Treatments for Emotional Issues After Traumatic Brain Injury.
Treatments for Emotional Issues After Traumatic Brain Injury.
复制标题
脑外伤后情绪问题的治疗。
DOI：
10.1097/htr.0000000000000337
复制
发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Neumann,Dawn
中科院分区：
文献类型：
--
作者：
Neumann,Dawn
在创伤性脑损伤（TBI）的众多后果中，情绪缺陷是最普遍、最持久、最难治疗的。然而，与其他损伤相比，情绪缺陷的研究仍然严重不足，特别是在干预方面。由于情绪功能是幸福和生活质量不可或缺的一部分，作为康复研究人员和临床医生，我们有义务奋进缩小这一差距。为了提高对这一空白的认识，并激发填补这一空白所需的动力，本期专题介绍了评估TBI患者情绪缺陷治疗方法的实证研究。情绪功能涉及情绪的意识、识别、表达和调节，所有这些都容易受到TBI的破坏。本期文章描述了针对TBI后经常观察到的情绪功能缺陷的干预措施的临床试验，包括情绪自我意识差，对他人情绪线索的识别受损，愤怒和攻击，抑郁，以及情绪和行为自我控制降低。关于TBI后的情绪康复，每篇文章都提供了迫切需要的信息，以提高我们对不同治疗方法的认识，为未来的研究提供方向，并为临床决策提供所需的证据。这个专题包含了第一个临床试验的治疗方案的人与创伤性脑损伤谁有穷人的情绪自我意识，一个赤字称为述情障碍。令人担忧的是，一些研究发现，TBI人群中述情障碍的发病率高达60%。1这种缺陷的重要性在于，它与应对技能差、药物滥用、自杀意念、躯体化、同情心降低、关系满意度低以及
OF the vast array of consequences of traumatic brain injury (TBI), emotional deficits are among the most prevalent, persistent, and challenging to treat. However, they remain grossly understudied compared with other impairments, especially with respect to interventions. As emotional functioning is integral to well-being and quality of life, it is our obligation as rehabilitation researchers and clinicians to endeavor to narrow this gap. To enhance awareness of this void and inspire momentum needed to fill it, this Topical Issue presents empirical studies evaluating treatments for emotional deficits in people with TBI. Emotional functioning pertains to the awareness, recognition, expression, and regulation of emotions, all of which are susceptible to disruption from a TBI. The articles in this issue describe clinical trials of interventions that target emotional functioning deficits frequently observed after a TBI, including poor emotional self-awareness, impaired recognition of emotional cues from others, anger and aggression, depression, and reduced emotional and behavioral self-control. With regard to emotional rehabilitation following a TBI, each article contributes information sorely needed to advance our knowledge of different treatment approaches, offer directions for future research, and provide evidence needed to inform clinical decision-making. This Topical Issue contains the first clinical trial of a treatment option for people with TBI who have poor emotional self-awareness, a deficit known as alexithymia. It is alarming that some studies have found the incidence of alexithymia in the TBI population to be as high as 60%. 1 The significance of this deficit lies in the fact that it has been associated with poor coping skills, substance abuse, suicidal ideation, somatization, reduced empathy, low relationship satisfaction, and