a Faculty of Medicine, Division of Neurology, Department of Medicine , University of Malaya , Kuala Lumpur , Malaysia.
b Neurology Laboratory , University Malaya Medical Centre , Kuala Lumpur , Malaysia.
Clin Neuropsychol. 2019 Apr;33(3):490-518. doi: 10.1080/13854046.2018.1489562. Epub 2018 Jun 24.
Psychological well-being in people with neurological diseases can be compromised due to brain damage or psychological reactions towards chronic disabilities. This systematic review evaluated the efficacy of positive psychological intervention (PPI) in neurological populations.
Previous studies relevant to this topic were identified by searches in PUBMED, EMBASE, MEDLINE, and PSYCINFO databases from Jan 1980 to August 2017.
Of 1361 articles identified, 31 studies were included. Nineteen studies were randomized controlled trials. Sixteen studies had sample sizes of less than 30. Twelve studies were rated as high quality using the National Heart, Lung, and Blood Institute (NHLBI) quality assessment tools. Six therapies were found: mindfulness-based approaches, positive savoring, life summary, expressive-based, hope-based interventions, and character strengths. These interventions were shown to improve quality of life, reduce symptomatic distress, and depressive symptoms.
PPIs promote well-being among patients with neurological deficits. For PPIs to be considered as an evidence-based practice, more trials with adequate statistical power are required.
由于脑损伤或对慢性残疾的心理反应，神经疾病患者的心理健康可能会受到影响。本系统评价评估了积极心理干预（PPI）对神经人群的疗效。
通过对 1980 年 1 月至 2017 年 8 月 PUBMED、EMBASE、MEDLINE 和 PSYCINFO 数据库的检索，确定了与本主题相关的先前研究。
在 1361 篇文章中，有 31 篇研究被纳入。19 项研究为随机对照试验。16 项研究的样本量小于 30。使用美国国立心肺血液研究所（NHLBI）质量评估工具，有 12 项研究被评为高质量。发现了 6 种疗法：基于正念的方法、积极品味、生活总结、表达基础、基于希望的干预和性格优势。这些干预措施被证明可以提高生活质量、减轻症状困扰和抑郁症状。
PPI 促进了神经功能缺损患者的幸福感。要将 PPI 视为一种基于证据的实践，需要进行更多具有足够统计效力的试验。
