关键词: Neuropsychology inappropriate sexualised behaviour rehabilitation

来  源:   DOI:10.1080/09638288.2024.2338188

Abstract:
UNASSIGNED: This study develops the evidence-base of interventions for inappropriate sexualised behaviour following brain injury involving adolescents.
UNASSIGNED: We describe a Single-Case Multiple Baseline Design intervention of Positive Behavioural Support (PBS) across settings. It involves a 16 year old adolescent who had a severe Traumatic Brain Injury (TBI) and presented with sexualised talk and touch. PBS may potentially be a successful intervention to remediate this. The aim of the article was to determine whether PBS could reduce the frequency and impact of the sexualised behaviour in a variety of his key daily settings. Visual and quantitative analyses were completed before and after the introduction of the PBS intervention within home and school settings.
UNASSIGNED: Findings showed reduction in the frequency of sexualised talk and touch alongside subjective impact ratings in the home. Downward trends were encouraging in the school settings, but demonstrated smaller effects than home. The Overt Behaviour Scale showed a reduction in overall severity and the impact on others.
UNASSIGNED: This study shows the promising impact on behaviour of introducing the PBS intervention within the home and school settings to support positive clinical change evidenced in the reduction in target behaviours and subjective response for caregivers.
Positive Behavioural Support is an effective intervention for managing inappropriate sexualised behaviour in a young person with a traumatic brain injury.Positive Behavioural Support can improve the subjective experience of the young person and their caregivers in parallel to managing behaviour.Single Case Experimental Design can be utilised across care and home settings for measuring change in person-centred interventions.
摘要:
本研究为青少年脑损伤后不适当性行为的干预提供了证据基础。
我们描述了跨设置的积极行为支持(PBS)的单案例多基线设计干预。它涉及一名16岁的青少年,他患有严重的创伤性脑损伤(TBI),并表现出针对性的谈话和触摸。PBS可能是治愈这种情况的成功干预措施。本文的目的是确定PBS是否可以在他的各种关键日常环境中减少性行为的频率和影响。在家庭和学校环境中引入PBS干预之前和之后,完成了视觉和定量分析。
研究结果表明,家庭中性别化的谈话和触摸的频率以及主观影响评分都有所下降。在学校环境中,下行趋势令人鼓舞,但显示出比家庭更小的影响。公开行为量表显示总体严重程度和对他人的影响降低。
这项研究表明,在家庭和学校环境中引入PBS干预措施对行为产生了有希望的影响,以支持积极的临床变化,这证明了护理人员的目标行为和主观反应的减少。
积极行为支持是一种有效的干预措施,用于管理患有创伤性脑损伤的年轻人的不当性行为。积极的行为支持可以改善年轻人及其照顾者的主观体验,同时管理行为。单例实验设计可用于护理和家庭环境,以测量以人为中心的干预措施的变化。
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