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Neuropsychological Rehabilitation of Executive Functions: Challenges and Perspectives

机译:执行功能的神经心理学康复:挑战和观点

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Introduction: Executive Dysfunction (ED) is associated with difficulties in daily life and poor treatment adherence in individuals with neurological and psychiatric disorders. The aim of this paper is to present an update of Executive Function (EF) Rehabilitation Techniques. Methods: We performed a comprehensive literature review using the following keywords: executive function, mental disorders and rehabilitation in the PubMed, specific journals and books. Results: There is evidence of improvement of EF using some rehabilitation techniques, such as goal planning, goal management training, problem solving training, verbalization, drill and practice approach, metacognitive strategy instruction, computer-assisted training and neurofeedback. However, impact of rehabilitation on daily life remains poorly understood. Conclusion: Executive Dysfunction (ED) may be remediated and/or compensated at a certain degree by neuropsychological rehabilitation, but there is still a great challenge in this area based on how to measure effectiveness of EF interventions on daily life. There is a need for the development of new and/or combined techniques (i.e., pharmacological treatment, deep-brain stimulation) for a broader impact on quality of life for patients.
机译:简介:执行功能障碍(ED)与神经疾病和精神病患者的日常生活困难和治疗依从性差有关。本文的目的是介绍执行功能(EF)康复技术的更新。方法:我们使用以下关键词进行了全面的文献综述:PubMed中的执行功能,精神障碍和康复,特定期刊和书籍。结果:有证据表明,使用一些康复技术可以改善EF,例如目标计划,目标管理培训,问题解决培训,语言表达,钻研和练习方法,元认知策略指导,计算机辅助培训和神经反馈。但是,康复对日常生活的影响仍然知之甚少。结论:执行功能障碍(ED)可以通过神经心理康复得到一定程度的纠正和/或补偿,但是基于如何衡量EF干预对日常生活的有效性,该领域仍然存在巨大挑战。需要开发新的和/或组合的技术(即药理学治疗,深脑刺激)以对患者的生活质量产生更广泛的影响。

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