The role of the Neuropsychologist across the stages of recovery from acquired brain injury: a summary from the pediatric rehabilitation Neuropsychology collaborative

Watson, William D.; Lahey, Sarah; Baum, Katherine T.; Hamner, Taralee; Koterba, Christine; Alvarez, Gabrielle; Chan, Jana B; Davis, Kimberly C.; DiVirgilio, Emily K; Howarth, Robyn; Jones, Kelly; Kramer, Morton; Tlustos, Sarah J; Zafiris, Christina M; Slomine, Beth S.

doi:10.1080/09297049.2022.2086691

Cited by 2 publications

(1 citation statement)

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“…Psychological interventions for children with brain injury involve mainly four stages, namely, interventions addressing disorders of consciousness, cognitive state, acute cognitive intervention, and follow-up care ( Xu et al, 2022 ; Watson et al, 2023 ). The first three stages are mainly carried out in hospitals, while the last stage occurs in families, schools, and communities.…”

Section: Introductionmentioning

confidence: 99%

Long-term psychological intervention for parents of children with prolonged disorders of consciousness: a pilot study

Xu,

Hao,

Zhao

et al. 2023

Front. Psychol.

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BackgroundChildren with prolonged disorders of consciousness experience severe intellectual and behavioral disabilities that will last for decades or even a lifetime. Parents generally experience severe anxiety, stress, sadness, or family conflicts, which can lead to abnormal parenting behavior and can, in turn, adversely affect the cognitive, emotional, and behavioral well-being of the children. This causes a serious burden on children, families, and society. Psychological interventions targeting parents using online conversations provide an opportunity to improve the overall well-being of the parents, their children, and the family as a whole.MethodsA total of 13 patients completed the protocol. Six were girls (46.2%), the mean age was 4.5 ± 3.0 years, and the length of time before emergent from minimally consciousness state was 244 ± 235 days. A staff member with psychological counseling qualifications implemented all psychological interventions. Regular online psychological interventions were performed annually before and after discharge. Evaluation data were collected before discharge and at 1 and 3–5 years post-discharge.ResultsWith the extension of intervention time, the Strengths and Difficulties Questionnaire, the Depression Anxiety and Stress Scale-21, and the Parenting Sense of Competence Scale scores showed significant improvement (p < 0.05), while the Revised Scale for Caregiving Self-Efficacy scores did not. With the extension of intervention time, the Strengths and Difficulties Questionnaire (Total Difficulties scores, TD) scores showed significant improvement (p < 0.05), while the scores did not after 1 year compared with before intervention. The Index of Child Care Environment evaluation scores declined significantly (p < 0.05).ConclusionPsychological interventions aimed at the parents of children with prolonged disorders of consciousness performed at least once per year resulted in significant improvements in negative parental emotions, parental self-efficacy, and emotional and behavioral problems in their children. However, the childcare environment continued to decline.

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Section: Introductionmentioning

confidence: 99%