Demaree H A, Gaudino E A, DeLuca J, Ricker J H
Kessler Medical Rehabilitation Research and Education Corporation, Neuropsychology and Neuroscience Laboratory, West Orange, New Jersey, USA.
J Clin Exp Neuropsychol. 2000 Dec;22(6):865-73. doi: 10.1076/jcen.22.6.865.961.
Recent evidence suggests that persons with multiple sclerosis may experience deficits in verbal and visuospatial acquisition rather than recall. The present study was designed to determine whether this finding generalized to a broader range of neuropsychological tests of learning and memory. To control for group differences in information acquisition, healthy controls (HCs) and persons with multiple sclerosis (MS) were trained to specific learning criteria on both verbal (i.e., paragraph learning and paired associates) and visuospatial (i.e., facial recognition) memory tasks. Persons with MS required significantly more learning trials to meet criteria on the paragraph learning and facial recognition tasks, but not the paired associates test. However, after learning comparable amounts of information, the MS and HC groups recalled statistically similar amounts of information at 30-minutes, 90-minutes, and up to 1-week on the paragraph learning and paired associate tests. This suggests that persons with MS may have deficits in acquisition rather than recall per se. Results are discussed in terms of possible rehabilitation strategies to improve memory functioning in persons with MS.
近期证据表明,患有多发性硬化症的人可能在言语和视觉空间信息获取方面存在缺陷,而非回忆方面。本研究旨在确定这一发现是否适用于更广泛的学习和记忆神经心理学测试。为了控制信息获取方面的组间差异,对健康对照组(HCs)和多发性硬化症(MS)患者进行训练,使其在言语(即段落学习和配对联想)和视觉空间(即面部识别)记忆任务上达到特定的学习标准。MS患者在段落学习和面部识别任务上达到标准需要显著更多的学习试验,但在配对联想测试中并非如此。然而,在学习了相当数量的信息后,MS组和HC组在段落学习和配对联想测试中,在30分钟、90分钟以及长达1周的时间里,回忆出的信息量在统计学上相似。这表明MS患者可能在信息获取方面存在缺陷,而非回忆本身存在缺陷。文中就改善MS患者记忆功能的可能康复策略进行了讨论。