价值一致性康复与脑外伤后的长期心理灵活性和生活质量有关。

IF 1.7 3区 心理学 Q4 NEUROSCIENCES
Neuropsychological Rehabilitation Pub Date : 2024-08-01 Epub Date: 2023-09-14 DOI:10.1080/09602011.2023.2256964
Luke R Miller, Ross Divers, Christopher Reed, Jared Cherry, Abihail Patrick, Matthew Calamia
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引用次数: 0

摘要

在创伤性脑损伤(TBI)的门诊康复治疗中采用整体治疗方法(即对整个个体进行治疗)已经迈出了有意义的一步;然而,研究和实践仍然不成比例地侧重于适应身体和认知方面的变化。研究表明,注重个人价值观的治疗可能对创伤后的心理适应很重要。目前的研究试图探讨创伤性脑损伤患者在多个生活领域的个人价值观,以及门诊康复治疗对哪些价值观有帮助,并研究这些因素(即价值观一致的康复治疗)与重要的长期治疗结果之间的差异。215名有创伤性脑损伤病史并参加过门诊康复治疗的成年人完成了在线调查,评估门诊康复治疗与个人价值观、心理灵活性和生活质量的一致性。个人重要性与康复帮助之间差异最大的生活领域是精神生活、亲密关系和家庭关系。除人口统计学和损伤特征外,价值一致性更高的康复与更高水平的心理灵活性和生活质量相关。我们的研究结果进一步支持了以客户为中心的整体康复方法,这种方法在神经康复项目中得到了推广。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Value-consistent rehabilitation is associated with long-term psychological flexibility and quality of life after traumatic brain injury.

Meaningful steps have been taken toward using holistic approaches in outpatient rehabilitation for traumatic brain injury (TBI) (i.e., treating the whole individual); however, research and practice continue to disproportionately focus on adapting to physical and cognitive changes. Research suggests treatment focusing on individual values may be important for psychological adjustment after TBI. The current study sought to explore individual values across multiple life domains in those with TBI as well as what values outpatient rehabilitation was helpful for, and to examine discrepancies between these factors (i.e., value-consistent rehabilitation) in relation to important long-term treatment outcomes. 215 adults with a history of TBI who had participated in outpatient rehabilitation completed online surveys assessing how consistent outpatient rehabilitation was with individual values, psychological flexibility, and quality of life. The life domains with the greatest discrepancies between individual importance and rehabilitation helpfulness were spirituality, intimate relations, and family relations. Greater value-consistent rehabilitation was associated with higher levels of psychological flexibility and quality of life beyond demographics and injury characteristics. Our findings provide further support in favour of holistic, client-centred approaches that are facilitated by neurological rehabilitation programs.

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来源期刊
Neuropsychological Rehabilitation
Neuropsychological Rehabilitation 医学-神经科学
CiteScore
6.30
自引率
7.40%
发文量
78
审稿时长
>12 weeks
期刊介绍: Neuropsychological Rehabilitation publishes human experimental and clinical research related to rehabilitation, recovery of function, and brain plasticity. The journal is aimed at clinicians who wish to inform their practice in the light of the latest scientific research; at researchers in neurorehabilitation; and finally at researchers in cognitive neuroscience and related fields interested in the mechanisms of recovery and rehabilitation. Papers on neuropsychological assessment will be considered, and special topic reviews (2500-5000 words) addressing specific key questions in rehabilitation, recovery and brain plasticity will also be welcomed. The latter will enter a fast-track refereeing process.
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