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额叶病变患者在计划和策略应用方面的障碍。

Disorders in planning and strategy application in frontal lobe lesion patients.

作者信息

Gouveia Paula Adriana Rodrigues, Brucki Sonia Maria Dozzi, Malheiros Suzana Maria Fleury, Bueno Orlando Francisco Amodeo

机构信息

Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.

出版信息

Brain Cogn. 2007 Apr;63(3):240-6. doi: 10.1016/j.bandc.2006.09.001. Epub 2006 Oct 17.

DOI:10.1016/j.bandc.2006.09.001
PMID:17049704
Abstract

The aim of this study was to investigate deficits in planning ability using an adapted version of the Modified Six Elements Test, from the Behavioral Assessment of the Dysexecutive Syndrome-BADS [Wilson, B. A., Alderman, N., Burgess, P. W., Emslie, H., & Evans, J. J. (1996). Behavioural Assessment of the Dysexecutive Syndrome (BADS). Bury St Edmunds, U.K.: Thames Valley Test Company. Trans. Ricardo O Souza, Sergio L Schmidt. Rio de Janeiro: Cognição]. Subjects were left- and right-frontal lobe lesion patients. Other measures of executive dysfunctions used were verbal fluency, the Wisconsin Card Sorting Test, and the Trail Making Test. These other instruments were sensitive to detect executive deficits in the left frontal lobe lesion group, except the Wisconsin Card Sorting Test, which showed impairment only for the frontal lobe lesion group as a whole. The Modified Six Elements Test detected planning disorders in left frontal lobe lesion patients. The deficit of these patients was due to a greater likelihood to break the rules of the task, that is, in plan-following processes, rather than in planning the strategic approach to solve it.

摘要

本研究旨在使用修订版六元素测试(该测试改编自执行功能障碍综合征行为评估量表-BADS [威尔逊,B.A.,奥尔德曼,N.,伯吉斯,P.W.,埃姆斯利,H.,& 埃文斯,J.J.(1996年)。执行功能障碍综合征行为评估量表(BADS)。英国伯里圣埃德蒙兹:泰晤士河谷测试公司。译者:里卡多·奥索萨,塞尔吉奥·L·施密特。里约热内卢:认知出版社])来调查计划能力缺陷。研究对象为左额叶和右额叶病变患者。所使用的其他执行功能障碍测量方法包括语言流畅性、威斯康星卡片分类测试和连线测验。除威斯康星卡片分类测试仅在整个额叶病变组中显示出损伤外,这些其他工具对检测左额叶病变组中的执行功能缺陷很敏感。修订版六元素测试检测出左额叶病变患者存在计划障碍。这些患者的缺陷是由于更有可能违反任务规则,即在遵循计划的过程中,而不是在规划解决问题的策略方法时。

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