{"title":"Personal growth in caregivers of persons with brain injury or multiple sclerosis.","authors":"Sonya Kim, Frederick W Foley, Vance Zemon","doi":"10.1080/09602011.2024.2393465","DOIUrl":"10.1080/09602011.2024.2393465","url":null,"abstract":"<p><p>An existing scale of personal growth in caregivers of people with multiple sclerosis (MS) was expanded for use with an acquired brain injury (ABI) population, and was modified following additional psychometric analyses. A cross-sectional online survey was administered to 315 caregiving partners of persons with MS and 310 family caregivers of persons with ABI. Principal component analysis (PCA) performed on the original 32-item instrument yielded a 4-component, 17-item solution with correlated subscales with solid psychometric properties. Subscales were labelled <i>Appreciation, Positivity, Adjustment, and Spirituality</i>. Secondary PCA conducted revealed three subscales (five items each) correlated moderately while the fourth, <i>Spirituality,</i> remained distinct. The sum of the three five-item subscales may serve as a total score. Reliability analysis yielded acceptable-to-high internal consistency. Comparisons of the PGS with existing instruments demonstrated its discriminant/convergent validity. Two kinds of latent class analyses were conducted on the 15-item PGS to identify three latent classes that spanned the neurologic groups, revealing that measurement invariance was held for the instrument in this sample. An instrument with sound psychometric properties was established, designed to assess personal growth in caregivers of individuals with ABI or MS. Future work should explore its value in other populations and as a metric of changes over time.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1185-1209"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ecological assessment of unilateral spatial neglect in immersive virtual reality: A multiple-case study to assess the feasibility and relevance of a Baking Tray Task.","authors":"Marine Gaffard, Clémence Bourlon, Tristan-Gael Bara, Tifanie Bouchara, Florence Colle, Silvia Silvestri, Perrine Quentin, Alma Guilbert","doi":"10.1080/09602011.2024.2394527","DOIUrl":"10.1080/09602011.2024.2394527","url":null,"abstract":"<p><p>The assessment of unilateral spatial neglect (USN) primarily relies on paper-and-pencil tests, which do not fully represent daily life difficulties. To address this limitation, ecological tests, like the Baking Tray Test (BTT), have been developed. However, the original BTT identifies the presence of USN without providing information on its severity. In this aim, a new severity measure, the Centre of Mass (CoM), has been proposed, but its calculation in real environments poses challenges. Immersive virtual reality (VR) offers a promising solution for implementing a BTT in which measures are automatically calculated. This study aimed to assess the feasibility and relevance of an immersive VR BTT. Nineteen right brain-damaged patients with and without USN and 25 healthy participants were included. Group analyses showed an equivalence between the two BTT versions. Individual analyses revealed that all USN patients, except one, had pathological results in both versions. They also underlined pathological scores in patients without USN signs on paper-and-pencil tests. Finally, the CoM strongly correlated with paper-and-pencil tests and appeared to be a good indicator of USN severity. These findings support the relevance of implementing the BTT in an immersive VR version, suggesting its potential to enhance USN assessment.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1210-1228"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Understanding the role of illness perceptions in the relationship between cognitive and emotional difficulties after stroke.","authors":"Rebecca Roberts, Reena Vohora, Nele Demeyere","doi":"10.1080/09602011.2024.2387376","DOIUrl":"10.1080/09602011.2024.2387376","url":null,"abstract":"<p><p><b>ABSTRACT</b>Emotional difficulties are common after stroke and up to one third of stroke-survivors develop post-stroke depression. Psychological distress in this population remains poorly understood, despite high prevalence and secondary implications. One established predictor of depressive symptoms after stroke is cognitive impairment, however, the mechanism underlying this relationship is unclear. This research investigated the potential role of stroke-related illness appraisals as a mediating factor to this known association. Seventy-seven participants, aged 45-94, were consecutively recruited from inpatient stroke units in Oxfordshire over 15-months and completed assessments of mood, cognition and illness appraisals, which were analyzed cross-sectionally. As expected, cognitive impairment significantly predicted depressive symptoms. Importantly, this relationship was shown to be mediated by perceptions of threat and control. Higher levels of cognitive impairment were significantly associated with lower perceived control and higher perceived threat, which partially explained the relationship between cognitive impairment and depressive symptoms. Perceptions of illness coherence were predictive of depressive symptoms but not associated with degree of cognitive impairment. This research has implications for the management of cognitive impairment in the early stages after stroke and suggests that illness appraisals may be an important intervention target for reducing depressive symptoms in patients with post-stroke cognitive impairments.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1117-1135"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fatigue and depression at 8 weeks and 1 year after bacterial brain abscess and their relationship with cognitive status.","authors":"Ane Gretesdatter Rogne, Solrun Sigurdardottir, Rune Raudeberg, Bjørnar Hassel, Daniel Dahlberg","doi":"10.1080/09602011.2024.2393361","DOIUrl":"10.1080/09602011.2024.2393361","url":null,"abstract":"<p><p>A bacterial brain abscess (BA) is a focal brain infection with largely unknown long-term implications. This prospective study assessed the frequency of fatigue and symptoms of depression at 8 weeks and 1 year after BA and examined the relationship between fatigue, depressive symptoms, and cognitive status. Twenty BA-patients (age 17-73; 45% female) were assessed for fatigue, depression, memory, and executive functions. Fatigue rates were 40-65% at 8 weeks and 25-33% at 1 year on various fatigue questionnaires. Patient Health Questionnaire indicated symptoms of depression in 10% at the 8-week follow-up only. Relevant comorbidities and vocational outcomes were not associated with fatigue or symptoms of depression. Mean fatigue scores improved significantly between the two-time points. Greater fatigue was related to subjective problems with working memory, inhibition, self-monitoring, and emotional control and worse objective verbal memory performance. Symptoms of depression were associated with one out of two fatigue measures. We conclude that fatigue is common in the first year after BA, and higher levels of fatigue are related to more cognitive problems. Symptoms of clinical depression were rare. These findings underscore fatigue as an important consequence of BA and emphasize the necessity for targeted rehabilitation interventions.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1136-1159"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anna Volkmer, Alessa Hausmann, Avanthi Paplikar, Petronilla Battista, Regina Jokel
{"title":"Group interventions for people with primary progressive aphasia and their care partners: Considerations for clinical practice.","authors":"Anna Volkmer, Alessa Hausmann, Avanthi Paplikar, Petronilla Battista, Regina Jokel","doi":"10.1080/09602011.2024.2391338","DOIUrl":"10.1080/09602011.2024.2391338","url":null,"abstract":"<p><p>Primary progressive aphasia (PPA) describes a group of language-led dementias. Speech and language therapy is the main available intervention for people with PPA. Despite best practice recommendations for speech and language therapy to include access to group therapies (Volkmer et al, 2023a), research evidence to date has predominantly focused on delivery in individual sessions. The aim of this study was to gather the collective intelligence of expert speech and language therapists/pathologists delivering group therapy for people with PPA to synthesize guidance for clinicians. This paper describes a qualitative study using narrative synthesis methods. Data were collected using the Template for Intervention Description and Replication - TIDiER. Eight respondents described a total of 17 different groups. Respondents worked across healthcare, research clinics and third sector organizations in Australia, Canada, Spain, the USA and the UK. For the purposes of analysis, groups were divided into two main types: (1) groups delivering specific therapy interventions; and (2) groups providing broader opportunities for conversational practice and support. This initial synthesis of the current state of the art in PPA therapy groups highlights several important considerations around candidacy, content and ecological validity of delivering group intervention for people with PPA.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1254-1282"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Natalie Pepping, Michael Weinborn, Carmela F Pestell, David A Preece, Maya Malkani, Sammy Moore, James J Gross, Rodrigo Becerra
{"title":"Improving emotion regulation ability after brain injury: A systematic review of targeted interventions.","authors":"Natalie Pepping, Michael Weinborn, Carmela F Pestell, David A Preece, Maya Malkani, Sammy Moore, James J Gross, Rodrigo Becerra","doi":"10.1080/09602011.2024.2398029","DOIUrl":"10.1080/09602011.2024.2398029","url":null,"abstract":"<p><p>Emotion dysregulation is a common sequela after a brain injury, and it can have serious negative consequences for individuals, families, and the community. A systematic review of the literature was conducted to identify and evaluate interventions designed to improve emotion regulation ability in adults with acquired brain injury. Studies were identified on ProQuest, PsycInfo, ScienceDirect, Scopus, and Web of Science; last searched on 3 August 2023. A review protocol was prospectively registered on PROSPERO (CRD42020218175). Risk of bias was assessed using the Cochrane Risk-of-Bias tool (version 2). Sixteen studies were included in the review comprising one case series, five pilot studies, four pre-post studies, and six RCTs. There was a total of 652 participants across studies. Fourteen of the sixteen studies reported statistically significant improvements in at least one emotional functioning variable. Ten studies reported medium-large effect sizes. Limitations included inconsistency in the measurement, reporting of intervention outcomes and processes. Future directions are discussed.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1283-1323"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring the meaning of life (MoL) after acquired brain injury (ABI) in Costa Rica.","authors":"Mónica Salazar-Villanea, Javeth Calvo-Molina","doi":"10.1080/09602011.2025.2520494","DOIUrl":"https://doi.org/10.1080/09602011.2025.2520494","url":null,"abstract":"<p><strong>Primary objective: </strong>This study aimed to explore the process of MoL-Resignification following ABI in a Costa Rican sample.</p><p><strong>Research design: </strong>A cross-sectional, exploratory mixed-method approach.</p><p><strong>Methods and procedures: </strong>Qualitative narratives about the MoL-Resignification were collected and supported with quantitative data using instruments like the Mental and Physical Health Adapted Scale (MPHAS), Brief Resilient Coping Scale (BRCS), UCLA Loneliness Scale Revised (UCLALS-R), and New Me Scale (NMS).</p><p><strong>Main outcomes: </strong>Four dimensions of MoL-Resignification after ABI were identified: Individual, Social, Global, and Spiritual. Narratives regarding the Individual MoL ranged from coping with the limitations imposed by ABI to adopting new values and senses of identity. Social MoL emphasized the importance of family support, while Global MoL centred on adopting a present-focused perspective. The Spiritual MoL highlighted the role of faith and religious beliefs in helping individuals navigate their lives after ABI. Resignification processes were associated with greater life satisfaction post-ABI (NMS), lower psychological and physical burdens (MPHAS), reduced loneliness (UCLALS-R), and more effective coping strategies (BRCS).</p><p><strong>Conclusions: </strong>MoL-Resignification and Identity change after ABI, demonstrates the importance of family and spiritual beliefs in coping within the context of Costa Rican culture. These factors should be addressed in future research and rehabilitation efforts.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-38"},"PeriodicalIF":1.7,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katie Gibbs, Zoe Fisher, Kate Denner, Andrew H Kemp
{"title":"Constructing the conditions for wellbeing: A qualitative evaluation of group-based ecotherapy for adults living with acquired brain injury.","authors":"Katie Gibbs, Zoe Fisher, Kate Denner, Andrew H Kemp","doi":"10.1080/09602011.2025.2516560","DOIUrl":"https://doi.org/10.1080/09602011.2025.2516560","url":null,"abstract":"<p><p>Ecotherapy interventions which promote meaningful engagement with the natural world provide unique wellbeing opportunities for individuals with psychosocial difficulties who may struggle to access nature, while also benefiting the local community and environment. We hereby unpack the experiences of 41 adults living with the psychosocial sequelae of acquired brain injury following their engagement in a group-based eight-to-ten-week sustainable construction intervention delivered in partnership with a local social enterprise called \"Down to Earth\". Using reflexive thematic analysis, insights from seven focus groups emphasize the importance of (1) Broadening skills and building for the future in supporting movement towards an engaged and meaningful life; (2) Shared experiences with similar others in facilitating belonging in group memberships; (3) Self-acceptance and identity in cultivating resources for personal growth, and (4) Connecting and contributing, which is critical for community and planetary wellbeing. Opportunities for enhancing local clinical practice are captured within a domain summary theme, and broader implications for \"inner\" (personal and relational capacities) and global sustainable development are discussed.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-35"},"PeriodicalIF":1.7,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Agata Krasny-Pacini, Elena Chabran, Jonathan Evans, François Clauss, Marie-Aline Sarda, Marie-Eve Isner-Horobeti, Charles Pradeau, Erik Sauleau
{"title":"A proposed regulatory and ethical framework for the application of single-case experimental design methodology in rehabilitation research and clinical practice.","authors":"Agata Krasny-Pacini, Elena Chabran, Jonathan Evans, François Clauss, Marie-Aline Sarda, Marie-Eve Isner-Horobeti, Charles Pradeau, Erik Sauleau","doi":"10.1080/09602011.2025.2480443","DOIUrl":"https://doi.org/10.1080/09602011.2025.2480443","url":null,"abstract":"<p><p>The use of single-case experimental design (SCED) methodology is growing across all domains of rehabilitation. SCED methodology may be used for several different purposes, which creates confusion about its ethical, legal and regulatory status. We will argue that aspects of SCED methodology can be helpful in clinical practice to determine the optimal treatment for a given person. Given the use of SCED methods in research, clinicians may assume that ethics committee approval is required, though this is not necessarily the case given that SCED methods may, under certain circumstances, be considered as evidence-based clinical practice, rather than generalizable research. In this paper, we aim to raise awareness of the principles and legal/ethical framework of SCEDs, and we propose a series of position points that could help researchers/ethics review boards to determine whether a SCED is \"research\" or \"evidence-based person-specific clinical practice\", based on its design and purpose. We aim to clarify how the features of SCED methodology - baseline length and content, repeated measurement, randomization, and blinding - impact SCED categorization. A secondary objective is to provide recommendations for universities and training institutes to help trainees undertaking SCED studies to use appropriate methodologies that comply with the proposed regulatory framework.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-33"},"PeriodicalIF":1.7,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bruna Tessaro, Sonia L E Brownsett, Solène Hameau, Tijana Simic, Lyndsey A Nickels, Natalie Gilmore, Claudia Peñaloza, Holly Robson, Christos Salis
{"title":"Assessment of cognition in aphasia: Perspectives from clinicians and researchers.","authors":"Bruna Tessaro, Sonia L E Brownsett, Solène Hameau, Tijana Simic, Lyndsey A Nickels, Natalie Gilmore, Claudia Peñaloza, Holly Robson, Christos Salis","doi":"10.1080/09602011.2025.2506598","DOIUrl":"https://doi.org/10.1080/09602011.2025.2506598","url":null,"abstract":"<p><p>People with aphasia may present with cognitive impairments beyond language. In this population, reliance on language-based assessments of cognition may lead to unreliable metrics of cognitive performance across clinical and research settings. We investigated the underlying philosophy and practice of assessing cognition in people with aphasia. An e-survey was developed for multidisciplinary clinicians and researchers. Snowball sampling was used to recruit international participants. The e-survey comprised 29 items (a mix of multiple-choice and open-ended items) addressing definitions of cognition, assessment of cognition, tools used to assess cognition and participant demographics. Data were analysed using descriptive statistics and thematic analysis. 291 respondents participated from a range of disciplines and countries. Over 80% of respondents considered it important to assess attention, executive functions, learning and memory. The main barrier to assessment was the lack of appropriate tools available for people with aphasia. Responses indicated that whilst professionals felt that understanding the interaction between language and cognition in aphasia was important for providing optimal care. This study highlights the need for better awareness and training in the assessment of cognition in people with aphasia, and for psychometrically robust assessments, appropriate for the assessment of cognition in the presence of aphasia.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-40"},"PeriodicalIF":1.7,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}