Neuropsychological Rehabilitation最新文献

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Does speed of processing training improve everyday life functional activity in traumatic brain injury: A pilot randomized controlled trial. 处理速度训练是否能改善创伤性脑损伤患者的日常生活功能活动:一项随机对照试验。
IF 1.9 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2026-05-01 Epub Date: 2025-07-04 DOI: 10.1080/09602011.2025.2526663
Yael Goverover, Silvana L Costa, John DeLuca, Nancy Chiaravalloti
{"title":"Does speed of processing training improve everyday life functional activity in traumatic brain injury: A pilot randomized controlled trial.","authors":"Yael Goverover, Silvana L Costa, John DeLuca, Nancy Chiaravalloti","doi":"10.1080/09602011.2025.2526663","DOIUrl":"10.1080/09602011.2025.2526663","url":null,"abstract":"<p><p>This double-blind, placebo-controlled, randomized trial evaluated Speed of Processing Training (SOPT) efficacy for improving everyday functioning in traumatic brain injury (TBI). Thirty-four participants with moderate to severe TBI completed either SOPT or placebo control treatment across 10 sessions over five weeks. Assessments at baseline, post-treatment, and six-month follow-up measured Timed Activities of Daily Living (TIADL) performance along with self-reported quality of life, self-efficacy, and depressive symptoms. Results revealed no significant differences between the SOPT and placebo groups. Repeated measures ANOVA showed non-significant interactions between time and group for both TIADL scores and self-reported outcomes. Additional post-hoc analyses found no significant differences in baseline variables between participants who improved on the TIADL and those who did not. Despite SOPT's established benefits for processing speed, this study suggests its effects may not transfer to functional outcomes in individuals with moderate to severe TBI. The findings indicate that future research should explore integrated cognitive rehabilitation approaches that better promote generalization to daily life activities and meaningful functional improvements for persons with TBI. The clinical trial was registered with www.clinicaltrials.gov (protocol ID: NCT02020564).<b>Trial registration:</b> ClinicalTrials.gov identifier: NCT02020564..</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"714-729"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565510","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}
引用次数: 0
Illness perceptions predict subjective cognitive complaints independently of sex and psychological distress in post-acute mTBI. 疾病感知预测急性mTBI后独立于性别和心理困扰的主观认知抱怨。
IF 1.9 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2026-05-01 Epub Date: 2025-09-24 DOI: 10.1080/09602011.2025.2532479
Arielle M Levy, Michael M Saling, Jacqueline F I Anderson
{"title":"Illness perceptions predict subjective cognitive complaints independently of sex and psychological distress in post-acute mTBI.","authors":"Arielle M Levy, Michael M Saling, Jacqueline F I Anderson","doi":"10.1080/09602011.2025.2532479","DOIUrl":"10.1080/09602011.2025.2532479","url":null,"abstract":"<p><p>Cognitive symptoms are common after mild traumatic brain injury (mTBI) and can interfere with return to work. Factors underlying these symptoms are poorly understood. This prospective observational study explored relationships between illness perceptions, coping style, and cognitive symptom reporting in mTBI, including when controlling for sex and psychological distress. Individuals with mTBI (n = 70) and trauma controls (n = 42) were assessed 6-10 weeks post-injury. Measures included the Brief-COPE, the Illness Perceptions Questionnaire-Revised (IPQ-R), and subjective cognitive and post-concussion symptom scales. Six of the nine IPQ-R subscales showed robust bivariate correlations with cognitive symptoms in the mTBI group (|<i>r</i>| = .24-.55). Illness perceptions contributed to cognitive symptom reporting over and above the effects of sex and psychological distress (<i>F</i>(2,64) = 4.12, <i>p</i> = .021); significant, robust independent predictors were psychological distress (β = .344, <i>p</i> = .003), and IPQ-Consequences (β = .276, <i>p</i> = .025). Relationships with general post-concussion symptoms, and in trauma controls, were also explored. This research demonstrates that illness perceptions have important relationships with cognitive symptoms after mTBI, which persist when controlling for pre-established predictors of these symptoms. This indicates that illness perceptions are a unique predictor of cognitive symptoms after mTBI and suggests that, alongside psychological distress, these perceptions may be a useful target for intervention in individuals with prolonged recovery.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"803-824"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132810","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}
引用次数: 0
Validation and reliability study of the Turkish version of the Stroke Stigma Scale in patients with stroke. 土耳其版卒中耻感量表在卒中患者中的验证与信度研究。
IF 1.9 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2026-05-01 Epub Date: 2025-08-06 DOI: 10.1080/09602011.2025.2541881
Çiğdem Ökten, Melek Takil
{"title":"Validation and reliability study of the Turkish version of the Stroke Stigma Scale in patients with stroke.","authors":"Çiğdem Ökten, Melek Takil","doi":"10.1080/09602011.2025.2541881","DOIUrl":"10.1080/09602011.2025.2541881","url":null,"abstract":"<p><p>This study aimed to determine the Turkish validity and reliability of the stigma scale developed for stroke patients. This methodological study was conducted with 160 patients diagnosed with stroke in the Neurology Department of Kutahya Health Sciences University Evliya Çelebi Training and Research Hospital Additional Building. A Patient Information Form, the Stroke Stigma Scale, and the Neuro Quality of Life (Neuro-QoL)-Stigma Scale were used for data collection. A four-factor structure with a total variance of 52.82% was obtained from the exploratory factor analysis. The chi-square/degree of freedom of the Stroke Stigma scale was 1.931 (CMIN/DF < 5) and the <i>p</i>-value was <.001. The root mean square error of approximation (RMSEA) value was .07. When the Cronbach alpha coefficients were examined for internal consistency, it was determined that the Cronbach alpha value of the total scale was .74 and the Cronbach alpha values of the subdimensions were .67, .63, .57, and .60, respectively. In addition, a moderate positive correlation was determined between the Stroke Stigma Scale and the Neuro-QoL-Stigma Scale. According to the results, the Turkish version of the Stroke Stigma Scale was found to be valid and reliable for the Turkish population.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"836-851"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796154","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}
引用次数: 0
Cognitive behaviour therapy tailored to migraine in multiple sclerosis: A pilot randomized controlled trial. 针对多发性硬化症患者偏头痛的认知行为疗法:一项随机对照试验。
IF 1.9 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2026-05-01 Epub Date: 2025-08-20 DOI: 10.1080/09602011.2025.2545303
Pavika Thevar, Dana Wong, Elspeth Hutton, Rubina Alpitsis, Charles Malpas, Alissandra McIlroy
{"title":"Cognitive behaviour therapy tailored to migraine in multiple sclerosis: A pilot randomized controlled trial.","authors":"Pavika Thevar, Dana Wong, Elspeth Hutton, Rubina Alpitsis, Charles Malpas, Alissandra McIlroy","doi":"10.1080/09602011.2025.2545303","DOIUrl":"10.1080/09602011.2025.2545303","url":null,"abstract":"<p><p>Approximately 50% of people with relapsing-remitting multiple sclerosis (RRMS) have comorbid migraine. This pilot randomized controlled trial examined the feasibility and preliminary efficacy of a five-week cognitive behaviour therapy targeted to treating migraine in RRMS (CBT-MMS). Participants with RRMS and ≥3 migraine days per month (MMD) received CBT-MMS or a nine-week waitlist. Feasibility was assessed by rates of retention, follow-up and outcome responses. Candidate primary outcomes were MMD, migraine duration, and pain intensity at baseline, post-treatment, and one-month follow-up. Secondary outcomes included mood, fatigue, self-efficacy, pain catastrophizing, disability and quality of life. Data were analyzed through multilevel modelling. Participants were 31 adults aged 22-59 with 8.32 ± 6.12 MMD at baseline. The retention rate was 96.77%. From baseline, the CBT-MMS group (<i>n=</i>21) had significantly fewer MMD and shorter migraine duration (in hours) at post-treatment (<i>EMM=</i>3.05 days, 95%CI [-5.32, -2.13]; <i>EMM</i>=6.34 h, 95%CI [-10.62, -5.15], respectively) and follow-up (<i>EMM</i>=2.82 days, 95%CI [-5.58, -2.33]; <i>EMM</i>=7.20 h, 95%CI [-9.64, -4.39], respectively). The waitlist group (<i>n=</i>10) had no such within-group changes. Treatment gains were found for anxiety, self-efficacy, and migraine-related disability, and no effects were found on remaining outcomes. These findings provide preliminary support for the feasibility and efficacy potential of CBT-MMS, warranting a larger-scale trial.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"730-754"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979292","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}
引用次数: 0
A cognitive energy crisis: A systematic review & meta-analysis of effective interventions for pediatric cognitive fatigue post-acquired brain injury. 认知能量危机:儿童获得性脑损伤后认知疲劳有效干预措施的系统回顾和荟萃分析。
IF 1.9 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2026-05-01 Epub Date: 2025-08-11 DOI: 10.1080/09602011.2025.2540625
Emily Danson, Ruth Brunsdon, Amanda Lane-Brown, Vincent Oxenham
{"title":"A cognitive energy crisis: A systematic review & meta-analysis of effective interventions for pediatric cognitive fatigue post-acquired brain injury.","authors":"Emily Danson, Ruth Brunsdon, Amanda Lane-Brown, Vincent Oxenham","doi":"10.1080/09602011.2025.2540625","DOIUrl":"10.1080/09602011.2025.2540625","url":null,"abstract":"<p><p>Acquired Brain Injuries (ABIs) cause long-term disruption to young individuals' development. Persistent cognitive fatigue is a commonly reported sequela following pediatric ABI. Currently, there are no evidence-based interventions targeting cognitive fatigue post-ABI amongst pediatric patients. The current systematic review and meta-analysis aimed to review research on the efficacy of pharmacological and non-pharmacological interventions for cognitive fatigue following pediatric ABI. The review searched terms through relevant databases (including Medline, PsychInfo, Embase, Cinahl and Scopus), using specific inclusion criterion. A total of 6,511 articles were identified. Five articles met the inclusion criteria, and three were of excellent quality. These were categorized into behavioural (Gagnon et al., 2016; Gauvin-Lepage et al., 2020; Hypher et al., 2022; Renaud et al., 2020) and pharmacological interventions (Sakellaris et al., 2008). A meta-analysis of the behavioural interventions using random-effects models was conducted and demonstrated a statistically significant effect on reducing cognitive fatigue from both a self-report and caregiver-report perspective. Although not included in the meta-analysis, Sakellaris et al. (2008) findings also demonstrated creatin as an effective pharmacological intervention. The scarcity of available studies impacted the findings, and thus, further investigation is warranted to support specific treatment guidelines.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"778-802"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823237","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}
引用次数: 0
Participant perspectives on a tailored CBT intervention for migraine and multiple sclerosis: A qualitative study. 针对偏头痛和多发性硬化症的CBT干预:一项定性研究。
IF 1.9 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2026-05-01 Epub Date: 2025-08-26 DOI: 10.1080/09602011.2025.2547771
Pavika Thevar, Dana Wong, Elspeth Hutton, Rubina Alpitsis, Alissandra McIlroy
{"title":"Participant perspectives on a tailored CBT intervention for migraine and multiple sclerosis: A qualitative study.","authors":"Pavika Thevar, Dana Wong, Elspeth Hutton, Rubina Alpitsis, Alissandra McIlroy","doi":"10.1080/09602011.2025.2547771","DOIUrl":"10.1080/09602011.2025.2547771","url":null,"abstract":"<p><p>A tailored psychological intervention has the potential to prevent and manage migraines in relapsing-remitting multiple sclerosis (RRMS) and improve wellbeing and meaningful participation. Acceptability of this approach is yet to be established. We explored participant perspectives on the content and delivery of a five-week telehealth intervention, tailored to RRMS and migraine, combining CBT and cognitive strategies (CBT-MMS). Transcripts from qualitative interviews were analysed through reflexive and codebook thematic analyses. Participants were 27 adults aged 22-59 years old with a RRMS history of 5.96±5.57 years, migraine history of 16.30±13.69 years, and 8.26±6.44 days of migraine per month. Five themes were generated reflecting the perceived value of CBT-MMS, including: 1-Feeling lost within a health system that has not met their needs, 2-Understanding their struggles and strengths, 3-Supported through a new therapeutic endeavour, 4-Developing a toolkit for life's challenges, and 5-One size CBT does not fit all. The therapy content and delivery were considered acceptable and relevant, though more detailed migraine education and cognitive strategy implementation were recommended. Our findings highlight the benefits of tailoring interventions to the individual with RRMS and their specific needs, and building self-efficacy through guided and practical strategies delivered by a supportive therapist.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"755-777"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979312","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}
引用次数: 0
Implementation of cognition-oriented treatments (COTs) for older adults in Australian memory and cognition clinics: development and pilot evaluation of a clinician training toolkit. 实施认知导向治疗(COTs)的老年人在澳大利亚的记忆和认知诊所:开发和试点评估临床医生培训工具包。
IF 1.9 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2026-05-01 Epub Date: 2025-07-09 DOI: 10.1080/09602011.2025.2526661
Alex Bahar-Fuchs, Courtney Chesser, Loren Mowszowski, Kerryn E Pike, Alessandra Lee, Inga Mehrani, Alison M Hutchinson, Sharon Naismith
{"title":"Implementation of cognition-oriented treatments (COTs) for older adults in Australian memory and cognition clinics: development and pilot evaluation of a clinician training toolkit.","authors":"Alex Bahar-Fuchs, Courtney Chesser, Loren Mowszowski, Kerryn E Pike, Alessandra Lee, Inga Mehrani, Alison M Hutchinson, Sharon Naismith","doi":"10.1080/09602011.2025.2526661","DOIUrl":"10.1080/09602011.2025.2526661","url":null,"abstract":"<p><p>The uptake of Cognition-Oriented Treatments (COTs) has remained slow in memory and cognition clinics in Australia despite strong research evidence and recommendations for their use in clinical guidelines. A barrier to implementation is clinician knowledge and training in using COTs for older adults. The current study described the development and initial evaluation of a training toolkit to improve Clinical Neuropsychologists' knowledge, skills and confidence in delivering COTs to older adults in Australian Memory and Cognition Clinics. The toolkit, delivered as part of a broader pilot COTs implementation study, included six online learning modules and an in-person workshop. Participants' knowledge and confidence were measured at baseline, while satisfaction and feedback on the training toolkit were assessed post-training intervention. 18 clinicians completed the training toolkit, and 9 responded to the post-training survey. Clinicians' self-rated knowledge and confidence in their ability varied, especially on items about COT delivery. Clinicians were broadly satisfied with the content and delivery of the training toolkit, while qualitative feedback offered opportunities for improvement. The clinician training toolkit has the potential to assist with the implementation of COTs in Australia by developing clinicians' skills and knowledge. Plans include revising the training toolkit and exploring its implementation in additional contexts.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"691-713"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592958","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}
引用次数: 0
Poor upper limb performance despite the absence of notable upper limb motor impairment in adults with acute stroke - the influence of cognitive deficits. 成人急性中风患者尽管没有明显的上肢运动障碍,但上肢表现不佳-认知缺陷的影响
IF 1.9 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2026-05-01 Epub Date: 2025-08-03 DOI: 10.1080/09602011.2025.2541096
Tim Vanbellingen, Ann Van de Winckel, Manuela Pastore-Wapp, Beatrice Ottiger, Janne Veerbeek, Dario Cazzoli, Thomas Nyffeler
{"title":"Poor upper limb performance despite the absence of notable upper limb motor impairment in adults with acute stroke - the influence of cognitive deficits.","authors":"Tim Vanbellingen, Ann Van de Winckel, Manuela Pastore-Wapp, Beatrice Ottiger, Janne Veerbeek, Dario Cazzoli, Thomas Nyffeler","doi":"10.1080/09602011.2025.2541096","DOIUrl":"10.1080/09602011.2025.2541096","url":null,"abstract":"<p><strong>Introduction: </strong>To assess the impact of cognitive impairment, upper limb apraxia, and spatial neglect on upper limb performance in adults with stroke.</p><p><strong>Methods: </strong>This prospective cross-sectional study evaluated upper limb performance dependency in adults with acute/early subacute stroke. The Upper Limb (UL)-LIMOS assessed upper limb performance; while upper limb motor impairment was evaluated with the Fugl Meyer Assessment-Upper Extremity (FMA-UE), general cognitive function with the Montreal Cognitive Assessment, spatial neglect with the Catherine Bergego Scale, and upper limb apraxia with the Apraxia Screen of TULIA.</p><p><strong>Results: </strong>We recruited 407 adults with stroke. Minimal or no upper limb motor impairments were present in 270 out of 407 (66.3%) adults, among whom 38.5% still exhibited poor upper limb performance. There were weak to moderate correlations between UL-LIMOS and MoCA (r = .213), spatial neglect (r = -.415), and apraxia (r = .190). General cognition, spatial neglect strongly predicted upper limb performance (R2 = 0.34).</p><p><strong>Conclusion: </strong>Almost 40% of adults with acute stroke, who do display minimal upper limb impairments, demonstrate poor performance in upper limb tasks, attributed to impaired general cognition, spatial neglect, and/or, to a lesser extent, upper limb apraxia. Hence, there is need for cognitive-motor therapies to be integrated into early rehabilitation settings to address these challenges effectively.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"825-835"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776934","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}
引用次数: 0
Psychosocial interventions for mental health difficulties following moderate-to-severe traumatic brain injury: A systematic review and meta-analysis. 对中重度创伤性脑损伤后精神健康困难的社会心理干预:系统回顾和荟萃分析
IF 1.9 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2026-04-30 DOI: 10.1080/09602011.2026.2664193
Sarah Carrier, Dana Wong, Holly Emery, Paul Gertler, Grahame K Simpson, Olivia Zuber, Tamara Ownsworth, Skye McDonald, Jacinta Douglas, Travis Wearne, And Cynthia Honan
{"title":"Psychosocial interventions for mental health difficulties following moderate-to-severe traumatic brain injury: A systematic review and meta-analysis.","authors":"Sarah Carrier, Dana Wong, Holly Emery, Paul Gertler, Grahame K Simpson, Olivia Zuber, Tamara Ownsworth, Skye McDonald, Jacinta Douglas, Travis Wearne, And Cynthia Honan","doi":"10.1080/09602011.2026.2664193","DOIUrl":"https://doi.org/10.1080/09602011.2026.2664193","url":null,"abstract":"<p><p>Mental health difficulties are common following moderate-to-severe traumatic brain injury (TBI) and impact health-related quality of life. This systematic review and meta-analysis evaluated the effectiveness of psychosocial interventions for adults with moderate-to-severe TBI experiencing mental health difficulties (anxiety, depression, psychological distress, suicidality, alcohol/substance misuse, insomnia and sexual dysfunction). Psychological and behavioural interventions across settings were compared with control/baseline conditions in clinical trials or single-case experimental-designs, with self-reported mental health symptoms as the primary outcome. Five databases were searched in May 2024 for studies published worldwide. Screening and risk-of-bias ratings were performed by two independent reviewers. Thirty-three studies were identified; 22 were included in the meta-analysis. Cognitive behaviour therapy (CBT) showed <i>moderate</i> effects for anxiety, depression, distress and suicidality (Hedges' <i>g</i> = 0.48); acceptance and commitment therapy showed <i>small-moderate</i> effects (<i>g</i> = 0.43). Psychological interventions (e.g., motivational interviewing) showed <i>small-moderate</i> effects for alcohol/substance misuse (<i>g</i> = 0.39), and CBT showed <i>small-moderate</i> effects for insomnia (<i>g</i> = 0.30). GRADE certainty of evidence was low for anxiety, depression, distress and suicidality, and very low for alcohol/substance misuse, sleep difficulties/insomnia and sexual dysfunction. Psychosocial interventions appear beneficial for mental health difficulties post-TBI, with most consistent evidence for CBT. Findings will inform Clinical Practice Guidelines.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-50"},"PeriodicalIF":1.9,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789693","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}
引用次数: 0
Adherence to non-pharmacological interventions in patients with mild cognitive impairment: A scoping review. 轻度认知障碍患者的非药物干预依从性:一项范围综述。
IF 1.9 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2026-04-16 DOI: 10.1080/09602011.2026.2649977
Qiuxia Qian, Jia Li, Ying Zhu, Yidan Li, Xuedan Wang, Jinhan Nan, Yu Zhu, Jianxun Cao, Yuxia Ma
{"title":"Adherence to non-pharmacological interventions in patients with mild cognitive impairment: A scoping review.","authors":"Qiuxia Qian, Jia Li, Ying Zhu, Yidan Li, Xuedan Wang, Jinhan Nan, Yu Zhu, Jianxun Cao, Yuxia Ma","doi":"10.1080/09602011.2026.2649977","DOIUrl":"https://doi.org/10.1080/09602011.2026.2649977","url":null,"abstract":"<p><p>Non-pharmacological interventions (NPIs) can effectively improve the cognitive function of patients with mild cognitive impairment (MCI), while the adherence of patients with MCI affects the effectiveness of NPIs. Understanding the adherence of patients with MCI to NPIs can help improve the effectiveness of NPIs. This scoping review aimed to explore both the number and scope of reporting adherence to NPIs in published studies of patients with MCI. Six databases, including Web of Science, PubMed, The Cochrane Library, CINHAL, Scopus, and Embase, were searched for articles related to adherence to NPIs in patients with MCI (search date, 1 February 2026). Studies were screened independently, and relevant information was extracted. Fifty-eight studies were finally included. Of these, adherence was most commonly defined based on the percentage of attended/completed intervention sessions compared to those prescribed. The measurement of adherence was usually performed by recording attendance or the time of day they completed training. Furthermore, the factors that may influence adherence were most frequently analyzed in the studies. In studies of NPIs in patients with MCI, reports of adherence were limited in both number and scope.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-36"},"PeriodicalIF":1.9,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700427","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}
引用次数: 0
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