Mah Katie, Hickling Andrea, Reed Nick
a Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital , Toronto , Canada.
b Rehabilitation Sciences Institute, University of Toronto , Toronto , Canada.
Disabil Rehabil. 2018 Apr;40(8):960-973. doi: 10.1080/09638288.2016.1277402. Epub 2017 Jan 19.
The purpose of this article is to synthesise the scholarly literature related to perceptions of mild traumatic brain injury (mTBI) and health outcomes in an adult population.
A scoping review was undertaken. An electronic search of seven databases was conducted. Studies were included if (1) they related to perceptions of mild traumatic brain injury, (2) the population was adults with mild traumatic brain injury, and (3) health outcomes were reported. Studies were also identified through a hand search of reference lists of articles meeting study criteria. Numerical analysis and qualitative content analysis were employed.
Twenty-one studies published between 1992 and 2015 were included. Key findings regarding how perceptions of mTBI have been conceptualised, assessed, manipulated, and associated with health outcomes across the literature are reported. Clinical implications of studies are presented and clinical examples provided. Findings are discussed in the context of the broader literature and rehabilitation practice.
Perceptions of mild traumatic brain injury, or how persons think about and understand mTBI and recovery, have important implications for rehabilitation intervention. Intervention research integrating perceptions of mild traumatic brain injury, while emerging, is needed. Engagement with the health psychology literature is recommended. Implications for rehabilitation Perceptions of mild traumatic brain injury (mTBI) and recovery have been associated with health outcomes and are worth considering in clinical rehabilitation practice. Studies reviewed demonstrate associations between negative perceptions of mTBI and increased symptom report, poor cognitive test performance, and impaired function. Potential implications for the rehabilitation process are discussed, including how to assess perceptions of mTBI in clinical interaction, and how to communicate information regarding symptoms, effects on daily life, and expectations for recovery following injury.
本文旨在综合与成年人群中轻度创伤性脑损伤（mTBI）认知及健康结局相关的学术文献。
进行了一项范围综述。对七个数据库进行了电子检索。纳入的研究需满足以下条件：（1）与轻度创伤性脑损伤的认知相关；（2）研究对象为患有轻度创伤性脑损伤的成年人；（3）报告了健康结局。还通过手工检索符合研究标准的文章的参考文献列表来识别研究。采用了数值分析和定性内容分析方法。
纳入了1992年至2015年间发表的21项研究。报告了关于在整个文献中mTBI认知如何被概念化、评估、操控以及与健康结局相关的关键发现。呈现了研究的临床意义并提供了临床实例。在更广泛的文献和康复实践背景下对研究结果进行了讨论。
轻度创伤性脑损伤的认知，即人们如何思考和理解mTBI及其恢复过程，对康复干预具有重要意义。虽然关于整合轻度创伤性脑损伤认知的干预研究正在兴起，但仍有必要进行。建议参考健康心理学文献。康复的意义 轻度创伤性脑损伤（mTBI）的认知及其恢复过程与健康结局相关，值得在临床康复实践中予以考虑。所综述的研究表明，对mTBI的负面认知与症状报告增加、认知测试表现不佳以及功能受损之间存在关联。讨论了对康复过程的潜在影响，包括如何在临床互动中评估对mTBI的认知，以及如何就症状、对日常生活的影响和受伤后恢复的期望进行信息沟通。
