School of Social Work, University of Washington, Seattle, Washington, USA.
Soc Work Health Care. 2013;52(5):498-518. doi: 10.1080/00981389.2012.714447.
Over one million mild traumatic brain injuries (mTBI) are treated in U.S. hospitals each year. In addition, mTBI has affected thousands of soldiers returning from the Iraq and Afghanistan wars. Many individuals experience post-concussive symptoms immediately after mTBI; some experience severe and prolonged symptoms. Symptom etiology is not well understood, and effective psychosocial interventions have not been well developed. Because of the high incidence of mTBI, many social workers in health care settings will come in contact with mTBI patients and need specialized knowledge to provide appropriate services. Social work researchers can contribute to improved services by elucidating symptom course, and developing and testing effective interventions aimed at preventing or alleviating symptoms. This article provides an overview of civilian- and military-related mTBI outcomes and psychosocial interventions. Recommendations for current social work practice and research are made with the goal of improving the care of persons with mTBI.
每年有超过 100 万例轻度创伤性脑损伤（mTBI）在美国医院接受治疗。此外，mTBI 还影响了数千名从伊拉克和阿富汗战争中归来的士兵。许多人在 mTBI 后立即出现脑震荡后症状；有些人则出现严重和长期的症状。症状的病因尚不清楚，也没有很好地开发出有效的心理社会干预措施。由于 mTBI 的高发病率，许多医疗保健环境中的社会工作者将与 mTBI 患者接触，并需要专门的知识来提供适当的服务。社会科学研究人员可以通过阐明症状过程，以及开发和测试旨在预防或减轻症状的有效干预措施，为改善服务做出贡献。本文概述了与平民和军事相关的 mTBI 结果和心理社会干预措施。提出了当前社会工作实践和研究的建议，以期改善 mTBI 患者的护理。
