a Lishman Brain Injury Unit, Maudsley Hospital, South London and Maudsley NHS Trust, London, UK.
Neuropsychol Rehabil. 2003 Jan-Mar;13(1-2):89-107. doi: 10.1080/09602010244000318.
This article focuses on depression and its psychological management following brain injury or stroke in the adult population. The presentation of depression in the context of brain injury is discussed and a summary of the psychosocial aetiological factors for the development of depression in this context is provided. The links between depression and neuropsychological functioning are explored and the significant impact of depression on neurorehabilitation outcome highlights the need for the development of effective interventions in this area. Cognitive behaviour therapy (CBT) is presented as a potentially suitable treatment: The model is described with ideas for the clinician on how to adapt the delivery of CBT for clients with neuropsychological impairment. To date, there have been a very small number of studies evaluating CBT for the treatment of depression in brain injury, however their results have been promising. It is concluded that further research is necessary.
本文主要关注成年人脑损伤或中风后抑郁及其心理管理。本文讨论了脑损伤背景下抑郁的表现，并对这一背景下抑郁发生的心理社会病因进行了总结。本文还探讨了抑郁与神经心理学功能之间的联系，并强调了在这一领域开发有效干预措施的必要性，因为抑郁会显著影响神经康复的效果。本文提出认知行为疗法（CBT）可能是一种合适的治疗方法：本文介绍了该模式，并为临床医生提供了如何为有神经心理障碍的患者调整 CBT 治疗的思路。迄今为止，只有少数研究评估了 CBT 治疗脑损伤后抑郁的效果，但结果令人鼓舞。因此，有必要进一步研究。
