一项针对脑损伤康复领域临床医生的调查：社会认知障碍是否受到关注？
A Survey of Clinicians Working in Brain Injury Rehabilitation: Are Social Cognition Impairments on the Radar?
作者信息
Kelly Michelle, McDonald Skye, Frith Matthew H J
机构信息
School of Psychology, The University of Newcastle, Newcastle, Australia (Dr Kelly); Paediatric Brain Injury Rehabilitation Team, Hunter New England Health, Newcastle, Australia (Dr Kelly and Mr Frith); School of Psychology, University of New South Wales, Sydney, Australia (Dr McDonald); Moving Ahead: Centre of Research Excellence in Brain Recovery, Sydney, Australia (Drs Kelly and McDonald); and Children, Young People & Families, Hunter New England Health, Newcastle, Australia (Mr Frith).
出版信息
J Head Trauma Rehabil. 2017 Jul/Aug;32(4):E55-E65. doi: 10.1097/HTR.0000000000000269.
OBJECTIVES
To examine the social cognition assessment practices of clinicians working with children and adults with traumatic brain injury.
MAIN MEASURES
Online survey addressing frequency of social cognition impairments, how these are assessed and obstacles to same, and treatment practices.
PARTICIPANTS
A total of 443 clinicians worldwide working in inpatient and outpatient settings.
RESULTS
While 84% of clinicians reported that more than half of their clients with severe traumatic brain injury had social cognition impairments, 78% of these reported that they infrequently or never assessed these domains using a formal assessment tool. Lack of reliable tests was most frequently (33% of respondents) cited as the greatest barrier to undertaking social cognition assessment.
CONCLUSIONS AND IMPLICATIONS
Improvements are needed in the development and norming of instruments capable of detecting social cognition impairments in the traumatic brain injury population. Additional training and education is needed in the use of social cognition assessment tools.
目的
研究为患有创伤性脑损伤的儿童和成人提供治疗的临床医生的社会认知评估实践。
主要测量方法
在线调查，涉及社会认知障碍的发生频率、评估方式及障碍，以及治疗实践。
参与者
全球共443名在住院和门诊环境中工作的临床医生。
结果
84%的临床医生报告称，其半数以上患有重度创伤性脑损伤的患者存在社会认知障碍，但其中78%的医生表示，他们很少或从未使用正式评估工具对这些领域进行评估。缺乏可靠的测试被最频繁地（33%的受访者）视为进行社会认知评估的最大障碍。
结论与启示
需要改进能够检测创伤性脑损伤人群社会认知障碍的工具的开发和标准化。在社会认知评估工具的使用方面需要更多的培训和教育。
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