在轻度创伤性脑损伤的成年人中,诉讼,绩效有效性测试和治疗结果
Ana Mikolic1, William J Panenka, Grant L Iverson
1Departments of Psychology (Drs Mikolic and Silverberg) and Psychiatry (Dr Panenka), The University of British Columbia, Vancouver, British Columbia, Canada; Rehabilitation Research Program, Centre for Aging SMART at Vancouver Coastal Health, Vancouver, British Columbia, Canada (Drs Mikolic and Silverberg); British Columbia Mental Health and Substance Use Services Research Institute, Vancouver, British Columbia, Canada (Dr Panenka); BC Neuropsychiatry Program, Vancouver, British Columbia, Canada (Dr Panenka); Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts (Dr Iverson); Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, Massachusetts (Dr Iverson); Department of Physical Medicine and Rehabilitation, Schoen Adams Research Institute at Spaulding Rehabilitation, Charlestown, Massachusetts (Dr Iverson); Home Base, A Red Sox Foundation and Massachusetts General Hospital Program, Charlestown (Dr Iverson); Departments of Psychiatry and Behavioral Sciences (Dr Cotton) and Neurology (Dr Cotton), Northwestern University, Chicago, Illinois; Neuropsychiatry Program, Department of Psychiatry and Division of Neurology and Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada (Dr Burke); and Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada (Dr Burke).
在诉讼中或在性能有效性测试 (PVT) 中失败的轻度创伤性脑损伤 (mTBI) 的成年人通常会坚持治疗. 然而,诉讼可能会减少改善,PVT失败可能表明治疗参与度较低.
科学领域:
- 神经科学是一个神经科学.
- 临床心理学 临床心理学
- 康复医学 康复医学 康复医学
背景情况:
- 轻度创伤性脑损伤 (mTBI) 后持续的症状可能会影响治疗的坚持和结果.
- 性能有效性测试 (PVTs) 评估认知测试中的努力的真诚性.
- 诉讼状态是影响患者参与和康复的潜在因素.
研究的目的:
- 为了确定是否诉讼参与和PVT失败预测治疗坚持和成年人持续的mTBI症状的结果.
- 分析这些因素对康复进展和症状缓解的影响.
主要方法:
- 一项临床试验的二次分析,涉及患有mTBI的成年人.
- 在吸收时评估诉讼状态和PVT (记忆改测试) 结果.
- 在3至4个月的康复中,评估治疗坚持 (会议完成,家庭作业) 和结果 (症状,残疾,总体变化印象).
主要成果:
- 在诉讼或失败的PVTs之间没有观察到遵守的实质差异.
- 在所有参与者接受治疗后,残疾和脑震荡后症状总体上有所改善.
- 诉讼参与与较小的残疾改善和患者报告的全球变化有关.
- PVT失败与治疗结果没有显著的关联,但显示出较低的全球感知改善和较高的缺失结果数据的趋势.
结论:
- 在诉讼或失败的PVT中患有mTBI的成年人通常坚持并从康复中受益.
- 诉讼可能与治疗效益减弱有关.
- 治疗前PVT失败可能预测恢复过程中的参与减少.


