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 1.7 3区 心理学 Q4 NEUROSCIENCES
Susan Mac Conaill, Aaron McGrath, Donal G Fortune
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引用次数: 0

摘要

目的综合与中度至重度缺血性脑损伤成人所经历的失落和悲伤过程有关的定性研究:我们对患有中度至重度脑损伤的成年人的失落和悲伤经历进行了系统性回顾和专题综合。我们对五个电子数据库(PubMed、CINAHL、EMBASE、PsycINFO 和 Scopus)进行了检索,共发现了 2434 项研究,其中 25 项符合纳入标准:专题综合产生了四个总体分析主题:我内心的损失;社会角色和社会身份的贬值;接受悲伤和损失是一个积极的过程;以及对损失的矛盾体验。我们的研究结果表明,脑损伤后的悲伤和失落体验是一个动态的过程,需要对自我意识进行重大调整和重新评估,需要重建新的个人和社会身份,有时还需要勉强接受新的身份,还需要发展对自身体验模糊性的容忍度:研究结果表明,中度至重度缺血性脑损伤患者在面对悲伤和丧失及其后遗症时,会经历一个重要的变化和适应过程。鉴于损伤的持久性和个人需求的不断变化,康复可能需要更加个性化和有针对性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Experiences of loss and grief in adults with acquired brain injury (ABI): A systematic review and meta synthesis of qualitative studies.

Objective: To synthesise the qualitative research related to the processes of loss and grief experienced by adults who have sustained a moderate to severe ABI.

Method: 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.

Findings: 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.

Conclusion: 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.

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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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