Neuropsychiatric Treatment for Mild Traumatic Brain Injury: Nonpharmacological Approaches

被引：5

作者：

Mollica, Adriano ^{[1
,2
]}

Dey, Ayan ^{[1
,2
]}

Cairncross, Molly ^{[3
,4
]}

Silverberg, Noah ^{[3
,4
]}

Burke, Matthew J. ^{[1
,2
,5
]}

机构：

[1] Univ Toronto, Dept Psychiat, Neuropsychiat Program, Sunnybrook Hlth Sci Ctr, Toronto, ON, Canada

[2] Sunnybrook Res Inst, Harquail Ctr Neuromodulat & Hurvitz Brain Sci Pro, Toronto, ON, Canada

[3] Univ British Columbia, Dept Psychol, Vancouver, BC, Canada

[4] Vancouver Coastal Hlth Res Inst, Rehabil Res Program, Vancouver, BC, Canada

[5] Harvard Med Sch, Div Cognit Neurol, Dept Neurol, Beth Israel Deaconess Med Ctr, Boston, MA USA

来源：

SEMINARS IN NEUROLOGY | 2022年 / 42卷 / 02期

关键词：

concussion; mild traumatic brain injury; neuropsychiatry; nonpharmacological treatment; TRANSCRANIAL MAGNETIC STIMULATION; COGNITIVE-BEHAVIORAL THERAPY; RANDOMIZED CONTROLLED-TRIAL; MILITARY SERVICE MEMBERS; POST-CONCUSSION SYNDROME; VESTIBULAR REHABILITATION; EARLY INTERVENTION; EXECUTIVE DYSFUNCTION; TREATMENT RESPONSE; FEAR-AVOIDANCE;

D O I：

10.1055/s-0041-1742143

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Postconcussive symptoms following mild traumatic brain injury (mTBI)/concussion are common, disabling, and challenging to manage. Patients can experience a range of symptoms (e.g., mood disturbance, headaches, insomnia, vestibular symptoms, and cognitive dysfunction), and neuropsychiatric management relies heavily on nonpharmacological and multidisciplinary approaches. This article presents an overview of current nonpharmacological strategies for postconcussive symptoms including psychoeducation; psychotherapy; vestibular, visual, and physical therapies; cognitive rehabilitation; as well as more novel approaches, such as neuromodulation. Ultimately, treatment and management of mTBI should begin early with appropriate psychoeducation/counseling, and be tailored based on core symptoms and individual goals.

引用

页码：168 / 181

页数：14

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