School of Psychology, Université de Moncton, 18 Av Antonine-Maillet, Moncton, NB, E1A 3E6, Canada.
John W. Scott Health Sciences Library, University of Alberta, 2K3.28 Walter C. Mackenzie Health Sciences Centre, Edmonton, Alberta, T6G 2R7, Canada.
Neuropsychol Rev. 2020 Mar;30(1):142-163. doi: 10.1007/s11065-020-09430-y. Epub 2020 Mar 2.
Perceptions about the causes and consequences of concussion, and individual representations and interpretations of these factors, can influence the post-concussive recovery process. The goal of this project was to synthesize evidence on perceptions related to concussions as experienced by children, adolescents, and parents, and to evaluate how these perceptions impact post-concussive recovery in physical, behavioural, cognitive, and psychological domains. We undertook a systematic review based on the Cochrane Handbook, conducting a comprehensive search of six databases and Google Scholar. Duplicate, independent screening was employed and the quality of studies was assessed using the Mixed Methods Appraisal Tool (MMAT). A total of 1552 unique records were identified, and six records (5 scientific articles and 1 thesis, published between 1990 and 2018; N = 26 to 412, age range from 2 to 18 years) were included. Perceptions about concussions were assessed differently between studies, with a range in types of measures and respondents. Some evidence suggested that perceptions could negatively impact concussion recovery, mostly post-concussive symptoms. However, results were not consistent between studies and the methodological quality was variable (and often low). There is limited evidence of the impact of perceptions of children, adolescents, and their parents on concussion recovery. Priorities for future research investigating concussion recovery should include recruiting representative samples, accounting for potential confounders, and measuring perceptions in children, adolescents and parents using validated measures. Higher quality studies are needed to better understand the role of perceptions in concussion recovery and to inform clinical care.
对脑震荡的原因和后果的认知，以及个体对这些因素的表述和解释，都可能影响脑震荡后的恢复过程。本项目的目的是综合有关儿童、青少年和家长对脑震荡的认知的证据，并评估这些认知如何影响身体、行为、认知和心理领域的脑震荡后恢复。我们按照 Cochrane 手册进行了系统综述，对六个数据库和 Google Scholar 进行了全面检索。采用重复、独立筛选，并使用混合方法评估工具（MMAT）评估研究质量。共确定了 1552 条独特的记录，其中 6 条记录（5 篇科学文章和 1 篇论文，发表于 1990 年至 2018 年之间；N=26 至 412 人，年龄范围为 2 至 18 岁）被纳入。研究之间对脑震荡的认知评估方式不同，使用的测量方法和受访者类型也不同。一些证据表明，认知可能会对脑震荡恢复产生负面影响，主要是脑震荡后症状。然而，研究结果并不一致，且方法学质量存在差异（且通常较低）。目前，关于儿童、青少年及其家长对脑震荡恢复的认知的影响的证据有限。未来研究脑震荡恢复的重点应包括招募有代表性的样本，考虑潜在的混杂因素，并使用经过验证的测量方法来测量儿童、青少年和家长的认知。需要更高质量的研究来更好地了解认知在脑震荡恢复中的作用，并为临床护理提供信息。
