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- Bartfai, Aniko, et al.
(författare)
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Holistic neuropsychological group rehabilitation in Sweden
- 2007
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Ingår i: Konferensbidrag , Poster San Sebastian INS 2007.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- HOLISTIC NEUROPSYCHOLOGICAL GROUP REHABILITATION IN SWEDEN Aniko Bartfai PhD, Danderyd University Hospital , Ann Björkdahl PhD, Bräcke Diakoni, Jerry Larsson MSc, Sahlgrenska University Hospital, Staffan Söderström MSc, Västerås Hospital Introduction Integrated treatments in the form of cognitive and interpersonal therapies within the context of holistic neuropsychological rehabilitation have been found efficient with improvement in community reintegration, functioning, increased social participation and productivity. However, there is a limited knowledge concerning the range of effects due to differences between the programs. 1997-2002 data were collected from 3 rehabilitation centres in Sweden, the STURA program in Göteborg, the program at HSE in Västerås and the program at Danderyd hospital, Stockholm. The programs are all based on the principles of holistic neuropsychological rehabilitation, but differ in several aspects such as, content, length, team competence. Methods Patients: This evaluation includes data on 171 patients with acquired brain injury (ABI). Demographical data are presented below. Patients reported comparable level of symptoms, but there were differences in age and gender distribution between the groups. Assessments: The evaluation consisted of a broad neuropsychological assessment and of a number of questionnaires focussing on everyday problems and coping styles before and after the treatment program. The Coding test and Digit Span from the WAIS-R, FAS and TMT A (Lezak et al, 2004) were used. Everyday functioning was measured by the EBIQ, the PGWB and Life satisfaction (LiSat 9) and coping by BAACQ. Conclusion Holistic neuropsychological group rehabilitation seems to have positive effect on cognitive functioning after ABI in all the programs probably due to the intense programs were the individual needs to be active. The limited results on questionnaires, may be explained by that it was a holistic intervention and the life is complex, but only a few aspects were evaluated and the effects may be further explored. Vocational come-back takes time, but has a positive trend.
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| 2. |
- Bartfai, Aniko, et al.
(författare)
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Impaired cognitive functioning in stress-induced exhaustion disorder : a new tablet-based assessment
- 2021
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Ingår i: BMC Psychiatry. - : BioMed Central. - 1471-244X. ; 21:1
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Tidskriftsartikel (refereegranskat)abstract
- Background The adverse health effects of stress induced exhaustion disorder (SED) cause increasing concern in Western societies. This disorder is characterized by severe fatigue, decreased tolerance to further stress, and attention and memory lapses. Despite subjective complaints, individual cognitive deficits are not always detected in a clinical setting, which calls for the validation of more sensitive instruments. Aim The objective of this study was to investigate if a short, tablet-based serial naming task, MapCog Spectra (MCS) could be used as a marker for cognitive problems in SED. Participants The study comprised of 39 subjects (35 females, four males) with SED. Their mean age was 46,8 years (SD 10.1; range 30-60 yrs.). All participants were healthcare professionals, with a college or university degree, doctors, registered nurses, and psychologists. Methods The MCS was used to assess the number of aberrant pauses during serial naming of coloured geometrical shapes. The Coding, Matrix Reasoning, Digit Span, Symbol Search of the WAIS-IV, and RUFF 2&7 tests, were administered together with a short interview. Results Mean values were within normal reference limits for all tests, except for the MCS, which showed a significantly higher number of aberrant pauses (p < 0,001) in the SED group, compared to normal reference values. Although subjects performed within normal limits on the RUFF 2&7, a significant difference between individuals was found in the performance strategy of the participants. Conclusion Here we report that subjects with SED have performance deficits on the MCS, in terms of aberrant pause times, despite average performance on WAIS-IV tests measuring inductive reasoning, processing speed, working memory, and attention. We also demonstrate that subjects use different strategies to overcome their problems. These findings add to the growing evidence of cognitive deficits in SED and that the MCS might aid neuropsychologists in disentangling cognitive markers, important to substantiate the subjective complaints of affected individuals.
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| 3. |
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| 4. |
- Bartfai, Aniko, et al.
(författare)
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Predicting Outcome for Early Attention Training After Acquired Brain Injury
- 2022
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Ingår i: Frontiers in Human Neuroscience. - : FRONTIERS MEDIA SA. - 1662-5161. ; 16
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundThe training of impaired attention after acquired brain injury is central for successful reintegration in daily living, social, and working life. Using statistical process control, we found different improvement trajectories following attention training in a group of relatively homogeneous patients early after acquired brain injury (ABI). ObjectiveTo examine the contribution of pre-injury factors and clinical characteristics to differences in outcome after early attention training. Materials and MethodsData collected in a clinical trial comparing systematic attention training (APT) with activity-based attention training (ABAT) early after brain injury were reanalyzed. ResultsStroke patients (p = 0.004) with unifocal (p = 0.002) and right hemisphere lesions (p = 0.045), and those with higher mental flexibility (TMT 4) (p = 0.048) benefitted most from APT training. Cognitive reserve (p = 0.030) was associated with CHANGE and APT as the sole pre-injury factor. For TBI patients, there was no statistical difference between the two treatments. ConclusionOur study identifies indiscernible factors predicting improvement after early attention training. APT is beneficial for patients with right-hemispheric stroke in an early recovery phase. Knowledge of prognostic factors, including the level of attention deficit, diagnosis, and injury characteristics, is vital to maximizing the efficiency of resource allocation and the effectiveness of rehabilitative interventions to enhance outcomes following stroke and TBI.
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| 5. |
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| 6. |
- Boman, Inga-Lill, et al.
(författare)
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A training apartment with a set of electronic memory aids for patients with cognitive problems
- 2010
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa. - 1103-8128 .- 1651-2014. ; 17:2, s. 140-148
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Tidskriftsartikel (refereegranskat)abstract
- The aims were to investigate whether patients with memory difficulties after acquired brain injury (ABI) are able to learn how to use a set of electronic memory aids integrated in a training apartment, and to use the same setting for identifying activities that these patients tend to forget among a predefined set of activities. This identification is done by using a computer system to register activities that are not performed, which the system is designed to act upon with reminders or alarms. During a stay of five days in the training apartment, 14 patients received training from an experienced occupational therapist to learn how to use the electronic memory aids. Significant improvements were found at group level in learning how to use the electronic memory aids. Computer registrations showed that the refrigerator and the stove were most challenging to remember. The total number of alarms and reminders as indication/measure of memory difficulties did not correlate with the Rivermead Behavioral Memory Test scores in the individuals. These findings indicate the importance of a stay in a training apartment to examine whether or not patients have difficulties in everyday activities and to try out electronic memory aids that might support these difficulties before they are discharged from the rehabilitation clinic.
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| 7. |
- Johansson, Mirja, et al.
(författare)
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Epilepsi
- 2014
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Ingår i: Klinisk neuropsykologi. - 9789144040479 ; 2, s. 245-258
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Bokkapitel (refereegranskat)
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| 8. |
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Klinisk neuropsykologi
- 2023
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Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
- Klinisk neuropsykologi är en grundbok om sambandet mellan beteende och hjärnans funktioner. Denna tredje reviderade och utökade upplaga innehåller ett flertal nyskrivna och helt nytillkomna kapitel, såsom Läkemedel och kognition, Digital testning, Symptom- och prestationsvaliditet samt ett kapitel om hjärntrötthet, Kognitiv fatigue. Del I inleds med Teorier och modeller för de viktigaste funktionsområdena, som uppmärksamhet, emotioner, språk, minne, spatial förmåga och exekutiva funktioner. I del II beskrivs Utredning och diagnostik. Här finns anvisningar för undersökning och bedömning med såväl traditionella som digitala psykologiska test samt ett nytt kapitel om den kliniska användningen av tekniker för att avbilda hjärnans struktur och funktion. I det nyskrivna kapitlet om Lurias teori och bedömningsmetod kopplas dessa till modern neurovetenskap. Del III, Skador och störningar, beskriver de kognitiva följderna av de vanligaste somatiska tillstånden, medan del IV ägnas åt Neuropsykiatriska tillstånd. Här finns ett helt nytt kapitel om Utvecklingsrelaterade funktionsnedsättningar. Del V, Behandling och åtgärder, är betydligt utökad, och innehåller ett kapitel där utvecklingen och evidensläget inom Kognitiv rehabilitering beskrivs. Klinisk neuropsykologi vänder sig till alla som behöver kunskaper om hjärnan och beteendet; främst blivande psykologer, studenter och yrkesverksamma inom hälso- och sjukvård, skola och i olika typer av omsorgsverksamhet.
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| 9. |
- Markovic, Gabriela, et al.
(författare)
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BENEFICIAL EFFECTS OF EARLY ATTENTION PROCESS TRAINING AFTER ACQUIRED BRAIN INJURY: A RANDOMIZED CONTROLLED TRIAL
- 2020
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Ingår i: Journal of Rehabilitation Medicine. - : FOUNDATION REHABILITATION INFORMATION. - 1650-1977 .- 1651-2081. ; 52:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Evaluation of outcome after intensive cognitive rehabilitation early after brain injury is complicated due to the ongoing biological recovery process. Objective: To evaluate the efficacy of Attention Process Training early after acquired brain injury through time-series measurement with statistical process control. Design: Randomized controlled trial. Method: Patients with acquired brain injury (n=59) within 4 months post-injury in interdisciplinary rehabilitation received an additional 20 h of attention training with Attention Process Training or with activity-based attention training. The primary outcome variable was Paced Auditory Serial Attention Test (PASAT) evaluated using statistical process control. Results: Both groups improved (p amp;lt; 0.001), although a higher number of patients improved with attention process training (chi(2) (1, n= 59) = 5.93, p= 0.015) and the variability was significantly decreased. The Attention Process Training group maintained or improved performance at 6 months follow-up (chi(2) (1, n=51)=6,847, p= 0.033). Attention Process Training required fewer intervention hours for improvement. Based on individual performance, 3 improvement trajectories were identified: stationary, steady, and rapid improvers. Conclusion: The results indicate that attention training is promising early after acquired brain injury and that Attention Process Training boosts functional improvement. Notably, in the present group of relatively homogeneous patients, 3 different trajectories were identified for recovery after acquired brain injury regardless of intervention.
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| 10. |
- Markovic, Gabriela, et al.
(författare)
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STATISTICAL PROCESS CONTROL: A FEASIBILITY STUDY OF THE APPLICATION OF TIME-SERIES MEASUREMENT IN EARLY NEUROREHABILITATION AFTER ACQUIRED BRAIN INJURY
- 2017
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Ingår i: Journal of Rehabilitation Medicine. - : FOUNDATION REHABILITATION INFORMATION. - 1650-1977 .- 1651-2081. ; 49:2, s. 128-135
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Tidskriftsartikel (refereegranskat)abstract
- Background: Progress in early cognitive recovery after acquired brain injury is uneven and unpredictable, and thus the evaluation of rehabilitation is complex. The use of time-series measurements is susceptible to statistical change due to process variation. Objective: To evaluate the feasibility of using a time-series method, statistical process control, in early cognitive rehabilitation. Method: Participants were 27 patients with acquired brain injury undergoing interdisciplinary rehabilitation of attention within 4 months post-injury. The outcome measure, the Paced Auditory Serial Addition Test, was analysed using statistical process control. Results: Statistical process control identifies if and when change occurs in the process according to 3 patterns: rapid, steady or stationary performers. The statistical process control method was adjusted, in terms of constructing the baseline and the total number of measurement points, in order to measure a process in change. Conclusion: Statistical process control methodology is feasible for use in early cognitive rehabilitation, since it provides information about change in a process, thus enabling adjustment of the individual treatment response. Together with the results indicating discernible subgroups that respond differently to rehabilitation, statistical process control could be a valid tool in clinical decision-making. This study is a starting-point in understanding the rehabilitation process using a real-time-measurements approach.
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