運用神經回饋訓練之神經心理治療模組於重度腦傷患者改善執行功能效果分析－個案報告

The Therapeutic Outcomes of Neurofeedback Training Program in Executive Function of Severe Traumatic Brain Injury Patient

廖御圻(Yu-Chi Liao) ； 林育岑(Yu-Tsen Lin) ； 郭乃文(Nai-Wen Guo) ； 黃冠堂(Kuan-Tang Huang) ； 蘇倍儀(Bei-Yi Su)

《臨床心理學刊》 10卷2期 (2016/12) Pp. 31-49

https://doi.org/10.6550/ACP.201612_10(2).0003

摘要

目的：運用神經回饋（neurofeedback, NF）治療創傷性腦傷（traumatic brain injury, TBI）在回顧實證中為等級三：可能有效（level III: probably efficacious）。本治療運用神經心理治療模式修改傳統技術，減少介入次數，探討改善執行功能（executive function）效果。方法：使用個案研究法，經基礎線時間點測量（baseline measure）後等待或依原門診治療一個月，前測後接受威好神經回饋（will well NF, WWNF）模組18次，再進行後測。招募8名重度TBI患者。以神經心理功能、行為問卷及適應功能類化三層次指標驗證療效。資料分析第一部分以常模級別來探討個別之療效；第二部分再以拔靴法相依t檢定（bootstrapping-t）探討群體療效。結果：個別與8名群體療效於三層次指標顯示功能提升證據。結論：支持WWNF於慢性期重度TBI患者的短期介入可有提升執行功能之療效。

關鍵字

神經心理治療 ； 創傷性腦傷 ； 神經回饋 ； 執行功能

並列摘要

Objective: Neurofeedback (NF) training technique has level III: probably efficacious on cognitive functions in traumatic brain injury (TBI) patients based on reviewed. This study was aimed to use neuropsychotherapy model, shorten the training session, and to discuss training effects on executive functions among each client. Methods: The single case design method was used. After taking interview and baseline measure, clients kept original treatment protocols until pretests were done after 1 month. Then they received Will well NF (WWNF) training for 18 times until posttests were done. Eight severe TBI patients were recruited. This study used indices from three levels of evidences to discuss the curative effects, including neuropsychological functions, behavioral, and adaptive level reports. The individual curative effects were discussed, and then the bootstrapping method of a dependent t-test (bootstrapping-t) were used for statistical analysis. Results: There were individual and group curative effects among eight clients in three levels of measures. Conclusion: The study supports WWNF can enhance executive functions in chronic severe TBI patients.

並列關鍵字

neuropsychotherapy ； traumatic brain injury ； neurofeedback ； executive function

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