Jefferies Morgan, Peart Taylor, Perrier Laure, Lauzon Andrea, Munce Sarah
Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada.
University of Toronto Libraries, University of Toronto, Toronto, ON, Canada.
Front Pediatr. 2022 Mar 21;10:782104. doi: 10.3389/fped.2022.782104. eCollection 2022.
With current medical advancements, more adolescents with neurodevelopmental disorders are transitioning from child- to adult-centred health care services. Therefore, there is an increasing demand for transitional services to help navigate this transition. Health care transitions can be further complicated by mental health challenges prevalent among individuals with cerebral palsy (CP), spina bifida (SB), and childhood onset acquired brain injury (ABI). Offering evidence-based psychological interventions for these populations may improve overall outcomes during transition period(s) and beyond. The objective of this scoping review is to identify key characteristics of psychological interventions being used to treat the mental health challenges of adolescents and adults with CP, SB, and childhood onset ABI.
Methodological frameworks by Arksey and O'Malley, and Levac and colleagues were used to explore studies published between 2009 and 2019. Included studies were required to be written in English and report on a psychological intervention(s) administered to individuals at least 12 years of age with a diagnosis of CP, SB, or childhood onset ABI. All study designs were included.
A total of 11 studies were identified. Of these, eight reported psychological interventions for childhood onset ABI, while three reported on CP. No studies reporting on SB were identified. Commonly used interventions included acceptance and commitment therapy (ACT), psychotherapy, and cognitive behavioral therapy (CBT).
There are a limited number of studies investigating psychological interventions for individuals with childhood onset ABI and CP, and none for individuals with SB. Further research into effective psychological interventions for these populations will improve mental health outcomes and transitional services.
随着当前医学的进步，越来越多患有神经发育障碍的青少年正从以儿童为中心的医疗保健服务过渡到以成人为主的服务。因此，对过渡服务的需求日益增加，以帮助他们顺利完成这一转变。对于患有脑瘫（CP）、脊柱裂（SB）和儿童期获得性脑损伤（ABI）的个体来说，心理健康挑战会使医疗保健过渡变得更加复杂。为这些人群提供基于证据的心理干预可能会改善过渡期间及之后的整体结果。本范围综述的目的是确定用于治疗患有CP、SB和儿童期ABI的青少年和成人心理健康挑战的心理干预的关键特征。
采用Arksey和O'Malley以及Levac及其同事提出的方法框架，对2009年至2019年发表的研究进行探索。纳入的研究要求用英文撰写，并报告对至少12岁、诊断为CP、SB或儿童期ABI的个体实施的心理干预。所有研究设计均包括在内。
共确定了11项研究。其中，八项报告了针对儿童期ABI的心理干预，三项报告了针对CP的心理干预。未发现报告针对SB的研究。常用的干预措施包括接受与承诺疗法（ACT）、心理治疗和认知行为疗法（CBT）。
针对儿童期ABI和CP个体的心理干预研究数量有限，针对SB个体的研究则没有。对这些人群的有效心理干预进行进一步研究将改善心理健康结果和过渡服务。
