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首页> 外文期刊>Frontiers in Psychology >Changes in aspects of social functioning depend upon prior changes in neurodisability in people with acquired brain injury undergoing post-acute neurorehabilitation
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Changes in aspects of social functioning depend upon prior changes in neurodisability in people with acquired brain injury undergoing post-acute neurorehabilitation

机译：社会功能方面的变化取决于先前进行急性神经康复的后天性脑损伤患者神经残疾的先前变化

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Post-acute community-based rehabilitation is effective in reducing disability. However, while social participation and quality of life are valued as distal outcomes of neurorehabilitation, it is often not possible to observe improvements on these outcomes within the limited time-frames used in most investigations of rehabilitation. The aim of the current study was to examine differences in the sequence of attainments for people with acquired brain injury (ABI) undergoing longer term post-acute neurorehabilitation. Participants with ABI who were referred to comprehensive home and community-based neurorehabilitation were assessed at induction to service, at 6 months and again at 1.5 years while still in service on the Mayo-Portland Adaptability Index (MPAI-4), Community Integration Questionnaire, Hospital Anxiety and Depression Scale, and World Health Organisation Quality of Life measure. At 6 months post-induction to service, significant differences were evident in MPAI abilities, adjustment, and total neurodisability; and in anxiety and depression. By contrast, there was no significant effect at 6 months on more socially oriented features of experience namely quality of life (QoL), Community Integration and Participation. Eighteen month follow-up showed continuation of the significant positive effects with the addition of QoL-related to physical health, Psychological health, Social aspects of QoL and Participation at this later time point. Regression analyses demonstrated that change in QoL and Participation were dependent upon prior changes in aspects of neurodisability. Age, severity or type of brain injury did not significantly affect outcome. Results suggest that different constructs may respond to neurorehabilitation at different time points in a dose effect manner, and that change in social aspects of experience may be dependent upon the specific nature of prior neurorehabilitation attainments.
机译：急性后社区康复可以有效减少残疾。然而，尽管社会参与和生活质量被视为神经康复的远端结果，但通常无法在大多数康复研究中使用的有限时间范围内观察到这些结果的改善。当前研究的目的是研究患有急性脑后康复的后天性脑损伤（ABI）患者的获得顺序的差异。在继续服役时，分别在6个月和1.5年时对ABI参加过家庭和社区神经康复的参与者进行了评估，但仍根据梅奥-波特兰适应性指数（MPAI-4），社区融合调查表进行了评估，医院焦虑和抑郁量表以及世界卫生组织的生活质量衡量标准。入职后6个月，MPAI能力，调节能力和总神经残疾明显不同。以及焦虑和沮丧。相比之下，在6个月的时间里，对体验的社会取向特征（即生活质量（QoL），社区融合和参与）没有明显影响。十八个月的随访显示，在与身体健康，心理健康，生活质量的社会方面和参与有关的QoL方面，QoL的持续持续显着改善。回归分析表明，QoL和参与度的变化取决于神经残疾方面的先前变化。年龄，严重程度或脑损伤的类型并未显着影响结局。结果表明，不同的构建体可能在不同的时间点以剂量效应的方式对神经康复作出反应，并且经验的社会方面的变化可能取决于先前神经康复成就的具体性质。

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