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小儿创伤性脑损伤后认知控制与社会结局的关系:对干预的启示。

The relation of cognitive control to social outcome after paediatric TBI: Implications for intervention.

作者信息

Levin Harvey S, Hanten Gerri, Li Xiaoqi

机构信息

Department of Physical Medicine and Rehabilitation, Cognitive Neuroscience Laboratory, Baylor College of Medicine, Hoston, Texas 77030, USA.

出版信息

Dev Neurorehabil. 2009;12(5):320-9. doi: 10.3109/17518420903087673.

Abstract

HYPOTHESIS

This study postulated cognitive control is related to social outcome in children with traumatic brain injury (TBI) and orthopaedic injury (OI). PROCEDURE AND DESIGN: This study analysed 12-month, post-injury, cross-sectional data from 52 children (7-17 years) with moderate-to-severe TBI and 41 children with OI. Cognitive control was measured with the Sternberg Task (memory) and the Flanker Task (resistance to interference). Relations to social outcome (Vineland Adaptive Behavioural Scales-Socialization and Communications domains) were measured.

RESULTS

Reaction time (RT) on the Sternberg task was related to social outcome, with stronger relations in children of lower SES. Flanker baseline and interference RTs were related to social outcome, with the relation for interference RT more robust in children with lower SES.

CONCLUSIONS

Cognitive control is related to social outcome. Further, it is suggested that cognitive training may have positive effects on social function through improved efficiency of social information processing.

摘要

假设

本研究假定认知控制与创伤性脑损伤(TBI)和骨科损伤(OI)儿童的社会结局相关。

程序与设计

本研究分析了52名中重度TBI儿童(7 - 17岁)和41名OI儿童伤后12个月的横断面数据。使用斯特恩伯格任务(记忆)和侧翼任务(抗干扰能力)测量认知控制。测量了与社会结局(《文兰适应行为量表》——社会化和沟通领域)的关系。

结果

斯特恩伯格任务中的反应时间(RT)与社会结局相关,在社会经济地位较低的儿童中关系更强。侧翼任务的基线和干扰RT与社会结局相关,干扰RT与社会经济地位较低儿童的关系更显著。

结论

认知控制与社会结局相关。此外,研究表明认知训练可能通过提高社会信息处理效率对社会功能产生积极影响。

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