Psychology Service, Mary Free Bed Rehabilitation Hospital, Grand Rapids, MI 49503, USA.
J Clin Exp Neuropsychol. 2010 Nov;32(9):953-60. doi: 10.1080/13803391003645640. Epub 2010 Apr 19.
Subtypes of learning and memory on the California Verbal Learning Test-Second Edition (CVLT-II; Delis, Kramer, Kaplan, & Ober, 2000) were examined in a clinical sample of 223 persons with traumatic brain injury (TBI), screened to remove individuals with complicating premorbid (e.g., psychiatric) or comorbid (e.g., financial compensation-seeking) histories. The z scores from 4 key CVLT-II variables were entered into a two-stage cluster analysis. These variables were selected to represent 4 latent constructs, identified in a recent confirmatory factor analysis: List A1 (Attention Span), List A5 (Learning Efficiency), Long Delay Free Recall (Delayed Memory), and False Positives (Inaccurate Memory). Six reliable subtypes were found (similar to those in the standardization sample) that were differentiated by both level and pattern of performance, with differences in level of performance meaningfully related to length of coma. In conclusion, the impact of TBI on CVLT-II performance can be manifested in various patterns that are not specifically unique, but are affected by injury severity.
在一个排除了合并的病前(例如,精神病史)或合并的共病(例如,寻求经济赔偿)病史的 223 例创伤性脑损伤(TBI)患者的临床样本中,对加利福尼亚语言学习测试第二版(CVLT-II;Delis、Kramer、Kaplan 和 Ober,2000)的学习和记忆亚型进行了检查。将来自 4 个关键 CVLT-II 变量的 z 分数输入到两阶段聚类分析中。这些变量是为了代表最近的验证性因素分析中确定的 4 个潜在结构而选择的:A1 列表(注意力跨度)、A5 列表(学习效率)、长延迟自由回忆(延迟记忆)和假阳性(不准确记忆)。发现了 6 种可靠的亚型(与标准化样本中的相似),它们在表现水平和模式上有所区别,表现水平的差异与昏迷时间的长短有明显的关系。总之,TBI 对 CVLT-II 表现的影响可以以各种不同的模式表现出来,这些模式并不具有特异性,但受到损伤严重程度的影响。