Enhancing treatment effectiveness for psychosocial disorders after severe traumatic brain injury

提高严重创伤性脑损伤后心理社会障碍的治疗效果

• 批准号: nhmrc : 222754
• 负责人: Prof Leanne Togher
• 金额: $ 16.92万
• 依托单位国家: 澳大利亚
• 项目类别: NHMRC Project Grants
• 财政年份: 2003
• 资助国家: 澳大利亚
• 起止时间: 2003-01-01 至 2005-12-31
• 项目状态: 已结题
• 来源: https://researchdata.edu.au/enhancing-treatment-effectiveness-brain-injury/95843
• 关键词: Enhancing; treatment; effectiveness; psychosocial; disorders

Motor vehicle accidents are a major cause of severe traumatic brain injury (TBI) leading to lifelong, crippling disability. In NSW alone, there are approximately 770 new cases of severe brain injury each year. These people require extensive inpatient rehabilitation and many go on to rely upon community resources for the rest of their lives. The social and economic cost of such injury is cumulative. TBI is mainly experienced by young adults (18-24 years of age) who have normal life expectancy and each year more casualties are added to this social burden. Adults with TBI frequently experience a reduction in social skills. Loss of social skills presents major obstacles to reintegration into the community by making the sufferer more taxing and less rewarding to interact with socially. This loss of social skills limits their ability to maintain pre-injury relationships, and often creates an off-putting first impression on potential new acquaintances that interferes with their ability to establish new relationships. The following project is designed to develop and evaluate a treatment program to enhance the TBI individual's ability to create a good first impression on meeting new acquaintances - e.g., potential employers, work colleagues, customers, and social acquaintances - and to engage in behaviour that is mutually rewarding. The project will inform current theoretical approaches to remediation, providing an examination of the modifiability of social skills deficits that are the result of underlying cognitive impairments. It will provide a systematic, integrated social skills treatment approach for both individuals and groups where there are currently very few. The identification and refinement of successful treatment techniques will increase the efficiency of brain injury rehabilitation in Australia, improve the quality of life for sufferers of TBI and their families, reduce cost of rehabilitation and reduce reliance upon community resources in the long term.

机动车事故是严重创伤性脑损伤（TBI）的主要原因，导致终身残疾。仅在新州，每年就有大约770例新的严重脑损伤病例。这些人需要广泛的住院康复，许多人继续依靠社区资源度过余生。这种伤害的社会和经济代价是累积的。创伤性脑损伤主要发生在预期寿命正常的年轻人（18 - 24岁）身上，每年都会有更多的伤亡增加这一社会负担。患有TBI的成年人经常会经历社交技能的下降。社会技能的丧失是重新融入社区的主要障碍，因为这会使患者更加吃力，与之进行社会交往的回报也更少。这种社交技能的丧失限制了他们维持受伤前关系的能力，并且经常给潜在的新熟人留下令人不快的第一印象，这干扰了他们建立新关系的能力。以下项目旨在开发和评估治疗方案，以增强TBI个体在会见新熟人时创造良好第一印象的能力-例如，潜在的雇主、工作同事、客户和社会熟人--并从事互利的行为。该项目将为当前的理论补救方法提供信息，提供对潜在认知障碍导致的社交技能缺陷的可修改性的检查。它将为个人和群体提供一个系统的、综合的社会技能治疗方法，而目前这种方法很少。识别和完善成功的治疗技术将提高澳大利亚脑损伤康复的效率，改善TBI患者及其家人的生活质量，降低康复成本，并减少对社区资源的长期依赖。