovette, Millan R Kanaya, Victoria A Grunberg, Ellen McKinnon, Ana-Maria Vranceanu, Jonathan Greenberg","doi":"10.1080/09602011.2023.2238950","DOIUrl":"10.1080/09602011.2023.2238950","url":null,"abstract":"<p><strong>Purpose: </strong>Young adults with anxiety are vulnerable to developing persistent symptoms following concussions. In order to develop psychosocial interventions to prevent persistent post-concussion symptoms, we need to understand patients' 1) experiences with treatments offered by health care providers; 2) experiences with attempted concussion management strategies; and 3) needs after their injury.</p><p><strong>Methods: </strong>We conducted in-depth interviews with 17 young adults with recent (≤ 10 weeks) concussions who have at least mild anxiety (Generalized Anxiety Disorder Assessment-7 ≥ 5). We used a hybrid deductive-inductive approach to thematic analysis.</p><p><strong>Results: </strong>Findings provide insight into recommended treatments (e.g., active/avoidant strategies, accommodations, referrals), attempted strategies (e.g., lifestyle changes, pacing, relationships, acceptance-based coping skills), and patient needs (e.g., education, accommodations, referrals for cognitive and emotional skills). Participants frequently expressed that treatment recommendations were confusing and difficult to implement. They initiated non-prescribed strategies that helped promote recovery and expressed a desire for more interdisciplinary treatment and education on concussions.</p><p><strong>Conclusion: </strong>Patients' perceptions of health care provider recommendations after concussions did not fully meet patients' perceived needs. Young adults with concussions and anxiety would benefit from more education, guidance, and psychosocial and rehabilitation services. Addressing these gaps may help align treatments with patients' needs and therefore help optimize their recovery.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10818011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9931140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01Epub Date: 2023-08-24DOI: 10.1080/09602011.2023.2242616
Marilien C Marzolla, Hella Thielen, Petra Hurks, Lex Borghans, Caroline van Heugten
Sensory hypersensitivity (SHS) is a frequently heard complaint after acquired brain injury (ABI) and is related to reduced quality of life and physical and mental health. This study aimed to identify triggers for SHS after ABI and investigate how individuals cope with SHS. Nineteen adults with ABI took part in 45-min individual interviews. Data were audio-recorded and transcribed verbatim. Inductive thematic analysis revealed five themes: (1) A mismatch between resources and demands, (2) Altered experience of ordinary stimuli, (3) It affects all aspects of living, (4) Avoid, approach, accept, (5) It's highly heterogeneous. A model explaining the impact of triggers on subjective SHS after ABI is proposed, which states that SHS arises from a mismatch between the demands of a sensory environment (triggers) and the available biopsychosocial resources of an individual to meet these demands. The elicited SHS can affect and be affected by levels of fatigue, which limits the resources and creates a loop. Coping strategies can act on various stages of this model, i.e., to reduce the mismatch and potentially alter the loop. This model can contribute to the identification of mechanisms behind SHS in ABI patients and other populations, ultimately leading to evidence-based treatments.
感觉过敏(SHS)是后天性脑损伤(ABI)后经常听到的一种主诉,与生活质量下降和身心健康有关。本研究旨在确定ABI后感官过敏的诱因,并调查个人如何应对感官过敏。19 名患有 ABI 的成年人参加了 45 分钟的个人访谈。对数据进行了录音和逐字转录。归纳式主题分析揭示了五个主题:(1)资源与需求不匹配;(2)对普通刺激的体验改变;(3)影响生活的方方面面;(4)避免、接近、接受;(5)高度异质性。我们提出了一个模型来解释诱发因素对人工晶体植入术后主观 SHS 的影响,该模型指出,SHS 的产生是由于感官环境(诱发因素)的需求与个体满足这些需求的可用生物-心理-社会资源之间的不匹配。引发的 SHS 会影响疲劳程度,疲劳程度也会影响 SHS,从而限制资源并形成循环。应对策略可以作用于这一模型的各个阶段,即减少不匹配并可能改变循环。该模型有助于确定 ABI 患者和其他人群 SHS 背后的机制,最终形成以证据为基础的治疗方法。
{"title":"Qualitative data on triggers and coping of sensory hypersensitivity in acquired brain injury patients: A proposed model.","authors":"Marilien C Marzolla, Hella Thielen, Petra Hurks, Lex Borghans, Caroline van Heugten","doi":"10.1080/09602011.2023.2242616","DOIUrl":"10.1080/09602011.2023.2242616","url":null,"abstract":"<p><p>Sensory hypersensitivity (SHS) is a frequently heard complaint after acquired brain injury (ABI) and is related to reduced quality of life and physical and mental health. This study aimed to identify triggers for SHS after ABI and investigate how individuals cope with SHS. Nineteen adults with ABI took part in 45-min individual interviews. Data were audio-recorded and transcribed verbatim. Inductive thematic analysis revealed five themes: (1) <i>A mismatch between resources and demands</i>, (2) <i>Altered experience of ordinary stimuli,</i> (3) <i>It affects all aspects of living</i>, (4) <i>Avoid, approach, accept,</i> (5) <i>It's highly heterogeneous</i>. A model explaining the impact of triggers on subjective SHS after ABI is proposed, which states that SHS arises from a mismatch between the demands of a sensory environment (triggers) and the available biopsychosocial resources of an individual to meet these demands. The elicited SHS can affect and be affected by levels of fatigue, which limits the resources and creates a loop. Coping strategies can act on various stages of this model, i.e., to reduce the mismatch and potentially alter the loop. This model can contribute to the identification of mechanisms behind SHS in ABI patients and other populations, ultimately leading to evidence-based treatments.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10200255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-28DOI: 10.1080/09602011.2024.2370072
Chantal A V Geusgens, Debbie C H van Tilburg, Britt Fleischeuer, Jessica Bruijel
Prevalence rates for both depression and insomnia the first year after stroke are around 30%, significantly impacting the prospects of recovery, rehabilitation, and quality of life. Furthermore, the risk of insomnia and depression becoming chronic is high in the subacute phase post-stroke. This cross-sectional observational study investigated whether insomnia and depression are related in the subacute phase post-stroke, using validated instruments. Sixty-six outpatient stroke survivors participated. Depression was measured using the depression subscale of the Hospital Anxiety and Depression Scale (HADS-D) and insomnia severity with the Insomnia Severity Index (ISI). A multiple linear regression analysis was used to examine the association between the dependent variable post-stroke depression and the independent variables insomnia and pre-stroke depression treatment. Results showed that insomnia (β = 0.48, t = 4.40, p < 0.001) and pre-stroke depression treatment (β = 0.24, t = 2.28, p = 0.026) were both significant predictors of depression. Participants with more insomnia complaints and participants with pre-stroke depression treatment had more depression symptoms post-stroke. Therefore, it is important to be alert in the subacute phase post-stroke of both, insomnia and depression complaints.
{"title":"The relation between insomnia and depression in the subacute phase after stroke.","authors":"Chantal A V Geusgens, Debbie C H van Tilburg, Britt Fleischeuer, Jessica Bruijel","doi":"10.1080/09602011.2024.2370072","DOIUrl":"https://doi.org/10.1080/09602011.2024.2370072","url":null,"abstract":"<p><p>Prevalence rates for both depression and insomnia the first year after stroke are around 30%, significantly impacting the prospects of recovery, rehabilitation, and quality of life. Furthermore, the risk of insomnia and depression becoming chronic is high in the subacute phase post-stroke. This cross-sectional observational study investigated whether insomnia and depression are related in the subacute phase post-stroke, using validated instruments. Sixty-six outpatient stroke survivors participated. Depression was measured using the depression subscale of the Hospital Anxiety and Depression Scale (HADS-D) and insomnia severity with the Insomnia Severity Index (ISI). A multiple linear regression analysis was used to examine the association between the dependent variable post-stroke depression and the independent variables insomnia and pre-stroke depression treatment. Results showed that insomnia (<i>β</i> = 0.48, <i>t </i>= 4.40, <i>p </i>< 0.001) and pre-stroke depression treatment (<i>β</i> = 0.24, <i>t </i>= 2.28, <i>p </i>= 0.026) were both significant predictors of depression. Participants with more insomnia complaints and participants with pre-stroke depression treatment had more depression symptoms post-stroke. Therefore, it is important to be alert in the subacute phase post-stroke of both, insomnia and depression complaints.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acquired Brain Injury (ABI) often results in significant challenges, yet it may also facilitate Post-Traumatic Growth (PTG). This review explores a critical question: "What are the main factors contributing to PTG following ABI, and what potential barriers to its development are perceived by ABI survivors?" Here we aim to systematically uncover these contributors and barriers to PTG through a meta-synthesis, involving a comprehensive review of previously published qualitative research on this topic. A literature search was conducted across PsycINFO, CINAHL, and MEDLINE up to December 2022 to identify studies for inclusion. From an initial pool of 1,946 records, eleven articles were selected for inclusion. Reflexive thematic analysis yielded three analytical themes including "Journey to Self-Rediscovery", "Strength in Connection" and "Overcoming Obstacles". Our findings also revealed facilitators and barriers across multiple levels of scale including personal (e.g., acceptance versus resignation), interpersonal (e.g., positive social ties versus difficulties making social connections), and systemic (e.g., new meaning and purpose versus financial constraints) scales. Our research extends existing knowledge in ABI rehabilitation, providing a more nuanced understanding of the dynamics influencing PTG with implications for clinicians seeking to promote wellbeing following brain injury.
{"title":"Thriving in the wake of a storm: A systematic qualitative review & meta-synthesis on facilitating post-traumatic growth in patients living with Acquired Brain Injury.","authors":"Pamela Arroyo, Lowri Wilkie, Elen Davies, Zoe Fisher, Andrew Haddon Kemp","doi":"10.1080/09602011.2024.2356891","DOIUrl":"https://doi.org/10.1080/09602011.2024.2356891","url":null,"abstract":"<p><p>Acquired Brain Injury (ABI) often results in significant challenges, yet it may also facilitate Post-Traumatic Growth (PTG). This review explores a critical question: \"What are the main factors contributing to PTG following ABI, and what potential barriers to its development are perceived by ABI survivors?\" Here we aim to systematically uncover these contributors and barriers to PTG through a meta-synthesis, involving a comprehensive review of previously published qualitative research on this topic. A literature search was conducted across PsycINFO, CINAHL, and MEDLINE up to December 2022 to identify studies for inclusion. From an initial pool of 1,946 records, eleven articles were selected for inclusion. Reflexive thematic analysis yielded three analytical themes including \"Journey to Self-Rediscovery\", \"Strength in Connection\" and \"Overcoming Obstacles\". Our findings also revealed facilitators and barriers across multiple levels of scale including personal (e.g., acceptance versus resignation), interpersonal (e.g., positive social ties versus difficulties making social connections), and systemic (e.g., new meaning and purpose versus financial constraints) scales. Our research extends existing knowledge in ABI rehabilitation, providing a more nuanced understanding of the dynamics influencing PTG with implications for clinicians seeking to promote wellbeing following brain injury.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141319035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-07DOI: 10.1080/09602011.2024.2357850
Jessica McLaren, Alexander Fradera, Breda Cullen
Reliable and valid cognitive screening tools are essential in the assessment of those with traumatic brain injury (TBI). Yet, there is no consensus about which tool should be used in clinical practice. This systematic review assessed psychometric properties of cognitive screening tools for detecting cognitive impairment in TBI. Inclusion criteria were: peer-reviewed validation studies of a cognitive screening tool(s); with a sample of adults aged 18-80 diagnosed with TBI (mild-severe); and with psychometrics consistent with COSMIN guidelines. Published literature was retrieved from MEDLINE, Web of Science Core Collection, EMBASE, CINAHL, and PsycINFO on 27 January 2022. A narrative synthesis was performed. Thirty-four studies evaluated the psychometric properties of a total of 22 cognitive screening tools, in a variety of languages. Properties assessed included structural validity, internal consistency, reliability, criterion validity (or diagnostic test accuracy), convergent/divergent validity, and discriminant validity. The Montreal Cognitive Assessment (MoCA) and the Mini Mental State Examination (MMSE) were the most widely validated cognitive screening tools for use in TBI. The MoCA had the most promising evidence of its psychometric properties, which has implications for clinical practice. Future research should aim to follow standard criteria for psychometric studies to allow meaningful comparisons across the literature.
{"title":"The reliability and validity of brief cognitive screening tools used in traumatic brain injury: A systematic review.","authors":"Jessica McLaren, Alexander Fradera, Breda Cullen","doi":"10.1080/09602011.2024.2357850","DOIUrl":"https://doi.org/10.1080/09602011.2024.2357850","url":null,"abstract":"<p><p>Reliable and valid cognitive screening tools are essential in the assessment of those with traumatic brain injury (TBI). Yet, there is no consensus about which tool should be used in clinical practice. This systematic review assessed psychometric properties of cognitive screening tools for detecting cognitive impairment in TBI. Inclusion criteria were: peer-reviewed validation studies of a cognitive screening tool(s); with a sample of adults aged 18-80 diagnosed with TBI (mild-severe); and with psychometrics consistent with COSMIN guidelines. Published literature was retrieved from MEDLINE, Web of Science Core Collection, EMBASE, CINAHL, and PsycINFO on 27 January 2022. A narrative synthesis was performed. Thirty-four studies evaluated the psychometric properties of a total of 22 cognitive screening tools, in a variety of languages. Properties assessed included structural validity, internal consistency, reliability, criterion validity (or diagnostic test accuracy), convergent/divergent validity, and discriminant validity. The Montreal Cognitive Assessment (MoCA) and the Mini Mental State Examination (MMSE) were the most widely validated cognitive screening tools for use in TBI. The MoCA had the most promising evidence of its psychometric properties, which has implications for clinical practice. Future research should aim to follow standard criteria for psychometric studies to allow meaningful comparisons across the literature.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141288948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
It is unclear whether individuals with agrammatic aphasia have particularly disrupted prosody, or in fact have relatively preserved prosody they can use in a compensatory way. A targeted literature review was undertaken to examine the evidence regarding the capacity of speakers with agrammatic aphasia to produce prosody. The aim was to answer the question, how much prosody can a speaker "do" with limited syntax? The literature was systematically searched for articles examining the production of grammatical prosody in people with agrammatism, and yielded 16 studies that were ultimately included in this review. Participant inclusion criteria, spoken language tasks, and analysis procedures vary widely across studies. The evidence indicates that timing aspects of prosody are disrupted in people with agrammatic aphasia, while the use of pitch and amplitude cues is more likely to be preserved in this population. Some, but not all, of these timing differences may be attributable to motor speech programming deficits (AOS) rather than aphasia, as these conditions frequently co-occur. Many of the included studies do not address AOS and its possible role in any observed effects. Finally, the available evidence indicates that even speakers with severe aphasia show a degree of preserved prosody in functional communication.
目前还不清楚,语法性失语症患者的拟声词是否特别紊乱,或者事实上他们是否有相对保留的拟声词可以补偿性地使用。我们进行了一项有针对性的文献综述,以研究有关语法性失语症患者的拟声能力的证据。目的是回答这样一个问题:在句法有限的情况下,说话者能 "使用 "多少拟声词?我们在文献中系统地搜索了研究语法性失语症患者语法拟声能力的文章,最终有 16 项研究被纳入本综述。不同研究的参与者纳入标准、口语任务和分析程序差异很大。有证据表明,语法性失语症患者的拟声词在时间方面受到干扰,而音高和音幅线索的使用在这类人群中更有可能得到保留。这些时间上的差异有一部分(但并非全部)可能是由于运动性言语编程缺陷(AOS)而非失语症造成的,因为这两种情况经常同时存在。许多纳入的研究并未涉及 AOS 及其在任何观察到的影响中可能扮演的角色。最后,现有证据表明,即使患有严重失语症的说话者在功能性交流中也会表现出一定程度的前音保留。
{"title":"A targeted review of prosodic production in agrammatic aphasia.","authors":"Lauryn Zipse, Jeanne Gallée, Stefanie Shattuck-Hufnagel","doi":"10.1080/09602011.2024.2362243","DOIUrl":"https://doi.org/10.1080/09602011.2024.2362243","url":null,"abstract":"<p><p>It is unclear whether individuals with agrammatic aphasia have particularly disrupted prosody, or in fact have relatively preserved prosody they can use in a compensatory way. A targeted literature review was undertaken to examine the evidence regarding the capacity of speakers with agrammatic aphasia to produce prosody. The aim was to answer the question, how much prosody can a speaker \"do\" with limited syntax? The literature was systematically searched for articles examining the production of grammatical prosody in people with agrammatism, and yielded 16 studies that were ultimately included in this review. Participant inclusion criteria, spoken language tasks, and analysis procedures vary widely across studies. The evidence indicates that timing aspects of prosody are disrupted in people with agrammatic aphasia, while the use of pitch and amplitude cues is more likely to be preserved in this population. Some, but not all, of these timing differences may be attributable to motor speech programming deficits (AOS) rather than aphasia, as these conditions frequently co-occur. Many of the included studies do not address AOS and its possible role in any observed effects. Finally, the available evidence indicates that even speakers with severe aphasia show a degree of preserved prosody in functional communication.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141288946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-07DOI: 10.1080/09602011.2024.2353395
Hanna Lovise Sargénius, Ruth Elizabeth Hypher, Torun Gangaune Finnanger, Anne Elisabeth Brandt, Stein Andersson, Kari Risnes, Torstein Baade Rø, Jan Egil Stubberud
To explore the long-term effectiveness of a paediatric adaptation of Goal Management Training (pGMT), relative to a psychoeducative program (pBHW), in reducing fatigue after pABI 2 years post-intervention. Thirty-eight youths and their parents completed the Paediatric Quality of Life - Multidimensional Fatigue Scale. Primary outcome measures were Total Fatigue Score, General fatigue, Cognitive fatigue, and Sleep/rest fatigue (parent-report). No significant differences in fatigue symptoms by the parental report was observed between the intervention groups at the 2-year follow-up (total score: F = .16, p = .69; general fatigue: F = .36, p = .55; sleep/rest: F = .48, p = .49; and cognitive fatigue: F = .09, p = .76), nor any time*group interactions (total score: F = .25, p = .86; general fatigue: F = .39, p = .76; sleep/rest: F = .20, p = .89; and cognitive fatigue: F = .08, p = .97). In total, 45% of the participants in the pGMT group and 25% in the pBHW group demonstrated a reliable positive clinical change. The significant improvements in fatigue symptoms that were demonstrated 6 months post-intervention could not be confirmed in this 2-year follow-up study. However, a continued positive tendency on most dimensions of fatigue for the participants in the pGMT group could be observed, suggesting that cognitive rehabilitation may help reduce fatigue.
{"title":"Goal management training for improving fatigue in children and adolescents with acquired brain injuries: A 2-year follow-up of a randomised controlled trial.","authors":"Hanna Lovise Sargénius, Ruth Elizabeth Hypher, Torun Gangaune Finnanger, Anne Elisabeth Brandt, Stein Andersson, Kari Risnes, Torstein Baade Rø, Jan Egil Stubberud","doi":"10.1080/09602011.2024.2353395","DOIUrl":"10.1080/09602011.2024.2353395","url":null,"abstract":"<p><p>To explore the long-term effectiveness of a paediatric adaptation of Goal Management Training (pGMT), relative to a psychoeducative program (pBHW), in reducing fatigue after pABI 2 years post-intervention. Thirty-eight youths and their parents completed the Paediatric Quality of Life - Multidimensional Fatigue Scale. Primary outcome measures were Total Fatigue Score, General fatigue, Cognitive fatigue, and Sleep/rest fatigue (parent-report). No significant differences in fatigue symptoms by the parental report was observed between the intervention groups at the 2-year follow-up (total score: <i>F </i>= .16, <i>p</i> = .69; general fatigue: <i>F </i>= .36, <i>p</i> = .55; sleep/rest: <i>F </i>= .48, <i>p</i> = .49; and cognitive fatigue: <i>F </i>= .09, <i>p</i> = .76), nor any time*group interactions (total score: <i>F </i>= .25, <i>p</i> = .86; general fatigue: <i>F </i>= .39, <i>p</i> = .76; sleep/rest: <i>F </i>= .20, <i>p</i> = .89; and cognitive fatigue: <i>F </i>= .08, <i>p</i> = .97). In total, 45% of the participants in the pGMT group and 25% in the pBHW group demonstrated a reliable positive clinical change. The significant improvements in fatigue symptoms that were demonstrated 6 months post-intervention could not be confirmed in this 2-year follow-up study. However, a continued positive tendency on most dimensions of fatigue for the participants in the pGMT group could be observed, suggesting that cognitive rehabilitation may help reduce fatigue.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141288947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-05DOI: 10.1080/09602011.2024.2359992
Nick Sathananthan, Eric Morris, David Gillanders, Roshan das Nair, Lucy Knox, Dana Wong
Effective interventions that facilitate adjustment following acquired brain injury (ABI) are needed to improve long-term outcomes and meaningful reengagement in life. VaLiANT is an 8-week group intervention that combines cognitive rehabilitation with Acceptance and Commitment therapy to improve valued living, wellbeing, and adjustment. This study explored participant experiences of VaLiANT to optimize its ongoing development. This included characterization of individually meaningful treatment outcomes, mechanisms of action, and intervention acceptability. Qualitative interviews and quantitative ratings were collected from 39 ABI survivors (Mage = 52, SD = 15; 54% stroke) following their participation in VaLiANT. Participants reported diverse outcomes which resulted in three themes being generated following reflexive thematic analysis. "A fuller toolkit for life with brain injury" indicated increased strategy usage and better daily functioning; "The value of connection and belonging" captured the importance of social experiences in shaping recovery; and "Finding the me I can be" represented cognitive, behavioural, and emotional aspects of identity reconstruction post-ABI. The content and delivery of the intervention were rated highly but participants desired greater follow-up and tailoring of the intervention. Overall, VaLiANT appears to facilitate adjustment through several mechanisms, but greater intervention individualization and dosage may be required to enhance the treatment impact.
{"title":"Rebuilding the self through valued action and group connections after acquired brain injury: Participant perspectives of the VaLiANT group intervention.","authors":"Nick Sathananthan, Eric Morris, David Gillanders, Roshan das Nair, Lucy Knox, Dana Wong","doi":"10.1080/09602011.2024.2359992","DOIUrl":"https://doi.org/10.1080/09602011.2024.2359992","url":null,"abstract":"<p><p>Effective interventions that facilitate adjustment following acquired brain injury (ABI) are needed to improve long-term outcomes and meaningful reengagement in life. VaLiANT is an 8-week group intervention that combines cognitive rehabilitation with Acceptance and Commitment therapy to improve valued living, wellbeing, and adjustment. This study explored participant experiences of VaLiANT to optimize its ongoing development. This included characterization of individually meaningful treatment outcomes, mechanisms of action, and intervention acceptability. Qualitative interviews and quantitative ratings were collected from 39 ABI survivors (<i>M<sub>age </sub></i>= 52, <i>SD</i> = 15; 54% stroke) following their participation in VaLiANT. Participants reported diverse outcomes which resulted in three themes being generated following reflexive thematic analysis. \"A fuller toolkit for life with brain injury\" indicated increased strategy usage and better daily functioning; \"The value of connection and belonging\" captured the importance of social experiences in shaping recovery; and \"Finding the me I can be\" represented cognitive, behavioural, and emotional aspects of identity reconstruction post-ABI. The content and delivery of the intervention were rated highly but participants desired greater follow-up and tailoring of the intervention. Overall, VaLiANT appears to facilitate adjustment through several mechanisms, but greater intervention individualization and dosage may be required to enhance the treatment impact.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141261704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01Epub Date: 2023-07-10DOI: 10.1080/09602011.2023.2224031
Álvaro Aliaga, María José Bracho, Matías Romero, María José Saldías, Ximena Jofré, Christian Salas
Acquired brain injury (ABI) is a worldwide public health issue for its high prevalence rate and the disability it produces. The consequences of ABI, including cognitive deficits, may impact return to work. This review focuses on the association between executive functions (EFs) and return to work after ABI. A systematic review of the literature between 1998 and 2023 was conducted following PRISMA guidelines. The articles were retrieved from the Pubmed, Medline and Web of Science databases. A total of 49 studies were finally selected. Impairments of EF were consistently shown to have a negative impact on return to work after an ABI. There is evidence that specific executive functions and neurobehavioral variables may affect return to work Studies showed a significant theoretical and methodological heterogeneity, representing an important limitation to understand the relation between EFs and work. There is a robust association between EFs and return to work after brain injury. Findings in this systematic review raise the need for further research on the role of specific EF profiles in the process of returning to work after brain damage.
获得性脑损伤(ABI)是一个世界性的公共卫生问题,因其发病率高且造成残疾。包括认知障碍在内的后遗症可能会影响重返工作岗位。本综述重点研究执行功能(EFs)与脑损伤后重返工作岗位之间的关系。我们按照 PRISMA 指南对 1998 年至 2023 年间的文献进行了系统性回顾。文章检索自 Pubmed、Medline 和 Web of Science 数据库。最终共筛选出 49 项研究。研究一致表明,EF 受损会对缺血性脑损伤后重返工作岗位产生负面影响。有证据表明,特定的执行功能和神经行为变量可能会影响重返工作岗位 研究显示,在理论和方法上存在显著的异质性,这对于理解EF与工作之间的关系是一个重要的限制。脑损伤后,EFs 与重返工作之间存在密切联系。本系统综述的研究结果表明,有必要进一步研究特定的 EF 特征在脑损伤后重返工作岗位过程中的作用。
{"title":"The contribution of executive functions to the process of return to work after brain injury: A systematic review.","authors":"Álvaro Aliaga, María José Bracho, Matías Romero, María José Saldías, Ximena Jofré, Christian Salas","doi":"10.1080/09602011.2023.2224031","DOIUrl":"10.1080/09602011.2023.2224031","url":null,"abstract":"<p><p>Acquired brain injury (ABI) is a worldwide public health issue for its high prevalence rate and the disability it produces. The consequences of ABI, including cognitive deficits, may impact return to work. This review focuses on the association between executive functions (EFs) and return to work after ABI. A systematic review of the literature between 1998 and 2023 was conducted following PRISMA guidelines. The articles were retrieved from the Pubmed, Medline and Web of Science databases. A total of 49 studies were finally selected. Impairments of EF were consistently shown to have a negative impact on return to work after an ABI. There is evidence that specific executive functions and neurobehavioral variables may affect return to work Studies showed a significant theoretical and methodological heterogeneity, representing an important limitation to understand the relation between EFs and work. There is a robust association between EFs and return to work after brain injury. Findings in this systematic review raise the need for further research on the role of specific EF profiles in the process of returning to work after brain damage.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9765080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}