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治疗创伤性脑损伤后情绪感知方面的缺陷。

Treating deficits in emotion perception following traumatic brain injury.

作者信息

Bornhofen Cristina, Mcdonald Skye

机构信息

School of Psychology, University of New South Wales, Sydney, Australia.

出版信息

Neuropsychol Rehabil. 2008 Jan;18(1):22-44. doi: 10.1080/09602010601061213.

Abstract

The present research aimed to investigate whether social perception deficits commonly experienced in the adult traumatic brain injury (TBI) population can be successfully remediated through cognitive rehabilitation. Twelve outpatient volunteers (11 male, 1 female; age range 20-57 years) with severe, chronic TBI (mean length of post-traumatic amnesia 121 days, range 58-210 days; mean months post- injury 93.58, range 17-207 months) participated in a randomised controlled trial. Participants were randomly allocated to treatment and waitlist control groups following assessment on a range of emotion perception and psychosocial measures. Treatment comprised 25 hours, across 8 weeks, of a programme specifically designed to address emotion perception which incorporated a variety of remediation techniques shown to be effective with the TBI population. Results indicated that participants significantly improved both in judging basic emotional stimuli when presented in a naturalistic format (i.e., video vignettes) and in making social inferences on the basis of speaker demeanour. This is the first known treatment study dealing with emotion perception deficits in individuals with TBI.

摘要

本研究旨在调查成人创伤性脑损伤(TBI)患者中常见的社会认知缺陷是否可以通过认知康复成功修复。12名患有严重慢性TBI的门诊志愿者(11名男性,1名女性;年龄范围20 - 57岁)参与了一项随机对照试验(创伤后失忆平均时长121天,范围58 - 210天;受伤后平均月数93.58,范围17 - 207个月)。在对一系列情绪感知和心理社会指标进行评估后,参与者被随机分配到治疗组和等待名单对照组。治疗为期8周,共25小时,采用专门设计的旨在解决情绪感知问题的方案,该方案纳入了多种已证明对TBI患者有效的修复技术。结果表明,参与者在判断以自然主义形式呈现的基本情绪刺激(即视频短片)以及根据说话者的行为举止进行社会推理方面均有显著改善。这是第一项已知的针对TBI患者情绪感知缺陷的治疗研究。

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