Steward Kayla A, Kretzmer Tracy
Department of Mental Health and Behavioral Sciences, James A. Haley Veterans' Hospital, Tampa, FL, USA.
Clin Neuropsychol. 2022 Nov;36(8):2021-2040. doi: 10.1080/13854046.2021.1967452. Epub 2021 Aug 24.
A comprehensive search of peer-reviewed articles was conducted from September to November 2020 using Google Scholar and PubMed databases. Key terms included "anosognosia," "self-awareness," "traumatic brain injury," and variants thereof. Our search was restricted to articles published in English within the last 25 years, although a few historical articles were included due to scientific merit. Articles were chosen based on methodological quality, inclusion of solely or predominantly msevTBI sample, and relevance to the current topic.
Anosognosia is a multifaceted and domain-specific construct that affects the majority of those with msevTBI. It is related to TBI severity, injuries in right-hemispheric and cortical midline regions, specific aspects of executive function, psychological function, and cultural factors. We offer pragmatic advice for clinicians working with this population and discuss implications for the field regarding "best practices" of anosognosia assessment and intervention.
2020年9月至11月，利用谷歌学术和PubMed数据库对同行评审文章进行了全面检索。关键词包括“疾病感缺失”“自我意识”“创伤性脑损伤”及其变体。我们的检索仅限于过去25年内发表的英文文章，不过由于具有科学价值，也纳入了一些历史文章。文章的选取基于方法学质量、是否仅包含或主要包含中度至重度创伤性脑损伤（msevTBI）样本以及与当前主题的相关性。
疾病感缺失是一个多方面且具有领域特异性的概念，影响着大多数中度至重度创伤性脑损伤患者。它与创伤性脑损伤的严重程度、右半球和皮质中线区域的损伤、执行功能、心理功能的特定方面以及文化因素有关。我们为治疗这一人群的临床医生提供实用建议，并讨论疾病感缺失评估和干预的“最佳实践”对该领域的影响。
