{"title":"轻度创伤性脑损伤恢复的心理诊断过程:范围综述。","authors":"Caitlin Courchesne, Medha Amarnath Nair, Marc Gelineau, Liam McCloskey, Josh Faulkner, Molly Cairncross","doi":"10.1016/j.apmr.2025.07.014","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To examine the extent to which psychological transdiagnostic processes have been investigated in relation to mild traumatic brain injury (mTBI) recovery outcomes, summarize methodological approaches, and evaluate consistency among transdiagnostic processes and outcome measures.</p><p><strong>Data sources: </strong>Five databases (Ovid MEDLINE, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, Scopus, and Web of Science) were searched from inception to October 2024. Eleven transdiagnostic processes were identified for inclusion based on a review of existing systematic reviews and meta-analyses establishing transdiagnostic relevance across a range of psychological disorders: attentional bias, avoidance, emotion regulation, flexibility, interpretation bias, intolerance of uncertainty, neuroticism, perfectionism, repetitive negative thinking, self-discrepancy, and shame.</p><p><strong>Study selection: </strong>Peer-reviewed, empirical studies published in English were included if they involved human participants with mTBI predominantly aged ≥18 years and reported ≥1 association between a transdiagnostic process and an mTBI recovery outcome.</p><p><strong>Data extraction: </strong>Three reviewers extracted data on study design, sample characteristics, transdiagnostic processes and their associated mTBI outcome measures, and analytical approaches using a standardized extraction form.</p><p><strong>Data synthesis: </strong>Sixty-seven studies published between 1995 and 2024 were included, yielding 118 transdiagnostic process-outcome associations. Avoidance (29%), flexibility (29%), and interpretation bias (25%) were the most frequently investigated transdiagnostic processes; symptom severity (36%) and disability (18%) were the most frequently reported outcomes. No studies examined associations involving attentional bias, emotion regulation, or perfectionism. Substantial heterogeneity in transdiagnostic processes and outcome measurement was observed. While most studies employed quantitative analysis methods, qualitative approaches uniquely captured less represented transdiagnostic process-outcome associations (eg, intolerance of uncertainty, self-discrepancy, shame).</p><p><strong>Conclusions: </strong>Although interest in transdiagnostic processes and mTBI recovery is growing, current investigations are centered on a narrow range of psychological constructs. Broader investigation of transdiagnostic processes known to maintain psychopathology and greater methodological consistency are needed.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.7000,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Psychological Transdiagnostic Processes in Mild Traumatic Brain Injury Recovery: A Scoping Review.\",\"authors\":\"Caitlin Courchesne, Medha Amarnath Nair, Marc Gelineau, Liam McCloskey, Josh Faulkner, Molly Cairncross\",\"doi\":\"10.1016/j.apmr.2025.07.014\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>To examine the extent to which psychological transdiagnostic processes have been investigated in relation to mild traumatic brain injury (mTBI) recovery outcomes, summarize methodological approaches, and evaluate consistency among transdiagnostic processes and outcome measures.</p><p><strong>Data sources: </strong>Five databases (Ovid MEDLINE, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, Scopus, and Web of Science) were searched from inception to October 2024. Eleven transdiagnostic processes were identified for inclusion based on a review of existing systematic reviews and meta-analyses establishing transdiagnostic relevance across a range of psychological disorders: attentional bias, avoidance, emotion regulation, flexibility, interpretation bias, intolerance of uncertainty, neuroticism, perfectionism, repetitive negative thinking, self-discrepancy, and shame.</p><p><strong>Study selection: </strong>Peer-reviewed, empirical studies published in English were included if they involved human participants with mTBI predominantly aged ≥18 years and reported ≥1 association between a transdiagnostic process and an mTBI recovery outcome.</p><p><strong>Data extraction: </strong>Three reviewers extracted data on study design, sample characteristics, transdiagnostic processes and their associated mTBI outcome measures, and analytical approaches using a standardized extraction form.</p><p><strong>Data synthesis: </strong>Sixty-seven studies published between 1995 and 2024 were included, yielding 118 transdiagnostic process-outcome associations. Avoidance (29%), flexibility (29%), and interpretation bias (25%) were the most frequently investigated transdiagnostic processes; symptom severity (36%) and disability (18%) were the most frequently reported outcomes. No studies examined associations involving attentional bias, emotion regulation, or perfectionism. Substantial heterogeneity in transdiagnostic processes and outcome measurement was observed. While most studies employed quantitative analysis methods, qualitative approaches uniquely captured less represented transdiagnostic process-outcome associations (eg, intolerance of uncertainty, self-discrepancy, shame).</p><p><strong>Conclusions: </strong>Although interest in transdiagnostic processes and mTBI recovery is growing, current investigations are centered on a narrow range of psychological constructs. 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引用次数: 0
摘要
目的:研究心理跨诊断过程(TPs)与轻度创伤性脑损伤(mTBI)恢复结果的关系,总结方法方法,并评估TP和结果测量之间的一致性。数据来源:检索5个数据库(Ovid MEDLINE、PsycINFO、CINAHL、Scopus和Web of Science),检索时间从成立到2024年10月。通过对现有的系统综述和荟萃分析的回顾,确定了11个tp,并在一系列心理障碍中建立了跨诊断相关性:注意偏差、回避、情绪调节、灵活性、解释偏差、对不确定性的不容忍、神经质、完美主义、重复性消极思维、自我差异和羞耻。研究选择:同行评议的、以英文发表的实证研究被纳入,如果这些研究涉及年龄主要≥18岁的mTBI患者,并且报告TP与mTBI恢复结果之间至少有一种关联。数据提取:三位审稿人使用标准化的提取表格提取研究设计、样本特征、TPs及其相关mTBI结果测量和分析方法的数据。数据综合:纳入了1995年至2024年间发表的67项研究,得出118个tp结局关联。回避(29%)、灵活性(29%)和解释偏差(25%)是最常被调查的TPs;症状严重(36%)和残疾(18%)是最常见的报道结果。没有研究调查了与注意偏差、情绪调节或完美主义有关的关联。观察到TP和结果测量的实质性异质性。虽然大多数研究采用定量分析方法,但定性方法独特地捕获了较少代表性的tp -结果关联(例如,对不确定性的不容忍、自我差异、羞耻)。结论:尽管对TPs和mTBI恢复的兴趣越来越大,但目前的研究主要集中在狭窄的心理结构上。需要对已知维持精神病理的TPs进行更广泛的调查和更大的方法一致性。
Psychological Transdiagnostic Processes in Mild Traumatic Brain Injury Recovery: A Scoping Review.
Objectives: To examine the extent to which psychological transdiagnostic processes have been investigated in relation to mild traumatic brain injury (mTBI) recovery outcomes, summarize methodological approaches, and evaluate consistency among transdiagnostic processes and outcome measures.
Data sources: Five databases (Ovid MEDLINE, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, Scopus, and Web of Science) were searched from inception to October 2024. Eleven transdiagnostic processes were identified for inclusion based on a review of existing systematic reviews and meta-analyses establishing transdiagnostic relevance across a range of psychological disorders: attentional bias, avoidance, emotion regulation, flexibility, interpretation bias, intolerance of uncertainty, neuroticism, perfectionism, repetitive negative thinking, self-discrepancy, and shame.
Study selection: Peer-reviewed, empirical studies published in English were included if they involved human participants with mTBI predominantly aged ≥18 years and reported ≥1 association between a transdiagnostic process and an mTBI recovery outcome.
Data extraction: Three reviewers extracted data on study design, sample characteristics, transdiagnostic processes and their associated mTBI outcome measures, and analytical approaches using a standardized extraction form.
Data synthesis: Sixty-seven studies published between 1995 and 2024 were included, yielding 118 transdiagnostic process-outcome associations. Avoidance (29%), flexibility (29%), and interpretation bias (25%) were the most frequently investigated transdiagnostic processes; symptom severity (36%) and disability (18%) were the most frequently reported outcomes. No studies examined associations involving attentional bias, emotion regulation, or perfectionism. Substantial heterogeneity in transdiagnostic processes and outcome measurement was observed. While most studies employed quantitative analysis methods, qualitative approaches uniquely captured less represented transdiagnostic process-outcome associations (eg, intolerance of uncertainty, self-discrepancy, shame).
Conclusions: Although interest in transdiagnostic processes and mTBI recovery is growing, current investigations are centered on a narrow range of psychological constructs. Broader investigation of transdiagnostic processes known to maintain psychopathology and greater methodological consistency are needed.
期刊介绍:
The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities.
Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.