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儿童获得脑损伤的青少年执行功能目标管理培训和心理教育:一个5年的随访
Hanna L Sargénius1, Anne E Brandt2,3, Mathilde Chevignard4,5,6
1Department of Psychology, University of Oslo, Oslo, Norway.
Brain injury
|January 22, 2026
概括
儿科认知康复改善了5年来获得脑损伤的青少年的执行功能. 目标管理培训和大脑健康研讨会都显示了类似的长期益处.
科学领域:
- 神经科学是一个神经科学.
- 儿科康复儿童康复中心
- 认知心理学 认知心理学
背景情况:
- 患有儿科获得性脑损伤 (pABI) 的青少年经常经历持久的执行功能 (EF) 缺陷.
- 认知康复策略旨在缓解这些缺陷,改善日常功能.
- 不同干预措施的长期有效性需要彻底调查.
研究的目的:
- 为了比较儿科目标管理培训 (pGMT) 与儿科大脑健康研讨会 (pBHW) 在增强pABI青少年EF中的5年有效性.
- 评估行为调节和元认知的持续改善.
主要方法:
- 一个5年的随访CORE试验涉及青少年 (10-17岁) 随机分配到pGMT或pBHW.
- 执行职能测量使用家长评级的执行职能行为评级库存 (BRIEF),包括行为调节指数 (BRI) 和元认知指数 (MI).
- 用线性混合模型和可靠变化指数 (RCI) 分析分析的结果.
主要成果:
- 两种pGMT和pBHW干预措施都在五年内在BRI和MI中带来了显著的长期改善.
- 两组干预组之间没有发现显著差异,这表明长期结果相似.
- RCI分析显示,在相当一部分参与者中,BRI和MI都有临床上有意义的改善.
结论:
- 患有pABI的青少年在认知康复后在执行功能方面表现出持续的长期增长.
- 很大一部分参与者在执行功能领域取得了临床上有意义的改善.
- 虽然这两种干预措施都显示出相似的疗效,但由于研究的局限性,研究结果应谨慎解释.
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