"Alone in the dark": A qualitative study of treatment experiences among young adults with a recent concussion and anxiety.

IF 1.7 3区 心理学 Q4 NEUROSCIENCES
Neuropsychological Rehabilitation Pub Date : 2024-07-01 Epub Date: 2023-07-27 DOI:10.1080/09602011.2023.2238950
Brenda C Lovette, Millan R Kanaya, Victoria A Grunberg, Ellen McKinnon, Ana-Maria Vranceanu, Jonathan Greenberg
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引用次数: 0

Abstract

Purpose: Young adults with anxiety are vulnerable to developing persistent symptoms following concussions. In order to develop psychosocial interventions to prevent persistent post-concussion symptoms, we need to understand patients' 1) experiences with treatments offered by health care providers; 2) experiences with attempted concussion management strategies; and 3) needs after their injury.

Methods: We conducted in-depth interviews with 17 young adults with recent (≤ 10 weeks) concussions who have at least mild anxiety (Generalized Anxiety Disorder Assessment-7 ≥ 5). We used a hybrid deductive-inductive approach to thematic analysis.

Results: Findings provide insight into recommended treatments (e.g., active/avoidant strategies, accommodations, referrals), attempted strategies (e.g., lifestyle changes, pacing, relationships, acceptance-based coping skills), and patient needs (e.g., education, accommodations, referrals for cognitive and emotional skills). Participants frequently expressed that treatment recommendations were confusing and difficult to implement. They initiated non-prescribed strategies that helped promote recovery and expressed a desire for more interdisciplinary treatment and education on concussions.

Conclusion: Patients' perceptions of health care provider recommendations after concussions did not fully meet patients' perceived needs. Young adults with concussions and anxiety would benefit from more education, guidance, and psychosocial and rehabilitation services. Addressing these gaps may help align treatments with patients' needs and therefore help optimize their recovery.

"黑暗中的孤独":对近期患有脑震荡和焦虑症的年轻人治疗经历的定性研究。
目的:患有焦虑症的年轻人在脑震荡后很容易出现持续性症状。为了制定心理干预措施以预防脑震荡后症状的持续存在,我们需要了解患者的以下情况:1)接受医疗服务提供者提供的治疗的经历;2)尝试脑震荡管理策略的经历;3)受伤后的需求:我们对 17 名近期(≤ 10 周)有脑震荡且至少有轻度焦虑(广泛性焦虑症评估-7 ≥ 5)的年轻人进行了深入访谈。我们采用了演绎-归纳混合法进行主题分析:研究结果提供了对推荐治疗方法(如主动/回避策略、调适、转诊)、尝试策略(如改变生活方式、步调、人际关系、以接受为基础的应对技巧)和患者需求(如教育、调适、认知和情感技巧转诊)的见解。参与者经常表示,治疗建议令人困惑且难以执行。他们提出了有助于促进康复的非处方策略,并表示希望获得更多跨学科治疗和脑震荡教育:患者认为脑震荡后医疗服务提供者的建议并不能完全满足患者的需求。患有脑震荡和焦虑症的年轻人将受益于更多的教育、指导以及社会心理和康复服务。弥补这些不足可能有助于使治疗符合患者的需求,从而帮助他们实现最佳康复。
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来源期刊
Neuropsychological Rehabilitation
Neuropsychological Rehabilitation 医学-神经科学
CiteScore
6.30
自引率
7.40%
发文量
78
审稿时长
>12 weeks
期刊介绍: Neuropsychological Rehabilitation publishes human experimental and clinical research related to rehabilitation, recovery of function, and brain plasticity. The journal is aimed at clinicians who wish to inform their practice in the light of the latest scientific research; at researchers in neurorehabilitation; and finally at researchers in cognitive neuroscience and related fields interested in the mechanisms of recovery and rehabilitation. Papers on neuropsychological assessment will be considered, and special topic reviews (2500-5000 words) addressing specific key questions in rehabilitation, recovery and brain plasticity will also be welcomed. The latter will enter a fast-track refereeing process.
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