关键词: brain injury emotion regulation groups neurorehabilitation qualitative social

来  源:   DOI:10.3389/fpsyg.2024.1384080   PDF(Pubmed)

Abstract:
UNASSIGNED: Group interventions are carried out routinely across neuropsychological rehabilitation services, to improve understanding of brain injury and aspects of impairment. Treatment provided in a group modality can bring additional perceived benefits, such as co-operative learning. However, there are very few studies which explore patient perceptions and experiences of such interventions. In the present study we investigated the experience of attending a group-based educational intervention for the consequences of acquired brain injury (ABI), which had a strong focus on emotion and emotion regulation.
UNASSIGNED: Using qualitative semi-structured interviews (approximately 20 minutes), the study explores the lived experience of participating in the seven-session programme, the better to identify the perceived efficacy, salience and value of individual elements. Twenty participants with ABI took part in individual interviews, after completion of the group programme (the Brain Injury Solutions and Emotions Programme, BISEP). The study adopted a descriptive phenomenological philosophy, which focuses on lived experience to explore a phenomenon (i.e. the experience of BISEP). As regards methods, the study employed thematic analysis to cluster experiences into themes of meaning.
UNASSIGNED: Five themes were identified: (1) \'Long term consequences and psychological needs\', which related to the persistent nature of direct consequences of injury and adjustment, and how these result in a need for interventions such as BISEP. (2) \'Positive experiences of participating in the programme\', referred to participants\' overall experience of the programme and valued elements within it. The remaining themes referred to the programme as (3) a social milieu; (4) a place to learn; and (5) a place to promote positive emotional experiences.
UNASSIGNED: Similar to previous studies, many people reported high acceptability and perceived value of the group programme, and its role in facilitating adjustment and understanding of injury. Of particular importance was the opportunity to socialise with people who \"can all relate\", in line with a growing emphasis on social rehabilitation. The findings especially highlight the relevance of emotion-focused group programmes for ABI, promoting emotion regulation, and practical tools that are delivered optimistically. Further implications for practice and future research include to focus on long term rehabilitation, a social milieu, and strategies to support adjustment.
摘要:
团体干预是在神经心理康复服务中常规进行的,提高对脑损伤和损伤方面的认识。以团体方式提供的治疗可以带来额外的感知益处,比如合作学习。然而,很少有研究探索患者对此类干预措施的看法和经验。在本研究中,我们调查了对获得性脑损伤(ABI)后果进行基于小组的教育干预的经验,它非常注重情绪和情绪调节。
使用定性的半结构化访谈(大约20分钟),这项研究探讨了参加七节课程的生活经验,识别感知功效越好,单个元素的显著性和价值。ABI的20名参与者参加了个人访谈,完成小组计划(脑损伤解决方案和情绪计划,BISEP).这项研究采用了描述性现象学哲学,它侧重于探索现象的生活经验(即BISEP的经验)。关于方法,该研究采用主题分析将经验聚类为意义主题。
确定了五个主题:(1)“长期后果和心理需求”,这与伤害和调整的直接后果的持久性有关,以及这些如何导致对BISEP等干预措施的需求。(2)“参与该计划的积极经验”,指的是参与者对方案的总体经验和方案中的重要要素。其余主题将该计划称为(3)社会环境;(4)学习的地方;(5)促进积极情感体验的地方。
与以前的研究类似,许多人报告说,该小组计划的可接受性和感知价值很高,以及它在促进调整和理解伤害方面的作用。特别重要的是有机会与“所有人都可以联系”的人交往,与社会康复的日益重视相一致。这些发现特别强调了以情感为中心的小组计划对ABI的相关性,促进情绪调节,以及乐观交付的实用工具。对实践和未来研究的进一步影响包括关注长期康复,社会环境,以及支持调整的策略。
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