神经行为疗法与功能性和创伤性脑损伤患者的社会功能改善有关
Ryan Van Patten1,2, Erica Cotton3, Lawrence Chan4
1VA Providence Healthcare System, Center for Neurorestoration & Neurotechnology, Providence, RI, USA.
Journal of clinical psychology
|September 25, 2025
概括
心理治疗,特别是神经行为疗法 (NBT),改善了创伤性脑损伤 (TBI) 和功能性 (非性) 发作 (FS) 患者的社会功能. 标准医疗保健本身并没有为TBI患者带来类似的社会效益.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 康复医学 康复医学 康复医学
背景情况:
- 功能性 (非性) 发作 (FS) 通常与创伤性脑损伤 (TBI) 一起发生.
- 这种同时发生的情况会对社会功能产生负面影响.
- 有限的研究探索了TBI患者FS.的社会缺陷的干预措施.
研究的目的:
- 研究心理治疗与社会功能变化之间的关联.
- 评估神经行为疗法 (NBT) 在FS的TBI患者的疗效.
主要方法:
- 研究了一组96名患有TBI的成年人;48人患有FS,48人没有.
- 这两组都接受了标准医疗保健 (SMC).
- 在TBI+FS组接受了辅助的12个会议NBT;社会功能被评估使用生活质量尺度在基线和后续.
主要成果:
- 基线发作担忧与TBI+FS组的基线社会功能有显著的相关性.
- 接受NBT的TBI+FS组在社会功能方面显示出显著的改善 (QOLIE-31社会功能得分).
- 与单独的SMC不同,NBT与更好的社会活动,减少限制和提高工作地位有关.
结论:
- 对发作的担忧是TBI+FS患者社会功能的一个关键因素,也是潜在的干预目标.
- 多种模式的NBT在改善TBI+FS患者的社会功能方面显示出希望.
- 标准医疗保健本身似乎无法改善TBI患者的社会功能.
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