针对患有轻度创伤性脑损伤的持久自由行动/伊拉克自由行动/新黎明行动退伍军人的代偿性认知训练
Compensatory Cognitive Training for Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn Veterans With Mild Traumatic Brain Injury.
作者信息
Storzbach Daniel, Twamley Elizabeth W, Roost Mai S, Golshan Shahrokh, Williams Rhonda M, OʼNeil Maya, Jak Amy J, Turner Aaron P, Kowalski Halina M, Pagulayan Kathleen F, Huckans Marilyn
机构信息
VA Portland Healthcare System, Portland, Oregon (Drs Storzbach, Roost, O'Neil, and Huckans and Ms Kowalski); Departments of Psychiatry (Drs Storzbach, O'Neil, and Huckans) and Neurology (Dr Storzbach), Oregon Health & Science University, Portland, Oregon; Center of Excellence for Stress and Mental Health, VA San Diego Healthcare System, San Diego, California (Drs Twamley and Jak); Department of Psychiatry, University of California, San Diego, La Jolla (Drs Twamley, Golshan, and Jak); VA Puget Sound Health Care System, Seattle, Washington (Drs Williams, Turner, and Pagulayan); Departments of Rehabilitation Medicine (Drs Williams and Turner) and Psychiatry and Behavioral Sciences (Dr Pagulayan), University of Washington School of Medicine, Seattle.
出版信息
J Head Trauma Rehabil. 2017 Jan/Feb;32(1):16-24. doi: 10.1097/HTR.0000000000000228.
OBJECTIVE
The purpose of the study was to evaluate the efficacy of group-based compensatory cognitive training (CCT) for Operation Enduring Freedom (OEF)/Operation Iraqi Freedom(OIF)/Operation New Dawn (OND) Veterans with a history of mild traumatic brain injury.
METHOD
One hundred nineteen OEF/OIF/OND Veterans with history of mild traumatic brain injury participated at 3 sites, and 50 of the Veterans were randomized to CCT group, while 69 Veterans were randomized to the usual care control group. The CCT group participated in 10 weeks of CCT. Both CCT and usual care groups were assessed at baseline, 5 weeks (midway through CCT), 10 weeks (immediately following CCT), and 15 weeks (5-week follow-up) on measures of subjective cognitive complaints, use of cognitive strategies, psychological functioning, and objective cognitive performance.
RESULTS
Veterans who participated in CCT reported significantly fewer cognitive and memory difficulties and greater use of cognitive strategies. They also demonstrated significant improvements on neurocognitive tests of attention, learning, and executive functioning, which were 3 of the cognitive domains targeted in CCT.
CONCLUSIONS
Findings indicate that training in compensatory cognitive strategies facilitates behavioral change (ie, use of cognitive strategies) as well as both subjective and objective improvements in targeted cognitive domains.
目的
本研究旨在评估基于小组的代偿性认知训练（CCT）对有轻度创伤性脑损伤病史的持久自由行动（OEF）/伊拉克自由行动（OIF）/新黎明行动（OND）退伍军人的疗效。
方法
119名有轻度创伤性脑损伤病史的OEF/OIF/OND退伍军人在3个地点参与研究，其中50名退伍军人被随机分配到CCT组，69名退伍军人被随机分配到常规护理对照组。CCT组参加为期10周的CCT。CCT组和常规护理组在基线、5周（CCT进行到一半时）、10周（CCT刚结束时）和15周（5周随访）时，接受关于主观认知主诉、认知策略使用、心理功能和客观认知表现的评估。
结果
参加CCT的退伍军人报告的认知和记忆困难显著减少，认知策略的使用增加。他们在注意力、学习和执行功能的神经认知测试中也表现出显著改善，而这3项是CCT所针对的认知领域。
结论
研究结果表明，代偿性认知策略训练有助于行为改变（即认知策略的使用）以及目标认知领域在主观和客观方面的改善。
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