Rochat Lucien, Ammann Jussara, Mayer Eugène, Annoni Jean-Marie, Van der Linden Martial
Cognitive Psychopathology and Neuropsychology Unit, University of Geneva, Geneva, Switzerland.
J Neuropsychol. 2009 Sep;3(Pt 2):213-27. doi: 10.1348/174866408X397656. Epub 2009 Feb 9.
Although socio-emotional changes are very frequently encountered after traumatic brain injury (TBI), the psychological mechanisms underlying these disorders are still poorly understood. This study aimed to explore the relationships between dysexecutive syndrome (assessed with the Behavioural Assessment of the Dysexecutive Syndrome [BADS]) and socio-emotional changes assessed by the Iowa scales of personality change (ISPC) in patients with TBI. The BADS was thus administered to 25 patients with TBI and to 25 healthy controls. Simultaneously, a close relative of each patient was given the ISPC in order to assess socio-emotional changes. Results indicated that patients displayed significantly lower executive performances than controls and experimented significant socio-emotional changes. The Modified Six Elements Test was the only subtask of the BADS to be significantly related to behavioural changes, and more specifically to externalizing disorders. It is concluded that executive functions, and especially multitasking, encompass processes whereby one can consciously control one's emotional reactions and behaviours.
尽管创伤性脑损伤（TBI）后经常会出现社会情感变化，但这些障碍背后的心理机制仍未得到充分理解。本研究旨在探讨执行功能障碍综合征（通过执行功能障碍综合征行为评估[BADS]进行评估）与TBI患者中通过爱荷华人格变化量表（ISPC）评估的社会情感变化之间的关系。因此，对25名TBI患者和25名健康对照者进行了BADS测试。同时，让每位患者的一位近亲填写ISPC，以评估社会情感变化。结果表明，患者的执行能力表现显著低于对照组，并经历了显著的社会情感变化。改良六元素测试是BADS中唯一与行为变化显著相关的子任务，更具体地说是与外化障碍相关。研究得出结论，执行功能，尤其是多任务处理，包含了人们能够有意识地控制自己情绪反应和行为的过程。
