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[创伤性脑损伤与日常生活:执行功能的作用]

[Traumatic brain injury and daily life: The role of executive function].

作者信息

García-Molina Alberto, Bernabeu Guitart Montserrat, Roig-Rovira Teresa

机构信息

Institut Universitari de Neurorehabilitació Guttmann, Universidad Autónoma de Barcelona, Badalona, Spain.

出版信息

Psicothema. 2010 Aug;22(3):430-5.

Abstract

Executive functions are critical in our daily life. People with traumatic brain injury (TBI) often have difficulty functioning appropriately in everyday life. The objective of this study was to investigate the relationship between executive function and functional capacity after TBI. The sample consisted of 43 moderate or severe TBI patients (mean age: 32 years, SD= 13.9). All participants were tested with a battery of executive function measures (Trail Making Test-B, Wisconsin Card Sorting Test, Letter-Number Sequencing of the WAIS-III, Stroop Color-Word Interference Test, and Controlled Oral Word Association Test). Patients' everyday functioning was examined with the Patient Competency Rating Scale (PCRS). PCRS was correlated significantly, although moderately, with Trail Making Test-B, Letter-Number Sequencing, and Controlled Oral Word Association Test. These findings suggest that executive function measures used in clinical practice reveal some degree of ecological validity, providing relevant information for predicting daily-life functioning after moderate to severe TBI.

摘要

执行功能在我们的日常生活中至关重要。患有创伤性脑损伤(TBI)的人在日常生活中往往难以正常行事。本研究的目的是调查创伤性脑损伤后执行功能与功能能力之间的关系。样本包括43名中度或重度创伤性脑损伤患者(平均年龄:32岁,标准差=13.9)。所有参与者都接受了一系列执行功能测量测试(连线测验B、威斯康星卡片分类测验、韦氏成人智力量表第三版的字母数字排序、斯特鲁普颜色-词语干扰测验和受控口语联想测验)。使用患者能力评定量表(PCRS)检查患者的日常功能。PCRS与连线测验B、字母数字排序和受控口语联想测验显著相关,尽管相关性为中等程度。这些发现表明,临床实践中使用的执行功能测量显示出一定程度的生态效度,为预测中度至重度创伤性脑损伤后的日常生活功能提供了相关信息。

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