创伤性脑损伤后的自我意识康复：一项比较两种团体治疗的初步研究。
Self-awareness rehabilitation after Traumatic Brain Injury: A pilot study to compare two group therapies.
作者信息
Rigon Jessica, Burro Roberto, Guariglia Cecilia, Maini Manuela, Marin Dario, Ciurli Paola, Bivona Umberto, Formisano Rita
机构信息
IRCCS Fondazione Ospedale San Camillo, Venezia Lido, Italy.
Università degli Studi di Verona, Dipartimento di Scienze Umane, Verona, Italy.
出版信息
Restor Neurol Neurosci. 2017;35(1):115-127. doi: 10.3233/RNN-150538.
BACKGROUND AND PURPOSE
Deficits of self-awareness (SA) are very common after severe acquired brain injury (sABI), especially in traumatic brain injury (TBI), playing an important role in the efficacy of the rehabilitation process. This pilot study provides information regarding two structured group therapies for disorders of SA.
METHODS
Nine patients with severe TBI were consecutively recruited and randomly assigned to one SA group therapy programme, according either to the model proposed by Ben-Yishay & Lakin (1989) (B&L Group), or by Sohlberg & Mateer (1989) (S&M Group). Neuropsychological tests and self-awareness questionnaires were administered before and after a 10 weeks group therapy.
RESULTS
Results showed that both SA and neuropsychological functioning significantly improved in both groups.
CONCLUSION
It is important to investigate and treat self-awareness, also to improve the outcome of neuropsychological disorders. The two group therapies proposed seem to be specific for impulsivity and emotional dyscontrol and for cognitive disorders.
背景与目的
自我意识（SA）缺陷在严重获得性脑损伤（sABI）后非常常见，尤其是在创伤性脑损伤（TBI）中，对康复过程的疗效起着重要作用。这项初步研究提供了关于两种针对SA障碍的结构化团体治疗的信息。
方法
连续招募了9名重度TBI患者，并根据Ben-Yishay和Lakin（1989年）提出的模型（B&L组）或Sohlberg和Mateer（1989年）提出的模型（S&M组）随机分配到一个SA团体治疗方案中。在为期10周的团体治疗前后进行神经心理学测试和自我意识问卷调查。
结果
结果显示，两组的SA和神经心理功能均有显著改善。
结论
研究和治疗自我意识对于改善神经心理障碍的结果也很重要。提出的两种团体治疗似乎对冲动性和情绪失控以及认知障碍具有特异性。
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