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脑损伤与情绪:神经康复中生物-心理-社会方法特刊概述。

Brain injury and emotion: An overview to a special issue on biopsychosocial approaches in neurorehabilitation.

机构信息

a School of Psychology, University of Exeter, UK.

出版信息

Neuropsychol Rehabil. 2003 Jan;13(1-2):1-11. doi: 10.1016/S0960-9822(02)01374-X.

Abstract

Survivors of acquired brain injury (ABI) are at risk of a range of neuropsychiatric and behavioural disorders. Emotional disturbance, with reactive elements of mood disorder, such as depression and anxiety, appear particularly common. Specific anxiety disorders, such as post-traumatic stress disorder (PTSD) have also been identified. Pain syndromes are also common-particularly in those who have suffered Traumatic Brain Injuries (TBI). Survivors of ABI are often atrisk of substance misuse and of irritability states. Their relationships may suffer from the stresses triggered by the aftermath of injury. Intimate, in particular, sexual relationships may be particularly affected. These effects are not, necessarily, only consequent of severe injuries, as mild TBI can also have, for some, significant neuropsychiatric effects. Assessment and management of such conditions are compromised by survivors of injury often having a limited insight into the sequelae of their injuries. Interventions for such disorders and forms of distress are increasingly available. This paper introduces the special issue of Neuropsychological Rehabilitation on biopsychosocial approaches in neurorehabilitation. A range of papers provide overviews for assessing and managing such neuropsychiatric, mood and behavioural (health and habit) disorders.

摘要

脑外伤幸存者存在一系列神经精神和行为障碍的风险。情绪障碍,如抑郁和焦虑等反应性情绪障碍,似乎特别常见。也已确定了特定的焦虑症,如创伤后应激障碍(PTSD)。疼痛综合征也很常见-特别是那些遭受脑外伤(TBI)的人。脑外伤幸存者通常存在物质滥用和易怒状态的风险。他们的人际关系可能会受到受伤后引发的压力的影响。特别是亲密的性关系可能会受到特别影响。这些影响不一定仅与严重的伤害有关,因为轻度 TBI 也可能对某些人产生重大的神经精神影响。由于受伤幸存者对其伤害后果的认识有限,因此对这些疾病的评估和管理受到了影响。越来越多的干预措施可用于治疗这些障碍和困扰形式。本文介绍了《神经心理康复》杂志关于神经康复中生物心理社会方法的特刊。一系列论文提供了用于评估和管理此类神经精神、情绪和行为(健康和习惯)障碍的概述。

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