Mild traumatic brain injury (TBI) accounts for the majority of TBIs. Most cases recover within 3 months and usual medical advice covers physical and cognitive rest, activity and fatigue management, and education. However, in some cases, symptoms can persist and there may be ongoing postconcussion difficulties. It is well established that pre- and postinjury psychological factors can contribute to cases of persistent postconcussion symptoms. However, there are few illustrative case examples in the published literature on mild TBI. This case example demonstrates the pivotal role that preinjury psychological factors can play in recovery from mild TBI, using an example of a 35-year-old woman with persistent mild TBI symptoms who had a limited response to previous brief treatment through a Concussion Clinic. Through the process of assessment and development of a psychological case formulation, preinjury psychological factors that had been barriers to recovery and prior rehabilitation efforts were identified. Rehabilitation counselors are equipped to (1) identify and address such barriers, (2) communicate this information to other rehabilitation professionals in the treatment team to facilitate a shared understanding of how factors might affect the client’s functioning and (3) contribute to team case formulation.

中文翻译：

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轻度创伤性脑损伤康复的伤前心理因素及病例形成：病例报告

轻度创伤性脑损伤 (TBI) 占 TBI 的大部分。大多数病例会在 3 个月内康复，通常的医疗建议包括身体和认知休息、活动和疲劳管理以及教育。但是，在某些情况下，症状可能会持续存在，并且可能会持续出现脑震荡后的困难。众所周知，伤前和伤后的心理因素会导致持续的脑震荡后症状。然而，在已发表的关于轻度 TBI 的文献中，很少有说明性的案例。这个案例展示了伤前心理因素在轻度 TBI 康复中的关键作用，使用一个 35 岁女性持续轻度 TBI 症状的例子，她对之前通过脑震荡诊所的短暂治疗反应有限。通过评估和制定心理案例的过程，确定了阻碍康复和先前康复工作的伤前心理因素。康复顾问有能力 (1) 识别和解决这些障碍，(2) 将此信息传达给治疗团队中的其他康复专业人员，以促进对因素如何影响客户功能的共同理解，以及 (3) 有助于团队案例的制定.