Ciccia Angela Hein, Beekman Leah, Ditmars Emily
Department of Psychological Sciences, Communication Sciences Program, Case Western Reserve University, Cleveland, OH, USA.
NeuroRehabilitation. 2018;42(3):331-344. doi: 10.3233/NRE-172384.
Social communication is a persistent area of need after pediatric traumatic brain injury; however, it continues to be misunderstood, under-recognized, and under-treated. Clinicians must have a working understanding of current evidence and practice recommendations to support practice.
A systematic literature review was conducted. Ninety-five articles met criteria for full analysis. For analysis, articles were grouped according five themes: 1) Theoretical/Review; 2) Etiology/Characteristics; 3) Recovery/Outcome; 4) Assessment; or 5) Intervention. Article findings were then extracted, translated, and summarized.
The majority of articles focused on describing characteristics of social communication deficits after pediatric TBI, documenting recovery, and identifying factors that contribute to outcome. Research on the relationship of development, age at injury, injury severity, and environmental factors with social communication outcomes requires additional attention. Research in assessment and treatment is critically sparse.
The results of this review highlight both the progress that has been made in understanding the phenomena of social communication deficits in pediatric TBI and the critical need for basic and translational research in assessment and intervention.
社交沟通是小儿创伤性脑损伤后持续存在的需求领域；然而，它仍然被误解、认识不足且治疗不足。临床医生必须对当前的证据和实践建议有切实的理解，以支持临床实践。
1）分析过去十年发表的有关小儿创伤性脑损伤社交沟通方面的最新证据，以及2）为临床医生解读这些研究结果。
进行了一项系统的文献综述。95篇文章符合全面分析的标准。为了进行分析，文章按照五个主题进行分组：1）理论/综述；2）病因/特征；3）恢复/结果；4）评估；或5）干预。然后提取、翻译并总结文章的研究结果。
大多数文章集中于描述小儿创伤性脑损伤后社交沟通缺陷的特征、记录恢复情况以及确定影响结果的因素。关于发育、受伤年龄、损伤严重程度以及环境因素与社交沟通结果之间关系的研究需要更多关注。评估和治疗方面的研究极为匮乏。
本综述结果既凸显了在理解小儿创伤性脑损伤社交沟通缺陷现象方面所取得的进展，也强调了在评估和干预方面进行基础研究和转化研究的迫切需求。
