Limond Jenny, Leeke Rachel
Paediatric Psychology, Southampton General Hospital, Southampton, UK.
J Child Psychol Psychiatry. 2005 Apr;46(4):339-52. doi: 10.1111/j.1469-7610.2004.00397.x.
The need to address acquired cognitive impairments is increasing in child populations seen across a range of settings. However, current clinical practice following brain injury in children does not necessarily incorporate the use of cognitive rehabilitation models or techniques. The aim of this paper is to review the literature in this area.
All published interventions targeting the cognitive domains of attention, memory and/or executive function that could be identified were reviewed. Different cognitive rehabilitation techniques are briefly described and the clinical and research implications of the findings are discussed.
Eleven papers, involving 54 children and adolescents receiving intervention, were identified. This literature describes generalised cognitive rehabilitation programmes as well as more specific strategies targeting focal deficits.
There is an absence of randomised controlled trials and a very limited number of studies using other methodological approaches, providing at this time no conclusive evidence for the efficacy of cognitive rehabilitation for children with acquired brain injury, but a clear need to address a range of methodological difficulties in this field of enquiry.
在各种环境中所见的儿童群体中，应对后天性认知障碍的需求日益增加。然而，目前儿童脑损伤后的临床实践不一定采用认知康复模型或技术。本文旨在综述该领域的文献。
对所有已发表的针对注意力、记忆和/或执行功能等认知领域的干预措施进行了综述。简要描述了不同的认知康复技术，并讨论了研究结果的临床和研究意义。
共确定了11篇论文，涉及54名接受干预的儿童和青少年。这些文献描述了广义的认知康复计划以及针对局灶性缺陷的更具体策略。
目前缺乏随机对照试验，使用其他方法学途径的研究数量也非常有限，因此目前尚无确凿证据证明认知康复对后天性脑损伤儿童的疗效，但显然有必要解决该研究领域的一系列方法学难题。
