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基于网络的团体干预对创伤性脑损伤患者情绪调节能力的改善作用

Improving Emotion Regulation Following Web-Based Group Intervention for Individuals With Traumatic Brain Injury.

作者信息

Tsaousides Theodore, Spielman Lisa, Kajankova Maria, Guetta Gabrielle, Gordon Wayne, Dams-OʼConnor Kristen

机构信息

Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai, New York.

出版信息

J Head Trauma Rehabil. 2017 Sep/Oct;32(5):354-365. doi: 10.1097/HTR.0000000000000345.

Abstract

OBJECTIVE

Preliminary evaluation of the efficacy of a Web-based group intervention (Online EmReg) to improve emotion regulation (ER) in individuals with traumatic brain injury (TBI).

DESIGN

Pre-/post-within-subject design with baseline, end-of-treatment, and 12-week follow-up assessments.

PARTICIPANTS

Ninety-one individuals with TBI and deficits in ER.

INTERVENTION

Twenty-four sessions of training in ER skills delivered by group videoconference.

MEASURES

Difficulties in Emotion Regulation Scale (DERS), Positive Affect Negative Affect Schedule (PANAS), Satisfaction With Life Scale (SWLS), Problem Solving Inventory (PSI), Social Problem Solving Inventory-Revised: Short Form (SPSI-R:S), and Dysexecutive Questionnaire (DEX).

RESULTS

Significant changes with large effect sizes were found for the DERS at the 12-week follow-up assessment. Significant and moderate changes were found on the SWLS, DEX, PSI, and subscales of the PANAS and SPSI-R:S.

CONCLUSIONS

Online EmReg appears to be a promising method of delivering a group intervention to improve ER following TBI.

摘要

目的

初步评估基于网络的团体干预(在线情绪调节训练,Online EmReg)对改善创伤性脑损伤(TBI)个体情绪调节(ER)的效果。

设计

采用受试者内前后测设计,进行基线、治疗结束及12周随访评估。

参与者

91名患有TBI且存在情绪调节缺陷的个体。

干预措施

通过团体视频会议进行24节情绪调节技能培训课程。

测量指标

情绪调节困难量表(DERS)、正负性情绪量表(PANAS)、生活满意度量表(SWLS)、问题解决量表(PSI)、修订版社会问题解决量表简版(SPSI-R:S)以及执行功能障碍问卷(DEX)。

结果

在12周随访评估中,DERS出现显著变化且效应量较大。SWLS、DEX、PSI以及PANAS和SPSI-R:S的分量表出现显著且中等程度的变化。

结论

在线情绪调节训练似乎是一种有前景的团体干预方法,可用于改善TBI后的情绪调节。

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