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Neuropsychological Rehabilitation of Executive Functions: Challenges and Perspectives

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摘要 Introduction: Executive Dysfunction (ED) is associated with difficulties in daily life and poor treatment adherence in individuals with neurological and psychiatric disorders. The aim of this paper is to present an update of Executive Function (EF) Rehabilitation Techniques. Methods: We performed a comprehensive literature review using the following keywords: executive function, mental disorders and rehabilitation in the PubMed, specific journals and books. Results: There is evidence of improvement of EF using some rehabilitation techniques, such as goal planning, goal management training, problem solving training, verbalization, drill and practice approach, metacognitive strategy instruction, computer-assisted training and neurofeedback. However, impact of rehabilitation on daily life remains poorly understood. Conclusion: Executive Dysfunction (ED) may be remediated and/or compensated at a certain degree by neuropsychological rehabilitation, but there is still a great challenge in this area based on how to measure effectiveness of EF interventions on daily life. There is a need for the development of new and/or combined techniques (i.e., pharmacological treatment, deep-brain stimulation) for a broader impact on quality of life for patients. Introduction: Executive Dysfunction (ED) is associated with difficulties in daily life and poor treatment adherence in individuals with neurological and psychiatric disorders. The aim of this paper is to present an update of Executive Function (EF) Rehabilitation Techniques. Methods: We performed a comprehensive literature review using the following keywords: executive function, mental disorders and rehabilitation in the PubMed, specific journals and books. Results: There is evidence of improvement of EF using some rehabilitation techniques, such as goal planning, goal management training, problem solving training, verbalization, drill and practice approach, metacognitive strategy instruction, computer-assisted training and neurofeedback. However, impact of rehabilitation on daily life remains poorly understood. Conclusion: Executive Dysfunction (ED) may be remediated and/or compensated at a certain degree by neuropsychological rehabilitation, but there is still a great challenge in this area based on how to measure effectiveness of EF interventions on daily life. There is a need for the development of new and/or combined techniques (i.e., pharmacological treatment, deep-brain stimulation) for a broader impact on quality of life for patients.
出处 《Journal of Behavioral and Brain Science》 2014年第1期27-32,共6页 行为与脑科学期刊(英文)
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