Neuropsychological Rehabilitation最新文献_第7页

Sensory sensitivity after subarachnoid hemorrhage. 蛛网膜下腔出血后的感觉敏感性。

IF 1.8 3区心理学

Neuropsychological Rehabilitation Pub Date : 2026-07-21 DOI: 10.1080/09602011.2026.2702563

Eva A Van Breugel, Joris A de Graaf, Celine Didderen, Irene Huenges Wajer, Hella Thielen, Johanna M A Visser-Meily, Antonia F Ten Brink

{"title":"Sensory sensitivity after subarachnoid hemorrhage.","authors":"Eva A Van Breugel, Joris A de Graaf, Celine Didderen, Irene Huenges Wajer, Hella Thielen, Johanna M A Visser-Meily, Antonia F Ten Brink","doi":"10.1080/09602011.2026.2702563","DOIUrl":"https://doi.org/10.1080/09602011.2026.2702563","url":null,"abstract":"Sensory hypersensitivity is a possible frequent complaint after subarachnoid hemorrhage (SAH) and negatively impacts quality of life. However, its prevalence, severity, and underlying mechanisms are unknown. In this cross-sectional, observational study, we examined the prevalence of increases in and degree of sensory sensitivity eight weeks after SAH compared to healthy controls, and explored its associations with cognitive functions (processing speed and working memory) and psychological factors (anxiety and depression). SAH patients (n = 62) and healthy participants (n = 119) completed a shortened version of the Multi-Modal Evaluation of Sensory Sensitivity (MESSY) questionnaire. Additionally, SAH patients underwent neuropsychological assessment measuring processing speed (Reaction Test) and working memory (Digit Span backwards), and completed a questionnaire on anxiety and depression (Hospital Anxiety and Depression Scale). Increases in sensory sensitivity after SAH were reported by 76% of the patients. The degree of sensory sensitivity complaints was higher in SAH patients than healthy controls (p = 0.006, partial η2 = 0.04). Increased sensory sensitivity was associated with increased depressive symptoms (p = 0.037, R2 = 0.27). There was no evidence for a relationship between anxiety, processing speed, or working memory and sensory sensitivity (p > 0.05). These findings highlight the high prevalence of increases in sensory sensitivity after SAH, emphasizing the need for systematic assessment.","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-22"},"PeriodicalIF":1.8,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551072","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

Chess-based cognitive remediation training as an add-on intervention treatment for alcohol use disorder: A quasi-randomized clinical trial. 基于象棋的认知补救训练作为酒精使用障碍的附加干预治疗：一项准随机临床试验。

IF 1.8 3区心理学

Neuropsychological Rehabilitation Pub Date : 2026-07-16 DOI: 10.1080/09602011.2026.2702561

Alexandra Seeger, Alexander Kinzel, Kathrin Matthiae, Roland Schmitt, Yury Shevchenko, Sarah Gerhardt, Falk Kiefer, Benjamin Rolland, Juan Antonio Montero, Tillmann Weber, Sabine Vollstädt-Klein

{"title":"Chess-based cognitive remediation training as an add-on intervention treatment for alcohol use disorder: A quasi-randomized clinical trial.","authors":"Alexandra Seeger, Alexander Kinzel, Kathrin Matthiae, Roland Schmitt, Yury Shevchenko, Sarah Gerhardt, Falk Kiefer, Benjamin Rolland, Juan Antonio Montero, Tillmann Weber, Sabine Vollstädt-Klein","doi":"10.1080/09602011.2026.2702561","DOIUrl":"https://doi.org/10.1080/09602011.2026.2702561","url":null,"abstract":"Alcohol use disorder (AUD) is associated with deficits in various cognitive functions which can impair conventional treatment and increase relapse risk. This longitudinal quasi-randomized controlled study investigated chess-based cognitive remediation training (CB-CRT) as add-on therapy to improve cognitive control and psychosocial outcomes compared to standard rehabilitation. Patients in the EG attended 90-minute CB-CRT group sessions twice weekly for six weeks. Assessments were conducted at baseline (T1, day 1), post-intervention (T2, day 42), and on day 126 (T3). Cognitive measures, abstinence, craving, subjective well-being, and liking of the intervention were assessed. Fifty-one participants completed two timepoints (T2 six weeks after T1): n = 32 allocated to the EG and n = 19 to the CG (no chess intervention). The CB-CRT group showed modest improvement in sustained attention at T2. No significant effects were found for short-term abstinence, craving, or mood at T3. General life satisfaction increased in the CB-CRT group at T2, but this effect was not maintained at follow-up. The intervention was well accepted, with recommendation ratings increasing over time, suggesting CB-CRT is a feasible, low-cost add-on option for AUD rehabilitation.","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-28"},"PeriodicalIF":1.8,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474245","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

Psychological interventions for challenging behaviours following moderate-to-severe traumatic brain injury: A systematic review, meta-analysis and GRADE evaluation. 中重度创伤性脑损伤后挑战性行为的心理干预：系统回顾、荟萃分析和GRADE评价

IF 1.8 3区心理学

Neuropsychological Rehabilitation Pub Date : 2026-07-08 DOI: 10.1080/09602011.2026.2682140

Paul Gertler, Holly Emery, Janet Doubleday, Robyn L Tate, Michaela Filipčíková, Cynthia A Honan, Dana Wong, Sarah Carrier, Tamara Ownsworth, Jacinta Douglas, Skye McDonald, Travis Wearne, Grahame K Simpson

{"title":"Psychological interventions for challenging behaviours following moderate-to-severe traumatic brain injury: A systematic review, meta-analysis and GRADE evaluation.","authors":"Paul Gertler, Holly Emery, Janet Doubleday, Robyn L Tate, Michaela Filipčíková, Cynthia A Honan, Dana Wong, Sarah Carrier, Tamara Ownsworth, Jacinta Douglas, Skye McDonald, Travis Wearne, Grahame K Simpson","doi":"10.1080/09602011.2026.2682140","DOIUrl":"10.1080/09602011.2026.2682140","url":null,"abstract":"This systematic review (SR) of psychological interventions treating challenging behaviours (CBs) contributed to development of Australian Clinical Practice Guideline for Psychosocial Difficulties after moderate-to-severe Traumatic Brain Injury (msTBI). It is the first SR of CBs to provide certainty of evidence ratings using Grading of Recommendations, Assessment, Development and Evaluation framework (GRADE). Three databases were searched from inception to August 2024. Eligible studies comprised adults with msTBI who received psychological interventions targeting CB; compared to a control condition and with outcomes documented by self-report or observed behaviour. Twenty-seven studies were identified (7 Randomized Controlled Trials, 1 Non-Randomized Study of Intervention, and 19 Single Case Experimental Design trials reporting 39 cases). Interventions were grouped into three categories; two behavioural support approaches (contingent reinforcement [BSA-CR] or positive behaviour support [BSA-PBS]) or psychotherapeutic approaches [PA]. Effects of interventions ranged from moderate to trivial. Certainty of evidence (GRADE ratings) was low for PA for verbal/physical aggression; and BSA-PBS for apathy; and very low for BSA for verbal/physical aggression, sexualized behaviour, inappropriate social behaviour and poor treatment adherence; and for PA for inappropriate social behaviour, apathy and poor treatment adherence. Future trials with stronger methodological rigour will increase certainty of evidence in managing CBs after msTBI.","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-44"},"PeriodicalIF":1.8,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413695","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

Sustaining gains following post-stroke memory rehabilitation using eHealth maintenance interventions: The Memory-SuSTAIN pilot randomized controlled trial. 脑卒中后使用电子健康维持干预维持记忆康复的持续收益：记忆-维持试点随机对照试验

IF 1.8 3区心理学

Neuropsychological Rehabilitation Pub Date : 2026-07-01 Epub Date: 2025-09-30 DOI: 10.1080/09602011.2025.2562159

Dana Wong, Renerus Stolwyk, David Lawson, Muideen Olaiya, Nicolette Kamberis, Liam Allan, Joosup Kim, Nicole Feast, Roshan das Nair, Dominique A Cadilhac

{"title":"Sustaining gains following post-stroke memory rehabilitation using eHealth maintenance interventions: The Memory-SuSTAIN pilot randomized controlled trial.","authors":"Dana Wong, Renerus Stolwyk, David Lawson, Muideen Olaiya, Nicolette Kamberis, Liam Allan, Joosup Kim, Nicole Feast, Roshan das Nair, Dominique A Cadilhac","doi":"10.1080/09602011.2025.2562159","DOIUrl":"10.1080/09602011.2025.2562159","url":null,"abstract":"We aimed to evaluate the acceptability, feasibility, preliminary effectiveness and costs of two eHealth maintenance interventions to sustain the longer-term effects of post-stroke memory rehabilitation compared to usual care. An observer-blinded pilot randomized controlled trial was conducted with community-dwelling stroke survivors experiencing everyday memory problems. Following a 6-week memory skills group, participants were randomly allocated to Telehealth Booster sessions, Electronic Reminders prompting strategy use, or Usual Care control (no active maintenance). Outcomes were acceptability ratings, recruitment and attrition rates, nine efficacy measures (e.g., Goal Attainment Scaling), intervention delivery costs and total costs (including service utilization). Efficacy outcomes were assessed post-memory-group (T1), post-waiting-period-1 (T2), post-maintenance-intervention (T3), and post-waiting-period-2 (T4). 38 participants were randomized (medianage 53 years, mediantime-since-stroke 13 months). Acceptability was high across conditions, and feasibility thresholds were mostly met. Post-memory-group gains were maintained over time across all conditions. Participants receiving usual care also unexpectedly sustained gains, possibly due to regular monitoring across four trial assessments. Within-group effect sizes were largest for Telehealth Booster sessions for most outcomes. Intervention delivery costs were greatest for Telehealth Boosters, but total costs greatest for Electronic Reminders due to more service utilization. Therefore, booster sessions may have the greatest maintenance effect without increasing total costs.","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1073-1096"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202112","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

Mental fatigue after traumatic brain injury: Exploring different determinants across severity levels. 创伤性脑损伤后的精神疲劳：探索不同严重程度的不同决定因素。

IF 1.8 3区心理学

Neuropsychological Rehabilitation Pub Date : 2026-07-01 DOI: 10.1080/09602011.2026.2689134

Sandra E Rakers, Anniek Reinhardt, Joukje Van Der Naalt, Jacoba M Spikman

{"title":"Mental fatigue after traumatic brain injury: Exploring different determinants across severity levels.","authors":"Sandra E Rakers, Anniek Reinhardt, Joukje Van Der Naalt, Jacoba M Spikman","doi":"10.1080/09602011.2026.2689134","DOIUrl":"https://doi.org/10.1080/09602011.2026.2689134","url":null,"abstract":"Fatigue is a frequent complaint after traumatic brain injury (TBI), irrespective of severity. We aimed to identify factors contributing to mental fatigue in various severities of TBI. This retrospective study examined fatigue, information processing speed, coping, and emotional distress in individuals with mild TBI (n = 56), moderate-severe TBI (n = 25), and healthy controls (n = 30). The aim was to assess differences in information processing speed between patients and controls and, within the patient groups, to explore how information processing speed, coping, and emotional distress relate to mental and physical fatigue. Slower information processing was correlated with higher mental fatigue (.40 to .50) in the moderate-severe TBI group. For moderate-severe TBI, depression and passive coping positively correlated with mental fatigue (.42 and .51). For mild TBI, depression, passive coping and anxiety positively correlated with mental and physical fatigue (.38 to .53). To conclude, slower information processing in moderate-severe TBI is likely to pose a higher cognitive load in demanding (task) situations, which in turn relates to higher levels of mental fatigue. In contrast, mental fatigue after mild TBI seems mainly associated with mental distress and passive coping. The results underscore the importance of considering injury severity when evaluating fatigue and tailoring clinical interventions.","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1-16"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370876","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

Evaluating the PRPP Intervention for individuals with brain injury at local inpatient rehabilitation facilities: multiple baseline designs. 评估当地住院康复机构脑损伤个体的PRPP干预：多重基线设计。

IF 1.8 3区心理学

Neuropsychological Rehabilitation Pub Date : 2026-07-01 Epub Date: 2025-11-21 DOI: 10.1080/09602011.2025.2590092

Marte Ørud Lindstad, Aud Uhlen Obstfelder, Unni Sveen, Linda Stigen

{"title":"Evaluating the PRPP Intervention for individuals with brain injury at local inpatient rehabilitation facilities: multiple baseline designs.","authors":"Marte Ørud Lindstad, Aud Uhlen Obstfelder, Unni Sveen, Linda Stigen","doi":"10.1080/09602011.2025.2590092","DOIUrl":"10.1080/09602011.2025.2590092","url":null,"abstract":"Cognitive challenges are common and often impede performing everyday tasks after acquired brain injury. Occupational therapists working with client groups with cognitive impairments seek evidence-based, occupation-based interventions to help individuals achieve independence in everyday activities. The aim of the study was to evaluate the effectiveness of the Perceive, Recall, Plan and Perform (PRPP) Intervention in increasing task mastery for individuals with cognitive challenges post-brain injury. This study is part of a systematic replication series and employed a multiple baseline design with intersubject replication across four participants with brain injury in a local inpatient rehabilitation context. Occupational therapists conducted nine PRPP Intervention sessions over three weeks during everyday tasks and collected data using the PRPP Assessment during baseline, intervention, post-intervention, and follow-up phases. Results were analyzed using systematic visual inspection, Tau-U, and descriptive methods. Different analytical methods yielded divergent results, with limited evidence of an immediate change. However, all four participants demonstrated improved task mastery after the intervention was completed, three with clinically significant improvements. The PRPP Intervention provides occupational therapists with a standardized and occupation-based approach to cognitive rehabilitation for individuals following brain injury. This study contributes to the existing knowledge base on the PRPP Intervention.Trial registration: NCT05148247.","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1181-1208"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145574937","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

Augmenting behavioural activation with mental imagery improves post-stroke depressive symptoms. 用心理意象增强行为激活可改善中风后抑郁症状。

IF 1.8 3区心理学

Neuropsychological Rehabilitation Pub Date : 2026-07-01 Epub Date: 2025-10-23 DOI: 10.1080/09602011.2025.2573340

Kyle Joseph Kelleher, Nele Demeyere, Andrea Kusec

{"title":"Augmenting behavioural activation with mental imagery improves post-stroke depressive symptoms.","authors":"Kyle Joseph Kelleher, Nele Demeyere, Andrea Kusec","doi":"10.1080/09602011.2025.2573340","DOIUrl":"10.1080/09602011.2025.2573340","url":null,"abstract":"Depression affects approximately 30% of stroke survivors. Behavioural activation (BA) is a depression intervention based on completing positively reinforcing activities. However, post-stroke cognitive changes, like episodic memory difficulties, could affect encoding, storing, and recollecting reinforcing activities. Mental imagery has high acceptability in post-stroke motor recovery interventions, and in depression and anxiety interventions outside of stroke. We evaluated whether augmenting BA with mental imagery improves mood and activity outcomes in stroke compared to BA alone. Randomized participants received positive activity scheduling (\"standard\" BA) with (1) mental imagery simulating the planned activity, or (2) an imagery active control unrelated to the planned activity. Depressive symptoms and activity measures were completed weekly over 3 sessions and between-group differences evaluated via mixed-effects modelling. Exploratory models covaried for baseline verbal episodic memory and subjective memory. N = 45 participants [M age = 69.29, M years post-stroke = 3.00, 60% male] took part. BA with mental imagery led to significantly greater reduction in depressive symptoms compared to standard BA (t(79) = -2.72, p = .008; Cohen's d = 0.65). Subjective, but not objective, memory correlated with depression severity and activity engagement. There were no between-group differences in activity measures. Mental imagery may enhance mood outcomes in BA post-stroke, potentially supporting positive activity reflections irrespective of activity completion.","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1097-1121"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349966","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

Prevalence and moderators of apathy after traumatic brain injury: A systematic review and meta-analysis. 创伤性脑损伤后冷漠的患病率和调节因素：一项系统回顾和荟萃分析。

IF 1.8 3区心理学

Neuropsychological Rehabilitation Pub Date : 2026-07-01 Epub Date: 2025-09-25 DOI: 10.1080/09602011.2025.2559911

Jessica Lynch, Leila Sarih, Joseph Mole, Grace Revill, Vaughan Bell

{"title":"Prevalence and moderators of apathy after traumatic brain injury: A systematic review and meta-analysis.","authors":"Jessica Lynch, Leila Sarih, Joseph Mole, Grace Revill, Vaughan Bell","doi":"10.1080/09602011.2025.2559911","DOIUrl":"10.1080/09602011.2025.2559911","url":null,"abstract":"Apathy is a recognized neuropsychiatric syndrome in individuals with traumatic brain injury (TBI) with far-reaching consequences, including reduced independence, meaningful activities and quality of life. However, previous studies have reported variable prevalence rates and no meta-analysis has synthesized prevalence findings and identified moderators of apathy in clinical populations. We conducted a pre-registered meta-analysis (PROSPERO CRD42024552306), searching three databases (MEDLINE, EMBASE, and APA PsycInfo) for primary studies assessing apathy in individuals with TBI. 18 studies met inclusion criteria, and data were extracted for meta-analysis to estimate the pooled prevalence of apathy. Subgroup analyses and meta-regressions explored the influence of potential moderating factors including demographic characteristics, injury-related factors, and methods of apathy assessment. The meta-analysis found the prevalence of apathy following TBI to be 37.6% [95% CI 28.5-47.2%]. Key moderators included cause of injury, TBI severity, sex and population type. Specifically, transport accidents were associated with higher apathy prevalence, while mild TBI, male sex, and veteran status were associated with lower apathy prevalence. Apathy is a prevalent and significant symptom following TBI, affecting over one-third of individuals in the reviewed studies. These findings highlight the need for increased clinical focus on apathy as an important aspect of TBI recovery.","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1230-1250"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145152086","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

Predictors and moderators of outcomes on activities, participation, and quality of life following outpatient comprehensive neuropsychological rehabilitation for individuals with acquired brain injury: A systematic review. 获得性脑损伤患者门诊综合神经心理康复后活动、参与和生活质量的预测因素和调节因素：一项系统综述

IF 1.8 3区心理学

Neuropsychological Rehabilitation Pub Date : 2026-07-01 Epub Date: 2025-11-26 DOI: 10.1080/09602011.2025.2587787

Peter Smits, Anne-Fleur Domensino, Rudolf Ponds, Caroline M van Heugten

{"title":"Predictors and moderators of outcomes on activities, participation, and quality of life following outpatient comprehensive neuropsychological rehabilitation for individuals with acquired brain injury: A systematic review.","authors":"Peter Smits, Anne-Fleur Domensino, Rudolf Ponds, Caroline M van Heugten","doi":"10.1080/09602011.2025.2587787","DOIUrl":"10.1080/09602011.2025.2587787","url":null,"abstract":"Acquired brain injury (ABI) often limits daily activities and participation. Comprehensive neuropsychological rehabilitation (CNR) aims to address these issues. This review examines research on predictors and moderators of improved activity, participation, and quality of life (QoL) after CNR, and updates its effectiveness. A comprehensive search of five databases (PubMed, MEDLINE, CINAHL, PsycINFO, CENTRAL) from 2002 to 2025 identified 12,174 studies. Ninety-five were screened, and 25 met the inclusion criteria. The included studies evaluated CNR for adults with ABI in outpatient or community settings, incorporating cognitive and psychological interventions with repeated assessments of activity, participation, and QoL. We found no clinical trials reporting predictors or moderators of CNR outcomes. However, four observational studies suggested that earlier admission to CNR may serve as a potential predictor of improved outcomes. Most controlled studies demonstrated that CNR significantly improved activity, participation, or QoL compared to control groups. These effects were substantiated by 13 observational studies, with improvements sustained in 89% of studies with follow-up beyond three months. Overall, while CNR improves levels of activity, participation, and QoL post-ABI, research on predictors and moderators of CNR effectiveness is still lacking. Future research should focus on identifying these factors to optimize CNR effectiveness for individual patients.","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1278-1320"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607520","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

Psychometric accuracy of measurement instruments for patients with aphasia after stroke: A scoping review. 脑卒中后失语患者心理测量仪器的准确性：范围综述。

IF 1.8 3区心理学

Neuropsychological Rehabilitation Pub Date : 2026-07-01 Epub Date: 2025-10-12 DOI: 10.1080/09602011.2025.2567297

Yuhei Kodani, Shinsuke Nagami, Shinya Fukunaga, Hikaru Nakamura

{"title":"Psychometric accuracy of measurement instruments for patients with aphasia after stroke: A scoping review.","authors":"Yuhei Kodani, Shinsuke Nagami, Shinya Fukunaga, Hikaru Nakamura","doi":"10.1080/09602011.2025.2567297","DOIUrl":"10.1080/09602011.2025.2567297","url":null,"abstract":"Purpose: This scoping review aimed to synthesize evidence on the psychometric properties of measurement instruments used to assess people with aphasia (PWA) after stroke. In constructing support for PWA, a comprehensive assessment is vital, yet evidence on measurement accuracy is limited.Materials and methods: Six databases (PubMed, MEDLINE, EMBASE, PsycINFO, Web of Science, and Ichushi-Web) were searched for studies up to 2023. Four authors independently screened studies examining the psychometric properties of instruments for PWA. Data were classified according to the Research Outcome Measurement in Aphasia (ROMA) Core Outcome Set (COS), focusing on language, communication, emotional well-being, and quality of life (QOL), and on four key instruments: Western Aphasia Battery-Revised (WAB-R), Scenario Test, GHQ-12, and SAQOL-39. Psychometric properties were appraised using the COSMIN criteria.Results: From 12,150 records, 34 studies covering 37 instruments were included; participants were mostly ≥60 years and >6 months post-stroke. Fewer tools assessed communication, well-being, and QOL than language. Responsiveness and measurement error were rarely evaluated; ROMA instruments WAB-R and GHQ-12 were absent. Sufficient properties supported 2 languages, 5 communication, 1 well-being, and 3 QOL instruments.Conclusions: Major gaps persist-limited validation, scant responsiveness/measurement error evidence, and weak support even for COS instruments.","PeriodicalId":54729,"journal":{"name":"Neuropsychological Rehabilitation","volume":" ","pages":"1251-1277"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281913","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