心理构造从恐惧回避模型和超越作为脑震荡后持续症状的预测者:综合性审查
Katherine E Buzzanca-Fried1, Aliyah R Snyder2, Russell M Bauer2
1Department of Rehabilitation Science, University of Florida, Gainesville, FL; Brooks Rehabilitation, Jacksonville, FL; Brooks Rehabilitation Clinical Research Center, Brooks Rehabilitation, Jacksonville, FL.
Archives of physical medicine and rehabilitation
|April 25, 2024
概括
焦虑和抑郁等心理因素与脑震荡后持续症状 (PSaC) 有关. 需要更多的研究来理解这些联系使用恐惧回避模型 (FAM) 框架.
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:
- 脑震荡后持续的症状 (PSaC) 影响长期的成年人.
- 心理因素越来越多地被认为是PSaC的重要贡献者.
- 恐惧回避模型 (FAM) 为理解这些关系提供了一个框架.
研究的目的:
- 审查证据,将心理因素与PSaC的临床结果联系起来.
- 在FAM框架内确定关键的心理预测因素.
- 调整FAM用于PSaC研究.
主要方法:
- 在六个数据库中进行系统的文献搜索.
- 包括关于成人PSaC和心理构造的经验和理论研究.
- 数据提取和偏差风险评估由独立审稿人进行.
主要成果:
- 许多心理因素显示了与PSaC的潜在预后关系.
- 焦虑和抑郁症得到了广泛的研究,而灾难化,认知恐惧症和避免却得到了较少的研究.
- 在FAM框架内,心理因素的证据各不相同.
结论:
- 进一步的研究是必不可少的,以充分阐明心理因素在PSaC中的作用.
- 作为未来PSaC研究的初步框架,提出了适应的FAM.
- 未来的研究应该纳入建议的心理因素,以促进对PSaC的理解.
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