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识别和评估创伤性脑损伤后的神经行为障碍。

Recognising and assessing neurobehavioural disability after traumatic brain injury.

机构信息

College of Human & Health Science, Vivian Building, Swansea University, Swansea SA2 8PP, Wales, UK.

出版信息

NeuroRehabilitation. 2013;32(4):699-706. doi: 10.3233/NRE-130895.

DOI:10.3233/NRE-130895
PMID:23867397
Abstract

BACKGROUND

Neurobehavioural disability often leads to serious social handicap. Many individuals never recover full social independence and will remain largely dependent upon family support, imposing a significant and potentially life-long psychological burden on those who care for injured relatives. Close relationships are at risk and many partnerships break down, increasing the risk of social isolation and subsequent psychological distress to the survivor.

OBJECTIVES

The aim of this paper is to examine the nature of some cardinal features of neurobehavioural disability that contribute to poor psychosocial outcome; consider their organic origins, and problems associated with standardised methods of assessment.

METHODS

A review of clinical literature addressing neurobehavioural disability after TBI.

RESULTS

Many forms of neurobehavioural disability are subtle but have a pervasive impact on psychosocial outcome in general and relationships in particular.

CONCLUSIONS

Caution is recommended when employing standardised tests to identify the complex and often subtle nature of neurobehavioural disorders. More work is needed to define the nature and impact of different forms of neurobehavioural disorders that comprise this complex form of disability.

摘要

背景

神经行为障碍常常导致严重的社会障碍。许多人无法完全恢复社会独立性,仍将在很大程度上依赖家庭支持,这给照顾受伤亲属的人带来了巨大的、潜在的终身心理负担。亲密关系受到威胁,许多伴侣关系破裂,增加了幸存者社会孤立和随后心理困扰的风险。

目的

本文旨在探讨导致不良社会心理结局的神经行为障碍的一些主要特征的性质;考虑其器质性起源,以及与标准化评估方法相关的问题。

方法

对涉及创伤性脑损伤后神经行为障碍的临床文献进行综述。

结果

许多形式的神经行为障碍虽然微妙,但对一般的社会心理结局和人际关系有深远的影响。

结论

在使用标准化测试来识别神经行为障碍的复杂和微妙性质时,应谨慎行事。需要进一步研究来定义构成这种复杂残疾形式的不同形式的神经行为障碍的性质和影响。

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When normal scores don't equate to independence: Recalibrating ratings of neurobehavioural disability from the 'St Andrew's - Swansea Neurobehavioural Outcome Scale' to reflect context-dependent support.当正常评分并不等同于独立性时:重新校准“圣安德鲁斯 - 斯旺西神经行为结果量表”中神经行为残疾的评分,以反映依赖于情境的支持。
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