Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, Massachusetts, USA.
J Head Trauma Rehabil. 2010 Jan-Feb;25(1):43-51. doi: 10.1097/HTR.0b013e3181bf24b1.
To evaluate the effects of participation in a memory group intervention focusing on internal strategy use on persons with traumatic brain injury-related memory impairment.
Ninety-four adults with traumatic brain injury (54 in the experimental group and 40 controls) and resulting memory impairment, with severities ranging from mild to severe. All participants were at least 18 years of age at the time of injury and at least 1 year post injury at the time of study.
Non randomized pre/posttest group comparison design.
Hopkins Verbal Learning Test-Revised and Rivermead Behavioral Memory Test II.
Participation in the memory group intervention was associated with improved memory performance immediately postintervention, and improvements were maintained 1 month postintervention. Severe injury was associated with less improvement in memory outcomes than mild and moderate injuries. Age and preinjury education were not related to outcome.
Individuals with traumatic brain injury may benefit from memory group intervention focusing on internal strategy use. Study hypotheses should be retested using a randomized, controlled design, and further research is needed to better delineate influences on intervention candidacy and outcomes.
评估参与以内部策略使用为重点的记忆小组干预对创伤性脑损伤相关记忆障碍患者的影响。
94 名患有创伤性脑损伤（实验组 54 名，对照组 40 名）和记忆障碍的成年人，其严重程度从轻度到重度不等。所有参与者在受伤时均至少 18 岁，在研究时至少 1 年受伤后。
非随机前后测组比较设计。
霍普金斯言语学习测试修订版和河滨行为记忆测试 II。
参与记忆小组干预与干预后立即改善记忆表现相关，并且改善在干预后 1 个月持续存在。严重损伤与记忆结果的改善程度低于轻度和中度损伤相关。年龄和受伤前教育与结果无关。
创伤性脑损伤患者可能受益于以内部策略使用为重点的记忆小组干预。应使用随机对照设计重新检验研究假设，并且需要进一步研究以更好地描述对干预候选资格和结果的影响。
