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威斯康星卡片分类测试:严重创伤性脑损伤后的因素结构及其与生产力和监督需求的关系

Wisconsin Card Sorting Test: factor structure and relationship to productivity and supervision needs following severe traumatic brain injury.

作者信息

Benge Jared F, Caroselli Jerome S, Temple Richard O

机构信息

Department of Psychology, University of Houston, Galveston, Texas 77204, USA.

出版信息

Brain Inj. 2007 Apr;21(4):395-400. doi: 10.1080/02699050701311091.

DOI:10.1080/02699050701311091
PMID:17487637
Abstract

PRIMARY OBJECTIVE

The Wisconsin Card Sorting Test (WCST) has been demonstrated to have a relatively stable factor structure in traumatic brain injury (TBI) samples. What is less clear is whether the scores derived from WCST factors are related to functional outcomes. The purpose of the current study was to replicate the WCST factor structure in a sample with severe TBI, and to evaluate the relationship between the factor scores and outcome.

RESEARCH DESIGN

Retrospective correlational study.

METHODS AND PROCEDURES

Participants (n=143) who had suffered severe TBI were administered a battery of neuropsychological tests including the WCST within one month of admission to a brain injury rehabilitation program. In addition, participants were administered supervision (Supervision Rating Scale; SRS) and productivity measures (Community Integration Questionnaire- Productivity subscale; CIQ-P) at admission and following discharge.

EXPERIMENTAL INTERVENTION

None.

MAIN OUTCOMES AND RESULTS

For individuals who were more than one year post injury, more failure to maintain set errors were associated with better occupational outcomes, while more nonperseverative errors were associated with increased supervision needs.

CONCLUSIONS

The WCST factor scales are related to functional outcomes in severe TBI. Specifically, the inability to establish a series of correct responses is associated with poorer outcome.

摘要

主要目的

威斯康星卡片分类测验(WCST)已被证明在创伤性脑损伤(TBI)样本中具有相对稳定的因素结构。尚不清楚的是,从WCST因素得出的分数是否与功能结局相关。本研究的目的是在重度TBI样本中复制WCST因素结构,并评估因素分数与结局之间的关系。

研究设计

回顾性相关性研究。

方法与步骤

对143名重度TBI患者在进入脑损伤康复项目后一个月内进行了一系列神经心理学测试,包括WCST。此外,在入院时和出院后对参与者进行了监督(监督评定量表;SRS)和生产力测量(社区融入问卷-生产力子量表;CIQ-P)。

实验干预

无。

主要结局与结果

对于受伤一年以上的个体,更多未能维持定势错误与更好的职业结局相关,而更多非持续性错误与监督需求增加相关。

结论

WCST因素量表与重度TBI的功能结局相关。具体而言,无法建立一系列正确反应与较差的结局相关。

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