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对后天性脑损伤所致前瞻性记忆缺陷的神经心理康复的系统评价

Systematic Review of Neuropsychological Rehabilitation for Prospective Memory Deficits as a Consequence of Acquired Brain Injury.

作者信息

Mahan Steven, Rous Rebecca, Adlam Anna

机构信息

Child and Adolescent Neuropsychology Group, Psychology, University of Exeter, Exeter, United Kingdom.

Acute Neurological Rehabilitation Unit, The Wellington Hospital, St John's Wood, London, United Kingdom.

出版信息

J Int Neuropsychol Soc. 2017 Mar;23(3):254-265. doi: 10.1017/S1355617716001065. Epub 2017 Jan 19.

DOI:10.1017/S1355617716001065
PMID:28100291
Abstract

Objectives: Prospective memory (PM) impairments are common following acquired brain injury (ABI). PM is the ability to keep a goal in mind for future action and interventions have the potential to increase independence. This review aimed to evaluate studies examining PM rehabilitation approaches in adults and children with ABI. Methods:Relevant literature was identified using PsycARTICLES (1894 to present), PsycINFO (1880 to present), the Cochrane Library (1972 to present), MEDLINE PubMed, reference lists from relevant journal articles, and searches of key journals. Literature searches were conducted using variants of the terms brain injury, stroke, encephalitis, meningitis, and tumor, combined with variants of the terms rehabilitation and prospective memory.Results: Of the 435 papers identified, 11 were included in the review. Findings demonstrated a variety of interventions to alleviate PM deficits, including compensatory strategies (e.g., external memory aids) that provide either content-specific or content-free cueing, and remediation strategies (e.g., meta-cognitive training programs) aimed at improving the self-monitoring of personal goals. Risk of bias for individual studies was considered and the strengths and limitations of each of the included studies and the review itself were discussed. Conclusions: Interventions used with adults can be effective; PM abilities can be improved by using simple reminder systems and performance can be generalized to facilitate everyday PM functioning. There is, however, a lack of research of PM interventions conducted with children with ABI, and pediatric interventions need to consider on-going cognitive maturation. (JINS, 2017, 23, 254-265).

摘要

目的

获得性脑损伤(ABI)后前瞻性记忆(PM)障碍很常见。前瞻性记忆是一种记住未来行动目标的能力,而干预措施有可能提高独立性。本综述旨在评估针对ABI成人和儿童的前瞻性记忆康复方法的研究。方法:使用PsycARTICLES(1894年至今)、PsycINFO(1880年至今)、Cochrane图书馆(1972年至今)、MEDLINE PubMed、相关期刊文章的参考文献列表以及关键期刊搜索来识别相关文献。文献搜索使用了脑损伤、中风、脑炎、脑膜炎和肿瘤等术语的变体,以及康复和前瞻性记忆等术语的变体。结果:在识别出的435篇论文中,11篇被纳入综述。研究结果表明有多种干预措施可减轻前瞻性记忆缺陷,包括补偿策略(如外部记忆辅助工具),提供特定内容或无内容提示,以及补救策略(如元认知训练计划),旨在改善对个人目标的自我监控。考虑了个别研究的偏倚风险,并讨论了每项纳入研究以及综述本身的优势和局限性。结论:用于成人的干预措施可能有效;使用简单的提醒系统可以提高前瞻性记忆能力,并且其表现可以推广以促进日常前瞻性记忆功能。然而,针对ABI儿童的前瞻性记忆干预研究较少,儿科干预需要考虑持续的认知成熟度。(《神经心理学杂志》,2017年,23卷,254 - 265页)

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PLoS One. 2020 Jul 9;15(7):e0235510. doi: 10.1371/journal.pone.0235510. eCollection 2020.