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Updated: Jun 2, 2026

Controlled Cortical Impact Model for Traumatic Brain Injury
Published on: August 5, 2014
对退伍军人和有创伤性脑损伤的服务人员的认知康复干预措施的元分析
Tara A Austin1, Cooper B Hodges, Michael L Thomas
1Center of Excellence for Stress and Mental Health (Drs Austin and Twamley) and Research Service (Drs Austin and Twamley), VA San Diego Healthcare System, San Diego, California; The VISN 17 Center of Excellence for Research on Returning War Veterans, Waco, Texas (Drs Austin, Szabo, and Lantrip); School of Social and Behavioral Sciences, Andrews University, Berrien Springs, Michigan (Dr Hodges); Department of Psychology, Colorado State University, Fort Collins (Dr Thomas); Department of Psychology, California State University, Los Angeles (Dr Szabo); Department of Psychology and Neuroscience, Baylor University, Waco, Texas (Ms Parr and Dr Lantrip); Department of Neuro-Oncology, MD Anderson Cancer Center, Houston, TX (Dr Eschler); Department of Psychiatry, University of California San Diego (Dr Twamley). Dr Szabo is now at California State University, Los Angeles.
认知康复显示,经历创伤性脑损伤 (TBI) 的退伍军人和服务人员 (V/SMs) 的神经心理功能得到了小但显著的改善. 针对TBI的V/SM,以战略为重点的干预措施比练习和实践方法更有效.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 心理学 心理学 心理学
背景情况:
- 在轻度至中度创伤性脑损伤 (TBI) 后,认知困难很常见.
- 认知康复已在非退伍军人群体中显示出好处,但对于退伍军人和服务人员 (V/SMs) 缺乏具体证据.
研究的目的:
- 对具有轻度至中度TBI病史的V/SM患者的认知康复干预措施的有效性进行元分析.
主要方法:
- 一个系统的元分析,遵循PRISMA指南.
- 包括随机对照试验,涉及美国成人V/SMs轻度至中度的TBI.
- 客观神经心理测试作为主要结果衡量标准.
主要成果:
- 包括8项研究,564名参与者.
- 认知康复导致了客观神经心理功能中微小但显著的改善.
- 基于战略的干预措施显示效果大于练习和实践方法.
结论:
- 认知康复是有效的改善认知功能在V/SMs与TBI历史.
- 临床医生管理的,以战略为重点的干预措施可能为这一群体提供最重要的认知益处.
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