Shanahan Lucie, McAllister Lindy, Curtin Michael
Charles Sturt University, Albury, NSW, Australia.
Brain Inj. 2009 Dec;23(13-14):1054-64. doi: 10.3109/02699050903421115.
To highlight the potential application of Wilderness Adventure Therapy (WAT) as a supplementary tool in cognitive rehabilitation with an adolescent TBI population.
A review of existing literature pertaining to adolescent TBI, cognitive rehabilitation approaches and Wilderness Adventure Therapy was conducted. Literature was sourced through EBSCOhost (Health and Psychology), Informaworld, Informit Online and Ovid. Key search terms used were: adolescent, adventure therapy, at-risk, brain injury, cognitive rehabilitation, delinquent, head injury, paediatric, outdoor education, wilderness adventure therapy and youth.
Three articles that discuss the use of WAT with adult TBI cohorts were identified; no research reporting the use of WAT with an adolescent TBI cohort was located. The review highlighted theoretical and practice similarities between cognitive rehabilitation and WAT, with both proving to be examples of 'contextualized intervention'. The majority of WAT literature reported programmes aimed at at-risk and delinquent youth and, again, similarities in the difficulties experienced by these adolescents and adolescents with TBI were apparent.
A trial study that investigates the application of WAT with adolescents with TBI is warranted. Outcomes for executive functioning skill development, self-esteem development and quality-of-life post-programme should be ascertained to compare with results from adult programmes.
强调荒野冒险疗法（WAT）作为一种辅助工具在青少年创伤性脑损伤（TBI）人群认知康复中的潜在应用。
对与青少年TBI、认知康复方法和荒野冒险疗法相关的现有文献进行了综述。文献通过EBSCOhost（健康与心理学）、Informaworld、Informit Online和Ovid获取。使用的关键搜索词为：青少年、冒险疗法、高危、脑损伤、认知康复、违法青少年、头部损伤、儿科、户外教育、荒野冒险疗法和青年。
确定了三篇讨论在成人TBI队列中使用WAT的文章；未找到关于在青少年TBI队列中使用WAT的研究报告。该综述强调了认知康复与WAT之间的理论和实践相似性，两者均为“情境化干预”的实例。大多数WAT文献报道的项目针对高危和违法青少年，同样，这些青少年与TBI青少年所经历的困难存在明显相似之处。
有必要进行一项试验研究，调查WAT在青少年TBI患者中的应用。应确定项目结束后执行功能技能发展、自尊发展和生活质量的结果，以便与成人项目的结果进行比较。
