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考察社会沟通能力和情感/行为功能对创伤性脑损伤成年人社会融合结果的贡献。

Examining the contribution of social communication abilities and affective/behavioral functioning to social integration outcomes for adults with traumatic brain injury.

机构信息

Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX 77030, USA.

出版信息

J Head Trauma Rehabil. 2011 Jan-Feb;26(1):30-42. doi: 10.1097/HTR.0b013e3182048f7c.

DOI:10.1097/HTR.0b013e3182048f7c
PMID:21209561
Abstract

OBJECTIVE

To evaluate the contribution of social communication abilities and affective/behavioral functioning to social integration outcomes for persons with traumatic brain injury (TBI).

DESIGN

Prospective cohort study.

PARTICIPANTS

A total of 184 adults with TBI (72.8% men) evaluated at least 6 months postdischarge from acute care or inpatient rehabilitation hospitals and after living at least 3 months in the community postdischarge (Mean = 7.84 months postinjury).

MEASURES

La Trobe Communication Questionnaire (LCQ), Assessment of Interpersonal Problem-Solving Skills(AIPSS), Affective Behavioral subscale From the Problem Checklist of the Head Injury Family Interview (AB-HIFI), Craig Handicap Assessment and Reporting Technique-Short Form Social Integration subscale (CHART-SF-SI), Community Integration Questionnaire Social Integration subscale (CIQ-SI).

RESULTS

Social communication measures (LCQ, AIPSS) and self-reported behavioral functioning (AB-HIFI) contributed significantly to concurrently measured social integration outcomes after controlling for demographic and injury-related variables. Separate hierarchical multiple regression analyses revealed that social communication and behavioral variables accounted for 11.3% of variance in CIQ-SI and 16.3% of variance in CHART-SF-SI.

CONCLUSIONS

Social communication abilities and affective/behavioral functioning make a substantial contribution to social integration outcomes after TBI. The implications of such evidence for clinical assessment and intervention are discussed.

摘要

目的

评估社交沟通能力和情感/行为功能对创伤性脑损伤（TBI）患者社交融合结果的贡献。

设计

前瞻性队列研究。

参与者

共有 184 名 TBI 成年人（72.8%为男性），在急性护理或住院康复医院出院至少 6 个月后进行评估，并且在出院后至少 3 个月在社区生活后（平均=损伤后 7.84 个月）。

测量

拉筹伯沟通问卷（LCQ）、人际问题解决技能评估（AIPSS）、头部损伤家庭访谈问题清单的情感行为子量表（AB-HIFI）、Craig 残疾评估和报告技术-短表单社交融合子量表（CHART-SF-SI）、社区融入问卷社交融合子量表（CIQ-SI）。

结果

在控制人口统计学和损伤相关变量后，社交沟通措施（LCQ、AIPSS）和自我报告的行为功能（AB-HIFI）对同时测量的社交融合结果有显著贡献。单独的分层多元回归分析显示，社交沟通和行为变量分别解释了 CIQ-SI 11.3%的方差和 CHART-SF-SI 16.3%的方差。

结论

社交沟通能力和情感/行为功能对 TBI 后的社交融合结果有实质性贡献。讨论了这种证据对临床评估和干预的意义。

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