在经历脑损伤后接受康复治疗的个体中,通过关系提高意识
Corinne McCabe1, Andrea Sica2, Donal G Fortune1,3,4
1Department of Psychology, University of Limerick, Co Limerick, Ireland.
Neuropsychological rehabilitation
|October 30, 2023
概括
获得性脑损伤 (ABI) 患者更高的自我意识与与康复人员建立更好的治疗关系有关. 附着方式并没有缓解这种关联,突出了在ABI护理中意识的重要性.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 康复医学 康复医学 康复医学
背景情况:
- 获得性脑损伤 (ABI) 可以影响认知功能和自我意识.
- 治疗关系的质量对于有效的神经康复至关重要.
- 了解影响ABI治疗联盟的因素对于优化患者的治疗结果至关重要.
研究的目的:
- 检查成年人患有ABI的自我意识和治疗关系质量之间的关系.
- 为了控制认知问题对这种关联的影响.
- 探索依恋风格作为潜在的调节者.
主要方法:
- 涉及83名ABI成年人和他们的神经康复团队成员的横截面研究.
- 使用治疗关系评估尺度 (STAR) 评估治疗关系的治疗关系质量.
- 通过患者能力评级表 (PCRS) 和梅奥-波特兰适应性清单 (MPAI-4) 测量自我意识.
- 认知问题和意识也使用MPAI-4进行评估.
- 通过"亲密关系中的经验 - 关系结构" (ECR-RS) 调查问卷来衡量依恋.
主要成果:
- 在自我意识和治疗关系质量之间发现了显著的积极关联,即使考虑到认知障碍.
- 更高的自我意识水平与更好的治疗关系相关.
- 无论是童年父母的依恋还是参与者-工作人员的依恋都没有缓解自我意识和治疗联盟之间的关系.
结论:
- 这些发现强调了客户自我意识对于在ABI康复中培养高质量的治疗关系的重要性.
- 建议在临床实践和未来的ABI研究中优先考虑治疗关系环境.
- 旨在增强自我意识的干预措施可能会改善神经康复中的治疗联盟.
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