Suppr超能文献

目标管理训练、外部提示和情绪调节对慢性获得性脑损伤患者执行功能的康复作用:一项随机对照试验

Rehabilitation of Executive Functions in Patients with Chronic Acquired Brain Injury with Goal Management Training, External Cuing, and Emotional Regulation: A Randomized Controlled Trial.

作者信息

Tornås Sveinung, Løvstad Marianne, Solbakk Anne-Kristin, Evans Jonathan, Endestad Tor, Hol Per Kristian, Schanke Anne-Kristine, Stubberud Jan

机构信息

1Sunnaas Rehabilitation Hospital,Norway.

3Department of Neurosurgery,Division of Surgery and Clinical Neuroscience,Oslo University Hospital - Rikshospitalet,Norway.

出版信息

J Int Neuropsychol Soc. 2016 Apr;22(4):436-52. doi: 10.1017/S1355617715001344. Epub 2016 Jan 26.

Abstract

Executive dysfunction is a common consequence of acquired brain injury (ABI), causing significant disability in daily life. This randomized controlled trial investigated the efficacy of Goal Management Training (GMT) in improving executive functioning in patients with chronic ABI. Seventy patients with a verified ABI and executive dysfunction were randomly allocated to GMT (n=33) or a psycho-educative active control condition, Brain Health Workshop (BHW) (n=37). In addition, all participants received external cueing by text messages. Neuropsychological tests and self-reported questionnaires of executive functioning were administered pre-intervention, immediately after intervention, and at 6 months follow-up. Assessors were blinded to group allocation. Questionnaire measures indicated significant improvement of everyday executive functioning in the GMT group, with effects lasting at least 6 months post-treatment. Both groups improved on the majority of the applied neuropsychological tests. However, improved performance on tests demanding executive attention was most prominent in the GMT group. The results indicate that GMT combined with external cueing is an effective metacognitive strategy training method, ameliorating executive dysfunction in daily life for patients with chronic ABI. The strongest effects were seen on self-report measures of executive functions 6 months post-treatment, suggesting that strategies learned in GMT were applied and consolidated in everyday life after the end of training. Furthermore, these findings show that executive dysfunction can be improved years after the ABI.

摘要

执行功能障碍是获得性脑损伤(ABI)的常见后果,会导致严重的日常生活残疾。这项随机对照试验研究了目标管理训练(GMT)对改善慢性ABI患者执行功能的疗效。70名经证实患有ABI且存在执行功能障碍的患者被随机分配到GMT组(n = 33)或心理教育主动对照组,即脑健康工作坊(BHW)组(n = 37)。此外,所有参与者都通过短信接收外部提示。在干预前、干预后立即以及随访6个月时进行神经心理学测试和执行功能的自我报告问卷。评估者对分组情况不知情。问卷测量表明,GMT组的日常执行功能有显著改善,且效果在治疗后至少持续6个月。两组在大多数应用的神经心理学测试中都有所改善。然而,在需要执行注意力的测试中,GMT组的表现改善最为显著。结果表明,GMT结合外部提示是一种有效的元认知策略训练方法,可改善慢性ABI患者日常生活中的执行功能障碍。在治疗后6个月的执行功能自我报告测量中效果最为明显,这表明在GMT中学到的策略在训练结束后在日常生活中得到了应用和巩固。此外,这些发现表明,ABI多年后执行功能障碍仍可改善。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验