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Exploring emotional distress symptom clusters in young adults with childhood traumatic brain injury. 探索童年脑外伤青壮年的情绪困扰症状群。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-07-20 DOI: 10.1080/09602011.2024.2375803
Edith Botchway-Commey, Nicholas P Ryan, Vicki Anderson, Cathy Catroppa

Background: Depression, anxiety, and stress are persistent and co-occurring symptoms in survivors of childhood traumatic brain injury (TBI), and often impact on health-related quality of life (HRQoL). This paper explored emotional distress symptom clusters and associated factors in young adults with childhood TBI.

Methods: We included 54 young adults who sustained mild (n = 14), moderate (n = 27), and severe (n = 13) childhood TBI, at 20 years post-injury. The Depression Anxiety Stress Scale was administered. Cluster group membership was identified using two-step clustering and hierarchical clustering methods, and associated factors were assessed with multiple regression models.

Results: Two symptom cluster groups were identified, including a No Distress (n = 66%) and an Elevated Distress (n = 33%) group, with the latter showing significantly higher symptoms of depression, anxiety, and stress (all p < .001). Elevated Distress group membership was linked to tobacco use and poor sleep quality, while poor HRQoL was associated with younger age at injury and Elevated Distress group membership.

Conclusions: Using cluster methodology, we showed that one-third of young adults with childhood TBI had elevated emotional distress symptoms. This underscores the complex emotional profile of this subgroup and the need for assessment, analysis, and treatment methods that target a range of symptoms rather than relying on single-diagnostic protocols.

Abbreviations: ANOVA: Analysis of Variance; CT: Computed Tomography; DASS: Depression Anxiety Stress Scale; GCS: Glasgow Coma Scale; HREC: Human Research Ethics Committee; HRQoL: Health-Related Quality of Life; IBM: International Business Machines Corporation; MRI: Magnetic Resonance Imaging; PTA: Post-Traumatic Amnesia; QoL: Quality of Life; QOLIBRI: Quality of Life after Brain Injury Scale; REDCap: Research Electronic Data Capture; SES: Socioeconomic Status; SPSS: Statistical Package for the Social Sciences; TBI: Traumatic Brain Injury.

背景:抑郁、焦虑和压力是儿童创伤性脑损伤(TBI)幸存者长期并发的症状,通常会影响与健康相关的生活质量(HRQoL)。本文探讨了儿童创伤性脑损伤青壮年的情绪困扰症状群及相关因素:我们纳入了 54 名在受伤后 20 年内遭受过轻度(n = 14)、中度(n = 27)和重度(n = 13)儿童创伤性脑损伤的年轻人。我们采用了抑郁焦虑压力量表。采用两步聚类法和分层聚类法确定群组成员,并通过多元回归模型评估相关因素:结果:确定了两个症状聚类组,包括无压力组(n = 66%)和压力升高组(n = 33%),其中压力升高组的抑郁、焦虑和压力症状明显高于无压力组(均为 p):通过使用聚类方法,我们发现三分之一患有儿童创伤性脑损伤的年轻成年人有较高的情绪困扰症状。这凸显了该亚群复杂的情绪特征,以及针对一系列症状而非依赖单一诊断方案的评估、分析和治疗方法的必要性。
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引用次数: 0
Training to deal with distractions and conflicting situations in activities of daily living after traumatic brain injury (TBI): Preliminary evidence from a single-case experimental design study. 脑外伤(TBI)后日常生活活动中处理分心和冲突情况的训练:来自单例实验设计研究的初步证据。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-07-15 DOI: 10.1080/09602011.2024.2375495
Daniel Salazar-Frías, María Rodríguez-Bailón, Giorgia Ricchetti, Alba Navarro-Egido, Macarena de Los Santos, María Jesús Funes

Trial registration: ClinicalTrials.gov identifier: NCT03958487.

试验注册:ClinicalTrials.gov identifier:NCT03958487。
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引用次数: 0
The immersive virtual memory task: Assessing object-location memory in neurological patients using immersive virtual reality. 沉浸式虚拟记忆任务:使用沉浸式虚拟现实评估神经系统患者的对象位置记忆。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-07-01 Epub Date: 2023-09-20 DOI: 10.1080/09602011.2023.2256957
Julia Belger, Marie Blume, Mert Akbal, Paul Chojecki, Jeroen de Mooij, Michael Gaebler, Felix Klotzsche, Stephan Krohn, Mustafa Tevfik Lafci, Eva Quinque, Johanne Tromp, Arno Villringer, Carsten Finke, Angelika Thöne-Otto

Trial registration: German Clinical Trials Register identifier: DRKS00024005.

试验注册:德国临床试验注册标识符:DRKS00024005。
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引用次数: 0
Too tired to think: Relationship between post-COVID-19 fatigue and cognition in a veteran sample. 太累了,无法思考:退伍军人样本中 COVID-19 后的疲劳与认知之间的关系。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-07-01 Epub Date: 2023-08-16 DOI: 10.1080/09602011.2023.2244159
Deborah Radmanesh, Eric Powell, Hanh Trinh

COVID-19 survivors often endorse persistent physical and neuropsychiatric problems following disease recovery, a phenomenon described as "long COVID." Research exploring long-COVID continues to evolve in large-scale studies but remains limited among smaller populations (e.g., veterans). We explored the relationship between persistent post-COVID-19 fatigue and cognition among a sample of 246 veterans who voluntarily enrolled in a COVID-19 Convalescence Programme and completed a mental health evaluation of post-illness mood (depression, anxiety, PTSD), cognition (subjective complaints, Modified Telephone Interview for Cognitive Status [TICS-M] performance), fatigue, pain, and sleep. In concert with our hypotheses, subjective cognitive complaints are not significantly correlated with TICS-M performance, but rather are strongly correlated with long-COVID fatigue. Although cognitive changes are common post-COVID complaints, these are likely better predicted by other factors, (e.g., fatigue, mood, pain, and sleep disruption). Furthermore, comorbid mood, sleep, and pain complaints appeared to mediate the relationship between subjective cognitive complaints and fatigue. Limitations to this study included use of retrospective chart review data, limited access to pre-disease data for comparison, and lack of healthy controls. Clinicians should consider the impact of modifiable conditions associated with cognitive and functional decline, as these conditions may be targets for interdisciplinary treatment in a long-COVID veteran population.

COVID-19 的幸存者在疾病康复后往往会出现持续的身体和神经精神问题,这种现象被称为 "长期 COVID"。对 "长期 COVID "的研究在大规模研究中不断发展,但在较小的人群(如退伍军人)中仍很有限。我们在自愿参加 COVID-19 康复计划并完成病后情绪(抑郁、焦虑、创伤后应激障碍)、认知(主观抱怨、认知状况电话访谈[TICS-M]表现)、疲劳、疼痛和睡眠等心理健康评估的 246 名退伍军人中,探讨了 COVID-19 后持续疲劳与认知之间的关系。与我们的假设一致的是,主观认知抱怨与 TICS-M 的表现没有明显的相关性,而是与长期 COVID 的疲劳密切相关。虽然认知变化是 COVID 后常见的主诉,但其他因素(如疲劳、情绪、疼痛和睡眠紊乱)可能更能预测这些变化。此外,合并的情绪、睡眠和疼痛主诉似乎是主观认知主诉与疲劳之间关系的中介。这项研究的局限性包括:使用了回顾性病历审查数据、用于比较的病前数据有限以及缺乏健康对照组。临床医生应考虑与认知和功能衰退相关的可改变病症的影响,因为这些病症可能是长期COVID退伍军人跨学科治疗的目标。
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引用次数: 0
Unravelling the web: Experiences of adolescents returning to school following a concussion. 揭开谜底:青少年脑震荡后重返校园的经历。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-07-01 Epub Date: 2023-07-26 DOI: 10.1080/09602011.2023.2236776
Heather A Shepherd, Ashley T Kolstad, Jeffrey G Caron, Nick Reed, Keith Owen Yeates, Kathryn J Schneider, Amanda M Black, Carolyn A Emery

One in five adolescents will sustain a concussion in their lifetime. A concussion may result in symptoms that affect an adolescent's ability to attend school and engage in learning tasks. This study was guided by interpretivism. We conducted one-on-one semi-structured interviews to explore the perspectives of 20 adolescents (ages 14-18) returning to school after a concussion. Interviews were coded inductively and analyzed using reflexive thematic analysis. Five interconnected themes emerged with returning to school and accessing school supports: (1) concussion symptoms affected adolescents' schoolwork; (2) access to academic accommodations eased adolescents' return to school; (3) having supportive and understanding friends, family, and teachers facilitated adolescents' return to school; (4) communication amongst school stakeholders was desired, but often lacking; and (5) feeling anxious, frustrated, and sad with the return to school process. Adolescents' experiences were multifaceted and many factors contributed to their return to school experiences. Our findings can inform our understanding of the experiences of adolescents returning to school following concussion and can inform the development of concussion management supports at schools.

每五名青少年中就有一名会在一生中遭受脑震荡。脑震荡可能会导致一些症状,影响青少年上学和完成学习任务的能力。本研究以解释学为指导。我们对 20 名脑震荡后重返校园的青少年(14-18 岁)进行了一对一的半结构化访谈,以探讨他们的观点。我们对访谈内容进行了归纳编码,并使用反思性主题分析法对访谈内容进行了分析。在重返校园和获得学校支持方面出现了五个相互关联的主题:(1) 脑震荡症状影响了青少年的学业;(2) 获得学业辅导缓解了青少年返校的压力;(3) 朋友、家人和老师的支持和理解为青少年返校提供了便利;(4) 学校利益相关者之间希望沟通,但往往缺乏沟通;(5) 在返校过程中感到焦虑、沮丧和悲伤。青少年的经历是多方面的,许多因素促成了他们的返校经历。我们的研究结果可以帮助我们了解青少年在脑震荡后重返校园的经历,并为学校制定脑震荡管理支持措施提供参考。
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引用次数: 0
Investigating premotor reaching biases after prism adaptation. 研究棱镜适应后的前运动伸手偏差。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-07-01 Epub Date: 2023-08-20 DOI: 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。
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引用次数: 0
"Alone in the dark": A qualitative study of treatment experiences among young adults with a recent concussion and anxiety. "黑暗中的孤独":对近期患有脑震荡和焦虑症的年轻人治疗经历的定性研究。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-07-01 Epub Date: 2023-07-27 DOI: 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.

目的:患有焦虑症的年轻人在脑震荡后很容易出现持续性症状。为了制定心理干预措施以预防脑震荡后症状的持续存在,我们需要了解患者的以下情况:1)接受医疗服务提供者提供的治疗的经历;2)尝试脑震荡管理策略的经历;3)受伤后的需求:我们对 17 名近期(≤ 10 周)有脑震荡且至少有轻度焦虑(广泛性焦虑症评估-7 ≥ 5)的年轻人进行了深入访谈。我们采用了演绎-归纳混合法进行主题分析:研究结果提供了对推荐治疗方法(如主动/回避策略、调适、转诊)、尝试策略(如改变生活方式、步调、人际关系、以接受为基础的应对技巧)和患者需求(如教育、调适、认知和情感技巧转诊)的见解。参与者经常表示,治疗建议令人困惑且难以执行。他们提出了有助于促进康复的非处方策略,并表示希望获得更多跨学科治疗和脑震荡教育:患者认为脑震荡后医疗服务提供者的建议并不能完全满足患者的需求。患有脑震荡和焦虑症的年轻人将受益于更多的教育、指导以及社会心理和康复服务。弥补这些不足可能有助于使治疗符合患者的需求,从而帮助他们实现最佳康复。
{"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":" ","pages":"781-801"},"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}
引用次数: 0
Qualitative data on triggers and coping of sensory hypersensitivity in acquired brain injury patients: A proposed model. 关于后天性脑损伤患者感觉过敏症的诱发因素和应对措施的定性数据:一个拟议模型。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-07-01 Epub Date: 2023-08-24 DOI: 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。
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引用次数: 0
The relation between insomnia and depression in the subacute phase after stroke. 中风后亚急性期失眠与抑郁之间的关系。
IF 1.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-06-28 DOI: 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.

中风后第一年抑郁和失眠的发病率约为 30%,严重影响康复、复健和生活质量的前景。此外,在中风后的亚急性阶段,失眠和抑郁转变为慢性的风险很高。这项横断面观察性研究使用经过验证的工具调查了中风后亚急性期失眠和抑郁是否相关。66 名门诊脑卒中幸存者参加了研究。抑郁采用医院焦虑抑郁量表(HADS-D)的抑郁分量表进行测量,失眠严重程度采用失眠严重程度指数(ISI)进行测量。研究人员使用多元线性回归分析来检验因变量卒中后抑郁与自变量失眠和卒中前抑郁治疗之间的关系。结果显示,失眠(β = 0.48,t = 4.40,p β = 0.24,t = 2.28,p = 0.026)都是抑郁的重要预测因素。失眠主诉较多的参与者和卒中前接受过抑郁治疗的参与者在卒中后抑郁症状较多。因此,在脑卒中后的亚急性阶段,对失眠和抑郁主诉保持警惕非常重要。
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引用次数: 0
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. 在暴风雨后茁壮成长:关于促进后天性脑损伤患者创伤后成长的系统性定性综述和荟萃。
IF 2.7 3区 心理学 Q4 NEUROSCIENCES Pub Date : 2024-06-13 DOI: 10.1080/09602011.2024.2356891
Pamela Arroyo, Lowri Wilkie, Elen Davies, Zoe Fisher, Andrew Haddon Kemp

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.

获得性脑损伤(ABI)通常会带来重大挑战,但也可能促进创伤后成长(PTG)。本综述探讨了一个关键问题:"创伤后成长的主要因素是什么,创伤后成长的潜在障碍是什么?在此,我们旨在通过元综合的方式,系统地揭示PTG的这些促成因素和障碍,包括对之前发表的有关该主题的定性研究进行全面回顾。我们对截至 2022 年 12 月的 PsycINFO、CINAHL 和 MEDLINE 进行了文献检索,以确定纳入的研究。从最初的 1,946 条记录中筛选出 11 篇文章纳入研究。反思性主题分析产生了三个分析主题,包括 "自我重新发现之旅"、"联系的力量 "和 "克服障碍"。我们的研究结果还揭示了多个层面的促进因素和障碍,包括个人层面(如接受与放弃)、人际层面(如积极的社会联系与建立社会联系的困难)和系统层面(如新的意义和目标与经济限制)。我们的研究扩展了现有的脑损伤康复知识,使人们对影响 PTG 的动态因素有了更细致的了解,这对临床医生寻求促进脑损伤后的幸福感具有重要意义。
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引用次数: 0
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Neuropsychological Rehabilitation
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