心理健康与脊髓损伤：康复治疗人员的临床考量
Mental Health and Spinal Cord Injury: Clinical Considerations for Rehabilitation Providers.
作者信息
Schultz Katlin R, Mona Linda R, Cameron Rebecca P
机构信息
VA Long Beach Healthcare System, SCI/D Service (07/128) 5901 E 7th Street, Long Beach, CA 90822 USA.
California State University, Sacramento, CA USA.
出版信息
Curr Phys Med Rehabil Rep. 2022;10(3):131-139. doi: 10.1007/s40141-022-00349-4. Epub 2022 Apr 28.
Abstract
PURPOSE OF REVIEW
Assessing and addressing the mental and behavioral health concerns of individuals with SCI during rehabilitation is crucial, as untreated mental health distress can lead to reduced gains in rehabilitation and poor overall health. This review provides an overview of the latest research on prevalence rates of common mental and behavioral health concerns in the SCI population, highlighting disability-specific factors that may impact traditional assessment and treatment of mental health concerns.
RECENT FINDINGS
While those with SCI are at a heightened risk for experiencing mental health distress, overall, the majority of those with SCI adapt well, and live a full and meaningful life.
SUMMARY
Rehabilitation psychologists are a vital aspect of rehabilitation teams, as they can address behavioral health and mental health concerns that may impede patients achieving their rehabilitation goals.
摘要
综述目的
在康复过程中评估并解决脊髓损伤患者的心理和行为健康问题至关重要，因为未经治疗的心理健康困扰会导致康复进展减少和整体健康状况不佳。本综述概述了脊髓损伤人群常见心理和行为健康问题患病率的最新研究，强调了可能影响心理健康问题传统评估和治疗的特定残疾因素。
最新发现
虽然脊髓损伤患者经历心理健康困扰的风险较高，但总体而言，大多数脊髓损伤患者适应良好，过着充实而有意义的生活。
总结
康复心理学家是康复团队的重要组成部分，因为他们可以解决可能阻碍患者实现康复目标的行为健康和心理健康问题。
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2
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