针对青少年持续性撞击后症状的认知行为疗法：医疗环境中的适应性、治疗建议和实施

IF 2.9 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Cognitive and Behavioral Practice Pub Date : 2024-01-03 DOI:10.1016/j.cbpra.2023.12.004

Corinne Catarozoli, Eliana Butler, Karishma Parikh, Barry Kosofsky

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引用次数: 0

摘要

虽然许多青少年在几周内就能从脑震荡中恢复过来，但也有一部分患者会出现持续性脑震荡后症状（PPCS），持续时间为 4 周或更长。持续性脑震荡后症状会对儿童的社交和学习功能产生严重的负面影响，通常会导致缺课时间延长、正常活动中断以及心理健康负担加重。认知行为疗法（CBT）已被证明是治疗 PPCS 的有效方法，但需要针对脑震荡相关目标进行调整。本文介绍了针对患有 PPCS 的儿科患者对 CBT 进行临床调整的情况，包括核心干预措施的修改以及在医疗机构实施和提供 CBT 的建议。本文还讨论了一个由儿科神经学和心理学组成的综合脑震荡诊所模式。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Cognitive-Behavioral Therapy for Persistent Post-Concussive Symptoms in Youth: Adaptations, Treatment Recommendations, and Implementation in Medical Settings

While many youths recover from concussions within several weeks, a subset of patients experience persistent postconcussive symptoms (PPCS), lasting 4 weeks or longer. PPCS have a significant negative impact on children’s social and academic functioning, often leading to extended absences from school, disruption of normal activities, and increased mental health burden. Cognitive-behavioral therapy (CBT) has demonstrated promise as a treatment for PPCS but requires tailoring to specifically address concussion-related targets. This paper describes the clinical adaptation of CBT for pediatric patients with PPCS, including core intervention modifications and recommendations for the implementation and delivery of CBT in medical settings. A model of an integrated concussion clinic with pediatric neurology and psychology is discussed.

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来源期刊

Cognitive and Behavioral Practice PSYCHOLOGY, CLINICAL-

CiteScore

4.80

自引率

3.40%

发文量

118

审稿时长

84 days

期刊介绍： Cognitive and Behavioral Practice is a quarterly international journal that serves an enduring resource for empirically informed methods of clinical practice. Its mission is to bridge the gap between published research and the actual clinical practice of cognitive behavior therapy. Cognitive and Behavioral Practice publishes clinically rich accounts of innovative assessment and diagnostic and therapeutic procedures that are clearly grounded in empirical research. A focus on application and implementation of procedures is maintained.