The role of psychologists in managing mental health comorbidities in adults with neurological disorders

IF 2 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY
M. Gandy
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引用次数: 1

Abstract

ABSTRACT Neurological disorders are associated with very high rates of depression and anxiety, which significantly increase disease burden, but remain an area of considerable unmet need. Psychological therapies, especially those based on the principles of cognitive and behavioural therapy, appear to be efficacious for improving both mental health (e.g., depression and anxiety) and functional outcomes (e.g., sleep, fatigue) in patients with a variety of neurological disorders. However, access to these therapies is limited. Neuropsychologists rarely have the capacity to deliver ongoing psychological therapy and there appears to be a lack of community psychologist that specialise in this area. This commentary argues that these barriers need to be addressed and psychologists should play a greater role in reducing the burden of neurological disorders. One step towards this is building the confidence and competence of psychologists to effectively work with patients with neurological symptoms, especially common cognitive difficulties (e.g., inattention, poor memory, slower processing speed). Thus, this commentary provides a practical guide for modifying psychological therapies for adults with neurological disorders, including principles of compensatory cognitive rehabilitation. It aims to provide principles to help maximise engagement, learning and retention of psychological concepts and ultimately to encourage more psychologists to work with this under-served group. Key Points What is already known about this topic: Depression and anxiety are common in neurological disorders but often go untreated. Psychological therapies can improve mental health and functional outcomes across neurological disorders, but access to these interventions is very limited. Neuropsychologists report a lack of confidence providing ongoing psychological interventions for mental health, and identifying community psychologists specialising in neurology is challenging. What this topic adds: A discussion of the mental health burden of neurological disorders and role of psychological therapy. A guide to modifying psychological therapies for adults with neurological disorders, especially for cognitive difficulties. Tips for maximising engagement, learning and retention within therapy to support effective work with people with neurological disorders.
心理学家在管理成人神经系统疾病的精神健康合并症中的作用
神经系统疾病与非常高的抑郁和焦虑率相关,这显著增加了疾病负担,但仍是一个相当大的未满足需求的领域。心理疗法,特别是基于认知和行为疗法原则的心理疗法,似乎对改善各种神经系统疾病患者的心理健康(例如,抑郁和焦虑)和功能结果(例如,睡眠、疲劳)都有效。然而,获得这些疗法是有限的。神经心理学家很少有能力提供持续的心理治疗,而且似乎缺乏专门从事这一领域的社区心理学家。这篇评论认为,需要解决这些障碍,心理学家应该在减轻神经系统疾病负担方面发挥更大的作用。实现这一目标的一个步骤是建立心理学家的信心和能力,使他们能够有效地与有神经症状的患者,特别是常见的认知困难(例如,注意力不集中、记忆力差、处理速度慢)的患者一起工作。因此,这篇评论提供了一个实用的指导修改心理治疗成人与神经系统疾病,包括代偿性认知康复的原则。它的目的是提供原则,以帮助最大限度地参与,学习和保留心理学概念,并最终鼓励更多的心理学家与这个服务不足的群体合作。关于这个话题的已知知识:抑郁和焦虑在神经系统疾病中很常见,但往往得不到治疗。心理治疗可以改善神经系统疾病患者的心理健康和功能结果,但获得这些干预措施的机会非常有限。神经心理学家报告说,在为心理健康提供持续的心理干预方面缺乏信心,而且确定专门从事神经学的社区心理学家是一项挑战。本主题补充内容:讨论神经系统疾病的心理健康负担和心理治疗的作用。指导修改心理治疗的成人神经系统疾病,特别是对认知困难。在治疗中最大限度地提高参与、学习和保留的技巧,以支持与神经系统疾病患者有效合作。
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来源期刊
Australian Psychologist
Australian Psychologist PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
3.70
自引率
5.30%
发文量
32
期刊介绍: The Australian Psychologist is the official applied practice and public policy journal of the Australian Psychological Society. As such, the journal solicits articles covering current issues in psychology, the science and practice of psychology, and psychology"s contribution to public policy, with particular emphasis on the Australian context. Periodically, Australian Psychological Society documents, including but not limited to, position papers, reports of the Society, ethics information, surveys of the membership, announcements, and selected award addresses may appear in the journal.
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