获得性脑损伤中的孤独;对生活经验的定性探索
Orla Duffy1, Katy Pedlow1, Jacqueline Pogue2
1School of Health Sciences, Ulster University, Magee Campus, Derry, UK.
Brain injury
|March 31, 2025
概括
孤独在获得脑损伤 (ABI) 后显著影响成年人,经历不同但普遍感受到. 了解这些独特的挑战是为ABI患者提供有效支持的关键.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 孤独是英国和北爱尔兰的主要公共卫生问题.
- 获得性脑损伤 (ABI) 通常会导致功能严重丧失,严重影响社会福祉,增加孤独感.
研究的目的:
- 探索经历过的经验和孤独的意义,在获得脑损伤后的成年人.
- 确定影响ABI后人群孤独的因素.
主要方法:
- 一项定性研究,涉及三个重点小组和四个个人访谈.
- 半结构面试是在线进行并记录的.
- 23名成年人 (2-24年ABI后) 参与了研究,数据使用框架分析进行了主题分析.
主要成果:
- 孤独对ABI后的个人有不同的含义,但它是一个常见的经历现象.
- 出现了四个主要主题:"没有太阳的黑洞" (定义),"缺少的一块" (障碍),"我成了可怜的老" (身份),和"我们自己的类型" (应对).
- 副主题提供了对ABI后孤独的多面性质的更深入的见解.
结论:
- 处理ABI后的孤独是复杂的,需要多因素的方法.
- 早期识别和临床团队的支持对于患有ABI的人来说至关重要.
- 这项研究强调了将生活经验纳入ABI后孤独的支持机制的重要性.
相关概念视频
Prosopagnosia
1.3K
Prosopagnosia, also known as face blindness, is the inability to recognize faces. In severe cases, individuals with prosopagnosia may not recognize close family members, including parents and spouses, by their faces. For instance, someone with prosopagnosia might walk past their child in a crowd, only realizing their mistake upon noticing their child's distinctive backpack or favorite jacket. Prosopagnosia specifically impairs facial recognition, while the recognition of other objects or...
1.3K
Bonanno's Theory of Grieving
1.5K
Grieving is a complex psychological and emotional process that varies significantly among individuals. George Bonanno's research on bereavement identified four distinct patterns of grieving, offering a nuanced understanding of how people cope with significant loss, such as the death of a spouse, over extended periods. These patterns — resilience, recovery, chronic dysfunction, and delayed grief — highlight the diversity in emotional responses and adaptive mechanisms.
Resilience
Resilience
1.5K
Traumatic Brain Injury l: Introduction
25
DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...
25
Spinal Cord Injury ll: Pathophysiology
25
Spinal cord injury progresses through two interconnected phases: primary injury and secondary injury.Primary InjuryPrimary injury happens at the moment of trauma and involves immediate mechanical damage to the spinal cord.Compression happens when broken vertebrae, herniated discs, or accumulating blood (such as a hematoma) press directly against the spinal cord, distorting its normal shape and function. In cases of contusion, the cord is bruised by a blunt force (like penetrating injuries or...
25
Alzheimer Disease l: Introduction
21
Alzheimer disease is a chronic, progressive, and irreversible neurodegenerative disorder and the most common cause of dementia in older adults. It leads to gradual neuronal loss, causing cognitive decline, behavioral changes, and loss of functional independence.Risk Factors and EtiologyThe disease is multifactorial. Age is the strongest risk factor, with prevalence doubling every 5 years after age 65. Genetic factors include mutations in genes such as APP, PSEN1, and PSEN2, which are associated...
21
Secondary Spinal Cord Injury llI: Pathophysiology
52
Early Ischemia and Ionic ImbalanceWithin minutes of spinal cord injury, a secondary cascade begins, progressing over hours to weeks. Vascular damage reduces blood flow, causing ischemia and mitochondrial dysfunction. ATP depletion leads to ion pump failure, membrane depolarization, sodium influx, potassium efflux, and water accumulation, resulting in cellular swelling. Increased intracellular calcium further disrupts mitochondria and accelerates cellular injury.Excitotoxicity and Neuronal...
52


