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儿科脑损伤患者日常记忆缺陷的康复:自我指导和日记训练。

Rehabilitation of everyday memory deficits in paediatric brain injury: self-instruction and diary training.

机构信息

School of Psychology, University of Sydney, NSW, Australia.

出版信息

Neuropsychol Rehabil. 2011 Apr;21(2):183-207. doi: 10.1080/09602011.2010.547345. Epub 2011 Feb 1.

DOI:10.1080/09602011.2010.547345
PMID:21294049
Abstract

Memory problems that interfere with everyday living are frequently reported in children who have sustained acquired brain injury (ABI), but their nature and rehabilitation is under-researched. This study aimed to (1) determine neuropsychological correlates of everyday memory deficits in children with ABI, and (2) investigate the effectiveness of a newly developed programme for their rehabilitation. We assessed everyday memory, verbal memory, attention and behaviour in 15 children with ABI. The children attended the everyday memory rehabilitation programme: six weekly sessions that involved diary training, self-instruction training and case examples. At the onset we found that everyday memory problems were related to impaired attention and behavioural difficulties. On completion of the programme there was a significant increase in children's abilities to perform daily routines that demanded recall of information and events. In addition, children used diaries more frequently. Moreover, significant secondary gains were found in attention and mood (anxiety and depression). In conclusion, the results provided preliminary evidence that our six week programme could be effective in reducing everyday memory difficulties and improving psychological well-being in children with ABI.

摘要

记忆问题会干扰日常生活,这在患有后天性脑损伤(ABI)的儿童中经常被报道,但它们的性质和康复治疗还没有得到充分研究。本研究旨在:(1)确定患有 ABI 的儿童日常记忆缺陷的神经心理学相关性;(2)调查一种新开发的康复计划的有效性。我们评估了 15 名患有 ABI 的儿童的日常记忆、言语记忆、注意力和行为。这些孩子参加了日常记忆康复计划:六次每周的课程,包括日记训练、自我指导训练和案例示例。一开始我们发现,日常记忆问题与注意力受损和行为困难有关。在完成该计划后,儿童执行需要回忆信息和事件的日常任务的能力有了显著提高。此外,儿童更频繁地使用日记。此外,在注意力和情绪(焦虑和抑郁)方面也发现了显著的次要收益。总之,研究结果初步表明,我们的六周计划可能对减少患有 ABI 的儿童的日常记忆困难和改善他们的心理健康有效。

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