{"title":"Adherence to cognitive training in patients with mild cognitive impairment and dementia: A systematic review and meta-analysis.","authors":"Ying Zhu, Qiuxia Qian, Jia Li, Yunhang Wang, Yu Zhu, Nini Shi, Hongyan Zhang, Fanghong Yan, Yuxia Ma","doi":"10.1080/09602011.2026.2738748","DOIUrl":"https://doi.org/10.1080/09602011.2026.2738748","url":null,"abstract":"<p><p>This systematic review and meta-analysis evaluated adherence to cognitive training among patients with mild cognitive impairment (MCI) and dementia. PubMed, Web of Science, Scopus, the Cochrane Library, and Embase were searched from inception to 12 August 2026. Study quality was assessed using the Cochrane Risk of Bias 2 tool or the JBI Quality Assessment Tool. This review included 32 studies. A random-effects meta-analysis of 20 studies yielded a pooled adherence rate of 81% (95% confidence interval: 72-89%; <i>I</i><sup>2</sup> = 99.23%, <i>P</i> < 0.001). Definitions of adherence were reported in 23 studies and covered attendance, completion, and training dose, commonly measured using session-based or participant-based proportions. The descriptive synthesis suggested that adherence varied according to intervention duration and setting. Leave-one-out sensitivity analyses yielded pooled rates of 80-84%, supporting the numerical stability of the primary estimate despite persistent heterogeneity. Cognitive training showed relatively high adherence among patients with MCI and dementia. Standardized adherence assessment and reporting are needed to support implementation in clinical and community settings.<b>Trial registration:</b> ClinicalTrials.gov identifier: NCT06499272..</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-18"},"PeriodicalIF":1.8,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197817","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":"Healthcare professionals' experience of working with individuals in a prolonged disorder of consciousness in acute and post-acute settings: an interpretative phenomenological analysis.","authors":"Caitlin Black, Blanca Poveda, Sue Turnbull","doi":"10.1080/09602011.2026.2739533","DOIUrl":"https://doi.org/10.1080/09602011.2026.2739533","url":null,"abstract":"<p><p>This study explored the experiences of healthcare professionals working with prolonged disorders of consciousness (PDoC) patients in acute and post-acute care settings. Semi-structured interviews with thirteen healthcare professionals (including doctors, speech and language therapists, occupational therapists, physiotherapists and clinical psychologists) were analysed using interpretative phenomenological analysis. These identified five main themes: (1) <i>Team Working</i>, (2) <i>Journeying with the Family</i>, (3) <i>Emotional Impact of the Work</i>, (4) <i>Professional Competency and Collective Learning</i>, and (5) \"<i>Are we getting this right</i>?\" Results indicated shared experiences among professionals, highlighting both the challenges and facilitators in providing care to PDoC patients. These findings offer valuable insights into the lived experience of healthcare professionals in Scotland working with PDoC patients in acute and post-acute settings. This study showed the challenging and rewarding nature of working with PDoC patients, and enhanced understanding of the challenges and facilitators to this work. Recommendations for enhancing support mechanisms and practical implications for clinical practice are discussed.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-28"},"PeriodicalIF":1.8,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139309","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}
Jordan Ayden, Sarah Hanson, Julia Ajayi, Fergus Gracey
{"title":"Perspectives on supporting social connection and participation following acquired brain injury: A qualitative study of service providers across health and community settings.","authors":"Jordan Ayden, Sarah Hanson, Julia Ajayi, Fergus Gracey","doi":"10.1080/09602011.2026.2742366","DOIUrl":"https://doi.org/10.1080/09602011.2026.2742366","url":null,"abstract":"<p><p>Social isolation is a prevalent consequence of acquired brain injury (ABI) that has notable impacts on wellbeing. Although social connection is recognized as central to recovery, little is known about how service providers understand and promote it. This study explored how services foster social connection post-ABI, the barriers and enablers encountered, how success is understood and what could strengthen future provision. Six online focus groups were conducted with 19 individuals working or volunteering across ABI services in the UK, USA, Australia and New Zealand. Data were analysed using reflective thematic analysis from a critical realist perspective, allowing attention to both participants' experiences and the organizational and structural conditions influencing service delivery. Two themes were developed: (1) <i>Groups as psychosocial lifelines: safety, identity and providing the conditions for recovery</i>, capturing the role of group spaces in rebuilding connection, identity, confidence and belonging and (2) <i>Visible impact, invisible labour: plugging gaps in a precarious system</i>, highlighting the undervalued relational work of the workforce in resource-constrained systems and how unstable funding and inequalities shape access to support. These findings demonstrate the psychosocial value of group-based initiatives and reveal the structural mechanisms that shape their development, sustainability and accessibility.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-28"},"PeriodicalIF":1.8,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139279","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":"The impact of post-traumatic amnesia in patients with acquired brain injury on caregivers' psychological distress.","authors":"Gaia Galluzzi, Valentina Bandiera, Alessia Quinzi, Maria De Luca, Nicoletta Fallarino, Dolores Villalobos, Paola Ciurli, Benedetta Ferrazza, Elisa Berardi, Rita Formisano, Umberto Bivona","doi":"10.1080/09602011.2026.2742365","DOIUrl":"https://doi.org/10.1080/09602011.2026.2742365","url":null,"abstract":"<p><p>Caregivers of patients with acquired brain injury (ABI) often experience psychological distress, yet trauma-related responses remain underexplored. Post-traumatic amnesia (PTA), characterized by confusion and behavioural disturbances, may represent a particularly stressful experience for family members. This study examined the impact of PTA on post-traumatic stress symptoms (PTSS), anxiety, and depression in caregivers of patients with ABI. In this cross-sectional observational study, 76 caregivers of patients with moderate-to-severe ABI were divided into three groups based on patients' PTA status: current PTA (C-PTA; <i>n</i> = 19), resolved PTA (R-PTA; <i>n</i> = 32), and no PTA (No-PTA; <i>n</i> = 25). Caregivers completed measures assessing PTSS (SCID-5-CV), anxiety (State-Trait Anxiety Inventory), and depression (Beck Depression Inventory). Caregivers of C-PTA patients exhibited significantly higher levels of PTSS compared with the No-PTA group, and higher levels of both state and trait anxiety than caregivers of R-PTA and No-PTA patients, while depressive symptoms were significantly higher in the C-PTA group only compared with the R-PTA group. Exposure to the PTA phase may represent a critical psychological stressor for caregivers. Early screening and targeted support during this phase may help reduce caregivers' distress and improve patients' rehabilitation outcomes.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-21"},"PeriodicalIF":1.8,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139335","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}
Mika Konishi, Michitaka Funayama, Fumie Saito, Yoshitaka Nakagawa, Naomi Fujinaga, Masayo Urano, Masanori Osumi, Masako Tateishi, Shu Harayama, Jun Tanemura, Masaru Mimura
{"title":"Exploring the impact of aphasia severity on employment, social participation, and quality of life.","authors":"Mika Konishi, Michitaka Funayama, Fumie Saito, Yoshitaka Nakagawa, Naomi Fujinaga, Masayo Urano, Masanori Osumi, Masako Tateishi, Shu Harayama, Jun Tanemura, Masaru Mimura","doi":"10.1080/09602011.2026.2740696","DOIUrl":"https://doi.org/10.1080/09602011.2026.2740696","url":null,"abstract":"<p><p>Aphasia impairs communication and is associated with reduced employment, limited social participation, and lower quality of life. However, the relationship between aphasia severity and these outcomes remains underexplored, especially regarding employment. This cross-sectional study examined employment status, social participation, and quality of life in 136 individuals with chronic aphasia following cerebrovascular disease. Multiple logistic and linear regression models were used to evaluate the influence of aphasia severity, non-linguistic cognitive function, apathy, mobility, and social environmental barriers specifically focusing on the working-age population under 65 for employment analysis. Aphasia severity was a significant negative predictor of both employment status and quality of life. Social environmental barriers also negatively impacted quality of life. Reduced mobility, male gender, and older age were associated with lower social participation, while employment status was not significantly related to either social participation or quality of life. These findings highlight the central role of aphasia severity in shaping long-term socio-occupational outcomes and well-being. The results suggest that early interventions targeting language rehabilitation and environmental accessibility, along with tailored occupational support, may enhance quality of life and promote occupational engagement in individuals with aphasia.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-23"},"PeriodicalIF":1.8,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129476","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}
Christian Salas, Hector Ureta, Daniel Rojas-Líbano, Osvaldo Castro, Ramiro Cruces, Jonathan Evans, Alvaro Aliaga
{"title":"Cognitive, emotional and interpersonal determinants of loneliness in brain injury survivors.","authors":"Christian Salas, Hector Ureta, Daniel Rojas-Líbano, Osvaldo Castro, Ramiro Cruces, Jonathan Evans, Alvaro Aliaga","doi":"10.1080/09602011.2026.2742361","DOIUrl":"https://doi.org/10.1080/09602011.2026.2742361","url":null,"abstract":"<p><strong>Background: </strong>Loneliness is a frequent yet understudied consequence of acquired brain injury (ABI), associated with poorer psychological adjustment and social participation. This study examined the relative contributions of executive dysfunction, emotional reactivity, and concealment to loneliness in individuals with chronic ABI.</p><p><strong>Methods: </strong>Cross-sectional observational study of 103 adults with ABI (61.2% men; mean age ≈ 51 years; mean time since injury ≈ 80 months). Measures included the UCLA Loneliness Scale, Frontal Systems Behaviour Scale, Perth Emotional Reactivity Scale, and Anticipated Stigma/Concealment Questionnaire. Analyses comprised correlations and hierarchical regressions.</p><p><strong>Results: </strong>Loneliness was significantly associated with greater negative emotional reactivity (ρ = .74, <i>p</i> < .001) and concealment (ρ = .56, <i>p</i> = .001). Executive dysfunction showed a small positive association with loneliness (ρ = .20, <i>p</i> = .04). The final regression model explained 58% of variance in loneliness (R² = .58, F(3,99) = 46.27, <i>p</i> < .001). Negative emotional reactivity and concealment remained significant independent predictors, whereas executive dysfunction did not.</p><p><strong>Conclusions: </strong>Post-ABI loneliness is primarily associated with negative emotional reactivity and concealment. Findings support screening for loneliness, emotional reactivity, and concealment, and interventions targeting emotional hyperreactivity and tendencies to conceal information routinely in clinical rehabilitation settings following acquired brain injury.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-21"},"PeriodicalIF":1.8,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118659","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}
K Fifield, R Thomas, E Dawe-Lane, R Kusosa, E O'Connor, N Cummins, T A Pollak, T Wykes, A Easton, S K Simblett
{"title":"COPE-EMBRACE: Coping with stress after encephalitis using real-time assessment.","authors":"K Fifield, R Thomas, E Dawe-Lane, R Kusosa, E O'Connor, N Cummins, T A Pollak, T Wykes, A Easton, S K Simblett","doi":"10.1080/09602011.2026.2619548","DOIUrl":"10.1080/09602011.2026.2619548","url":null,"abstract":"<p><p>Encephalitis can cause acquired brain injury due to inflammation, leading to cognitive issues and fatigue, exacerbating daily stress. Knowledge of real-time stress coping mechanisms among people post-encephalitis and how this relates to depression is limited. Ecological momentary assessment (EMA) may address limitations in standardized cross-sectional self-report assessments. This study evaluates the feasibility and acceptability of collecting EMA data on mood and coping. Twenty adults post-encephalitis (12 women, age range 26:67) completed daily and self-initiated EMA for mood and coping over 4 months, and post-study interviews explored acceptability using framework analysis. Average daily compliance rate was 79.3% (range 37.3-97.5%), showing EMA's feasibility, though low self-initiated EMA usage indicated challenges. Linear mixed-effects model revealed significant relationships between coping style and depression levels within individuals and over time. Framework analysis categorized two themes: \"Encephalitis experience and its relationship to stress response\" and \"Experience of EMA: barriers and facilitators'. Qualitative analysis indicated acceptability for the m-Path app and measuring daily mood. Results suggest long-term daily EMA is feasible for collecting mood and coping in adults with encephalitis. However, patient and public involvement should be utilized to establish suitability. Following adaptations, EMA may serve as a psychological intervention targeting stress coping in daily life.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1809-1843"},"PeriodicalIF":1.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214957","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}
Erfan Ghaneirad, Helene Schütz, Laura Möde, Gregor R Szycik, Anna Borgolte
{"title":"Multisensory simultaneity-judgment training and speech comprehension in patients with schizophrenia.","authors":"Erfan Ghaneirad, Helene Schütz, Laura Möde, Gregor R Szycik, Anna Borgolte","doi":"10.1080/09602011.2026.2618497","DOIUrl":"10.1080/09602011.2026.2618497","url":null,"abstract":"<p><p>Multisensory integration allows the brain to align auditory and visual signals in time, a process critical for accurate perception. This process has been shown to be abnormal in schizophrenia (SZ); patients show a wider temporal binding window (TBW), perceiving asynchronous inputs as simultaneous over longer intervals. Such deficits have been linked to hallucinations, disorganized symptoms, and impaired speech comprehension in SZ. While prior studies suggest that audiovisual simultaneity-judgment training (SJT) can recalibrate temporal perception in healthy adults, its efficacy in SZ has not yet been demonstrated. This study tested a feedback-based audiovisual SJT in 30 clinically stable SZs. Across three sessions, we assessed changes in simultaneity judgment, multisensory illusion susceptibility (sound-induced flash illusion; SIFI), and speech-in-noise comprehension (word recognition task). Mixed-effects models showed that the SJT significantly reduced the range of audiovisual pairs judged synchronous, consistent with a narrower TBW that persisted for two weeks. This change in simultaneity judgments was also associated with better word recognition in noisy conditions, both with audiovisual and auditory-only input. No training effects emerged for SIFI. These findings provide initial evidence that SJT may improve audiovisual temporal processing in SZ and enhance speech comprehension in noisy environment.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1792-1808"},"PeriodicalIF":1.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214971","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}
Lois Walton, Anna Stigsdotter Neely, David Bäckström, Magdalena Eriksson Domellöf
{"title":"The experience of process-based cognitive training in people with Parkinson's disease: a route to transfer to everyday life.","authors":"Lois Walton, Anna Stigsdotter Neely, David Bäckström, Magdalena Eriksson Domellöf","doi":"10.1080/09602011.2026.2613961","DOIUrl":"10.1080/09602011.2026.2613961","url":null,"abstract":"<p><p>Meta-analyses on cognitive training (CT) for people with Parkinson's Disease (PD) report improvements in global cognition and it is recommended as a treatment for people with PD with mild cognitive impairment. However, few studies have assessed the experience of CT. Therefore, this study explored the experience of process-based CT in people with PD and focused on how participants engaged with and made use of the training in their everyday life. In this study, semi-structured, individual interviews were conducted with 18 people with PD who had completed 6-8 weeks of process-based CT. Reflexive thematic analysis was used to analyse the data. Three overarching themes were developed that reported on the participants' (1) dedication towards CT; (2) meaning of seeing change in cognitive performance during CT; and (3) inspiration to transfer the knowledge, strategies and mindset from training into everyday life. Furthermore, a route to transfer was described including emotional and motivational experiences. In conclusion, CT was experienced in an active, reflective manner whereby emotional and cognitive challenges during training are dealt with and are seen as important ingredients to attain transfer to everyday life. Future studies are encouraged to examine the link between such qualitative findings and quantitatively measured outcomes.<b>Trial registration:</b> ClinicalTrials.gov identifier: NCT03680170..</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1772-1791"},"PeriodicalIF":1.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159305","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}
Hannah L McGlashan, Catherine Haslam, Tegan Cruwys, Elizabeth Beadle, Zoe C Walter
{"title":"Adapting Groups 4 Health for adults with acquired brain injury: A case series feasibility study.","authors":"Hannah L McGlashan, Catherine Haslam, Tegan Cruwys, Elizabeth Beadle, Zoe C Walter","doi":"10.1080/09602011.2026.2617244","DOIUrl":"10.1080/09602011.2026.2617244","url":null,"abstract":"<p><p>This study aimed to adapt and evaluate the feasibility, acceptability, mechanisms of change, and preliminary outcomes of Groups 4 Health, a social identity-informed group intervention, for individuals with acquired brain injury in an outpatient rehabilitation setting. The adaptation process involved three phases: modification for cognitive and language impairments, expert consultation, and in vivo consumer feedback. Five participants completed the five-session intervention with no dropouts and high adherence, demonstrating strong feasibility. Quantitative data were analysed descriptively, and qualitative data were explored using reflexive thematic analysis. Acceptability ratings were uniformly high, with participants rating the programme as relevant, enjoyable, and useful. Post-program interviews highlighted key engagement facilitators including accessible content, skilled facilitation, and meaningful peer connection. Participation was a catalyst for social re-engagement and increased confidence. Ratings of theorized mechanisms showed consistently high group identification, though findings for multiple group membership were mixed. No significant changes in psychological distress or loneliness were observed, likely due to the small sample and external factors (e.g., COVID-19). Participants recommended extending the programme to support deeper connection-building and skill consolidation. These findings support the programme's potential and inform future proof-of-concept research with larger samples, longer follow-up, broader outcome measurement, and exploration of mechanisms and moderating factors.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1933-1961"},"PeriodicalIF":1.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031629","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}