Neuropsychological Rehabilitation最新文献

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Is recalibration more important than realignment in prism adaptation training for visuospatial neglect? A randomized controlled trial. 棱镜适应训练治疗视觉空间忽略时,重新校准比重新调整更重要吗?随机对照试验。
IF 1.9 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2025-09-01 Epub Date: 2024-02-12 DOI: 10.1080/09602011.2024.2314877
Jannik Florian Scheffels, Paul Eling, Helmut Hildebrandt
{"title":"Is recalibration more important than realignment in prism adaptation training for visuospatial neglect? A randomized controlled trial.","authors":"Jannik Florian Scheffels, Paul Eling, Helmut Hildebrandt","doi":"10.1080/09602011.2024.2314877","DOIUrl":"10.1080/09602011.2024.2314877","url":null,"abstract":"<p><p>Prism adaptation training (PAT) as a treatment for visuospatial neglect (VSN) involves two components: recalibration and realignment. We conducted a randomized controlled trial with PAT protocols requiring different degrees of recalibration and realignment, by using a single or multi-step protocol and varying visibility of the pointing movement. Twenty-five VSN patients received an alertness treatment without prisms, followed by four PAT protocols, encompassing a multi- or single-step procedure with terminal exposure, a single-step procedure with concurrent exposure, and sham PAT, presented in random order. The primary outcome parameter was the median response time (RT) to left-sided targets in an endogenous variant of the Posner task, and we also measured the sensorimotor aftereffect. The two protocols without visibility of most of the movement trajectory produced significant aftereffects. The single-step protocol without movement visibility appeared to have a beneficial effect on non-motor leftward visuospatial attention compared to baseline, though the differences between this protocol and three other PAT protocols, includuing sham PAT, were not significant. We provide preliminary evidence that maximizing the conscious experience of movement errors may be a relevant component for remediating VSN, though the specificity of these effects remains to be further explored.<b>Trial registration:</b> German Clinical Trials Register identifier: DRKS00025938.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1505-1526"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725017","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
After the buzzer sounds: Adults unveil the consequences of concussions sustained during adolescence. 蜂鸣器响起后:成年人揭开青少年时期脑震荡的后果。
IF 1.9 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2025-09-01 Epub Date: 2024-12-16 DOI: 10.1080/09602011.2024.2439332
Heather A Shepherd, Meghan L Critchley, Carolyn A Emery, Jeffrey G Caron
{"title":"After the buzzer sounds: Adults unveil the consequences of concussions sustained during adolescence.","authors":"Heather A Shepherd, Meghan L Critchley, Carolyn A Emery, Jeffrey G Caron","doi":"10.1080/09602011.2024.2439332","DOIUrl":"10.1080/09602011.2024.2439332","url":null,"abstract":"<p><p>Concussions are commonly occurring injuries in sport. The short-term impacts of concussions, including symptoms and recovery trajectories, often are the focus of concussion research. However, limited studies have explored the long-term consequences of concussions, especially in adolescents. The purpose of this study was to explore adults' experiences with concussions sustained during their adolescence (5-15 years prior). This qualitative study was guided by an interpretivist philosophy. Twenty young adults (11 men, 9 women, median age 26) who had sustained at least one sport-related concussion during their adolescence participated in a one-on-one semi-structured interview. We aimed to explore their experiences with their concussion at the time of injury and any consequences they experienced as a result of their concussion. We organized participants' concussion experiences into six main themes: (1) Concussion diagnosis and experiences with health care providers; (2) Emotional symptoms following concussion; (3) Concussion recovery; (4) Change in sport participation and engagement; (5) Concern about the potential long-term consequences; and (6) Impact on social relationships. We used the Biopsychosocial Model of Sport Injury Rehabilitation to organize the themes. Future research should explore how acute multi-disciplinary support could reduce the negative long-term consequences of concussion in adolescents.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1544-1569"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830892","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 : 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":"https://doi.org/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":"1-23"},"PeriodicalIF":1.9,"publicationDate":"2025-08-26","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
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 : 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":"https://doi.org/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":"1-25"},"PeriodicalIF":1.9,"publicationDate":"2025-08-20","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 : 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":"1-25"},"PeriodicalIF":1.9,"publicationDate":"2025-08-11","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
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 : 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":"https://doi.org/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":"1-16"},"PeriodicalIF":1.9,"publicationDate":"2025-08-06","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
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 : 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":"https://doi.org/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":"1-11"},"PeriodicalIF":1.9,"publicationDate":"2025-08-03","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
The Buddy Program: High school students inform the design of a school-based peer support program for concussion. 伙伴计划:高中生为脑震荡校内同伴支持计划的设计提供信息。
IF 1.7 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2025-08-01 Epub Date: 2024-11-07 DOI: 10.1080/09602011.2024.2423082
Heather A Shepherd, Carla van den Berg, Nick Reed, Jeffrey G Caron, Keith O Yeates, Carolyn A Emery
{"title":"The Buddy Program: High school students inform the design of a school-based peer support program for concussion.","authors":"Heather A Shepherd, Carla van den Berg, Nick Reed, Jeffrey G Caron, Keith O Yeates, Carolyn A Emery","doi":"10.1080/09602011.2024.2423082","DOIUrl":"10.1080/09602011.2024.2423082","url":null,"abstract":"<p><p>Prior research provides little guidance on how to support return to school post-concussion. Peer support may be one strategy to enable adolescents to return to school post-concussion. The purpose of this study was to explore what high school students preferred in a school-based peer support program post-concussion. We conducted a qualitative instrumental case study in one high school in Calgary, Canada. Seven semi-structured focus groups were conducted with 53 high school students (16 boys, 36 girls, 1 preferring not to disclose gender; median age = 16 years, range = 15-18 years). All adolescents were enrolled in a sport medicine course and had either a history of concussion (<i>n</i> = 20) or were interested in supporting peers who had sustained a concussion (<i>n</i> = 33). Focus group questions aimed to solicit which factors the adolescents believed should be considered in the development of a post-concussion peer support program. We analyzed the focus group transcriptions using content analysis. Adolescents preferred a one-on-one Buddy Program. A one-on-one environment would provide a trusting and confidential relationship between the student with a concussion and their buddy. Peer support could include social support, advocacy support for academic accommodations, tutoring support, and concussion education. In future, the Buddy Program should be piloted in high schools.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1418-1433"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606181","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
Feasibility of Concussion Essentials: A multimodal intervention for persisting post-concussion symptoms among children and adolescents. 脑震荡要点》的可行性:针对儿童和青少年持续性脑震荡后症状的多模式干预。
IF 1.7 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2025-08-01 Epub Date: 2024-09-21 DOI: 10.1080/09602011.2024.2402564
Vanessa C Rausa, Franz E Babl, Katie Davies, Michael Takagi, Gavin A Davis, Audrey McKinlay, Bianca Charles, Stephen J C Hearps, Nicholas Anderson, Cathriona Clarke, Peter Barnett, Kevin Dunne, Vicki Anderson
{"title":"Feasibility of Concussion Essentials: A multimodal intervention for persisting post-concussion symptoms among children and adolescents.","authors":"Vanessa C Rausa, Franz E Babl, Katie Davies, Michael Takagi, Gavin A Davis, Audrey McKinlay, Bianca Charles, Stephen J C Hearps, Nicholas Anderson, Cathriona Clarke, Peter Barnett, Kevin Dunne, Vicki Anderson","doi":"10.1080/09602011.2024.2402564","DOIUrl":"10.1080/09602011.2024.2402564","url":null,"abstract":"<p><p>This study examined the feasibility of \"Concussion Essentials\" (CE), an individualized, multimodal intervention for persisting post-concussion symptoms (pPCS). Thirteen 6-18 year-olds with pPCS at 1-month post-concussion, as determined by the Post Concussion Symptom Inventory - Parent Report (PCSI-P), completed education, physiotherapy, and psychology modules, for up to 8-weeks or until pPCS resolved. Intervention participants were matched to a longitudinal observational cohort who received usual care (n = 13). The study enrolled 70% of participants symptomatic on screening and the dropout rate was <30% between baseline and post-programme assessments (4-weeks to 3-months post-injury). Symptoms improved for 100% of CE participants, with the number of symptomatic items on the PCSI-P reducing from 4-weeks, Median (IQR) = 14.0 (8.0-19.0) to 3-months, Median (IQR) = 1.0 (0.0-5.0). Comparatively, symptoms improved for approximately half of matched usual care participants. CE participants (n = 8) and their parents (n = 11) completed acceptability questionnaires. Most parents (91%) agreed CE was acceptable for children with concussion. All participants agreed CE was appropriate for concussion, while approximately 88% agreed they enjoyed the intervention and would recommend CE to others. Findings suggest CE is a feasible and acceptable treatment for paediatric pPCS. Further investigation within a larger scale randomized clinical trial is warranted.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1325-1348"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301212","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
Experiences of loss and grief in adults with acquired brain injury (ABI): A systematic review and meta synthesis of qualitative studies. 后天性脑损伤(ABI)成人的损失和悲伤经历:定性研究的系统回顾与元综合。
IF 1.9 3区 心理学
Neuropsychological Rehabilitation Pub Date : 2025-08-01 Epub Date: 2024-10-19 DOI: 10.1080/09602011.2024.2413898
Susan Mac Conaill, Aaron McGrath, Donal G Fortune
{"title":"Experiences of loss and grief in adults with acquired brain injury (ABI): A systematic review and meta synthesis of qualitative studies.","authors":"Susan Mac Conaill, Aaron McGrath, Donal G Fortune","doi":"10.1080/09602011.2024.2413898","DOIUrl":"10.1080/09602011.2024.2413898","url":null,"abstract":"<p><strong>Objective: </strong>To synthesise the qualitative research related to the processes of loss and grief experienced by adults who have sustained a moderate to severe ABI.</p><p><strong>Method: </strong>We conducted a systematic review and thematic synthesis of the experiences of loss and grief in adults with moderate to severe ABI. Five electronic database searches (PubMed, CINAHL, EMBASE, PsycINFO and Scopus) were conducted, identifying 2434 studies, of which 25 met inclusion criteria.</p><p><strong>Findings: </strong>Thematic synthesis generated four overarching analytical themes: the loss within me; devaluation of social roles and social identity; acceptance of grief and loss as an active process; and an ambivalent experience of loss. Our findings indicate that the experiences of grief and loss following brain injury are dynamic processes, requiring significant adjustment to and reappraisal of the sense of self, an often uncomfortable reconstruction and sometimes reluctant acceptance of new personal and social identities, and development of tolerance for the ambiguity of one's experience.</p><p><strong>Conclusion: </strong>Findings suggest that people with moderate to severe ABI go through a significant process of change and adaptation in relation to grief and loss and their sequelae. Given the enduring nature of the injury and changing needs of the individual, rehabilitation may need to be increasingly personalised and responsive.</p>","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1477-1504"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481191","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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