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健康大学生脑震荡样症状的检查:与主观和客观神经心理功能表现的关系

Examination of postconcussion-like symptoms in healthy university students: relationships to subjective and objective neuropsychological function performance.

作者信息

Wang Ya, Chan Raymond C K, Deng Yongyu

机构信息

Neuropsychology and Applied Cognitive Neuroscience Laboratory, Department of Psychology, Sun Yat-Sen University, Guangzhou 510275, China.

出版信息

Arch Clin Neuropsychol. 2006 May;21(4):339-47. doi: 10.1016/j.acn.2006.03.006. Epub 2006 Jun 9.

DOI:10.1016/j.acn.2006.03.006
PMID:16765018
Abstract

This study examined postconcussion-like symptoms in a group of university students and explored their relationships to neuropsychological function performance. A sample of 124 students was recruited. All of the participants received the Rivermead Post-Concussion Symptoms Questionnaire (RPQ) and completed a comprehensive set of neuropsychological tests. They reported a relatively high base rate of postconcussion-like symptoms. The most frequently endorsed items were "fatigue" (76.9%), "longer time to think" (60.3%), "poor concentration" (58.7%), "sleep disturbance" (50.4%), and "frustration" (46.3%). There were no significant differences between low symptom reporters and high symptom reporters, except for self-reported dysexecutive problems. A comparison of the healthy high symptom reporters and a convenient sample of traumatic brain injury patients revealed that the patients performed significantly worse on neuropsychological functions than the high symptom reporters, despite non-significant differences between symptom endorsement. Our findings demonstrate that: (a) the base rate of postconcussion-like symptoms in a group of healthy university students is relatively high and (b) postconcussion symptom (PCS) is not related to neuropsychological functions in normal people.

摘要

本研究调查了一组大学生的脑震荡后样症状,并探讨了这些症状与神经心理功能表现之间的关系。招募了124名学生作为样本。所有参与者都接受了里弗米德脑震荡后症状问卷(RPQ),并完成了一套全面的神经心理测试。他们报告的脑震荡后样症状的基线率相对较高。最常被认可的项目是“疲劳”(76.9%)、“思考时间延长”(60.3%)、“注意力不集中”(58.7%)、“睡眠障碍”(50.4%)和“沮丧”(46.3%)。除了自我报告的执行功能障碍问题外,低症状报告者和高症状报告者之间没有显著差异。对健康的高症状报告者和外伤性脑损伤患者的便利样本进行比较发现,尽管症状认可方面没有显著差异,但患者在神经心理功能方面的表现明显比高症状报告者差。我们的研究结果表明:(a)一组健康大学生的脑震荡后样症状基线率相对较高;(b)脑震荡后症状(PCS)与正常人的神经心理功能无关。

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