Struchen Margaret A, Clark Allison N, Sander Angelle M, Mills Monique R, Evans Gina, Kurtz Diana
Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX, USA.
NeuroRehabilitation. 2008;23(2):185-98.
Neuropsychologists are increasingly asked to provide recommendations regarding functional abilities based on test results, particularly within the rehabilitation setting. Yet, the empirical basis for making such recommendations is limited. The current study examines relationships between executive functioning and social communication measures and concurrently measured occupational and social integration outcomes. Participants were 121 individuals with traumatic brain injury (TBI) recruited from participants in a longitudinal study of outcome following TBI who had all received comprehensive brain injury rehabilitation. As part of a larger study designed to evaluate social communication abilities following TBI, participants completed measures of executive functioning, affect perception, perceived communication ability, and functional outcome. After adjusting for age, education, and performance on executive functioning measures, social communication performance accounted for a unique 5.6% of the variance in occupational outcomes and 7.9% of variance in social integration outcomes. Executive functioning performance accounted for a unique 13.3% of the variance in occupational functioning and 16.0% of explained variance in social integration. These results provide evidence of the value of executive functioning and social communication measures in the prediction of functional outcomes. Additionally, such results provide preliminary support for the addition of social communication measures to assessment of TBI in neuropsychological practice.
神经心理学家越来越多地被要求根据测试结果对功能能力提供建议，尤其是在康复环境中。然而，做出此类建议的实证依据有限。当前的研究考察了执行功能与社会沟通测量之间的关系，以及同时测量的职业和社会融合结果。研究参与者为121名创伤性脑损伤（TBI）患者，这些患者来自一项TBI预后纵向研究的参与者，他们都接受了全面的脑损伤康复治疗。作为一项旨在评估TBI后社会沟通能力的更大规模研究的一部分，参与者完成了执行功能、情感感知、感知沟通能力和功能结果的测量。在对年龄、教育程度和执行功能测量的表现进行调整后，社会沟通表现分别解释了职业结果中5.6%的独特方差和社会融合结果中7.9%的方差。执行功能表现分别解释了职业功能中13.3%的独特方差和社会融合中16.0%的解释方差。这些结果证明了执行功能和社会沟通测量在预测功能结果方面的价值。此外，这些结果为在神经心理学实践中对TBI评估增加社会沟通测量提供了初步支持。
