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轻度创伤性脑损伤后的有价值生活:特征及其与结局的关系。

Valued living after mild traumatic brain injury: Characteristics and relationship with outcomes.

作者信息

Faulkner Josh W, Whiting Diane, Theadom Alice, Snell Deborah L, Roche Maree, Barker-Collo Suzanne

机构信息

Te Herenga Waka - Victoria University of Wellington, Wellington, New Zealand.

Brain Injury Rehabilitation Research Group, Ingham Institute for Applied Medical Research, Liverpool, Australia.

出版信息

Neuropsychol Rehabil. 2025 Jan;35(1):75-91. doi: 10.1080/09602011.2024.2328876. Epub 2024 Mar 18.

Abstract

Psychological factors are strong predictors of mild traumatic brain injury (mTBI) recovery, consequently, psychological interventions can form part of an individual's rehabilitation. This may include enhancing valued living (VL), an approach that is effective in severe and mixed acquired brain injury samples. This study aimed to characterize VL in mTBI and explore its relationship with mTBI and mental health outcomes. 56 participants with a mTBI completed self-report measures before engaging in a psychological intervention. Pre-injury mental health and other demographic and injury-related variables, VL, post-concussion symptoms (PCS), functional disability, and stress, anxiety and depression were measured. A pre-injury mental health condition was significantly associated with VL. VL was uniquely associated with depression after mTBI (β = -0.08,  = .05), however, there was no relationship with PCS, functional disability, stress or anxiety ( > .05). Following mTBI individuals with a pre-injury mental health condition or who experience heightened depressive symptoms may benefit from a values-based intervention as part of their rehabilitation. Future research, however, is needed to examine the role of VL in mTBI recovery.

摘要

心理因素是轻度创伤性脑损伤(mTBI)恢复的有力预测指标,因此,心理干预可以成为个体康复的一部分。这可能包括提升有价值生活(VL),这种方法在重度和混合型后天性脑损伤样本中是有效的。本研究旨在描述mTBI中的VL特征,并探讨其与mTBI及心理健康结果的关系。56名患有mTBI的参与者在接受心理干预之前完成了自我报告测量。测量了伤前心理健康状况以及其他人口统计学和与损伤相关的变量、VL、脑震荡后症状(PCS)、功能残疾以及压力、焦虑和抑郁情况。伤前心理健康状况与VL显著相关。mTBI后VL与抑郁存在独特关联(β = -0.08,p = 0.05),然而,与PCS、功能残疾、压力或焦虑无关联(p > 0.05)。mTBI后,伤前有心理健康状况或经历抑郁症状加重的个体可能会从基于价值观的干预中受益,将其作为康复的一部分。然而,未来研究需要考察VL在mTBI恢复中的作用。

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