Department of Clinical and Experimental Medicine, University of Padua, Italy.
J Clin Gastroenterol. 2011 Jul;45(6):563-6. doi: 10.1097/MCG.0b013e3181eab73e.
Details of 2 patients with cirrhosis and hepatic encephalopathy whose hobby or job were possibly responsible for a selectively enhanced performance in 1 neuropsychiatric test are reported. Clinicians should be alert to the fact that personal inclinations and habits may impinge on both neuropsychological and psychophysic performance, thus producing a mismatch between the results of different mental status tests. A prospective study with accurate history taking, use of comprehensive assessment protocols, and modeling/critical interpretation of the test results is required to confirm this hypothesis.
报告了 2 例肝硬化和肝性脑病患者的详细信息，他们的爱好或工作可能导致了 1 项神经心理测试中的选择性表现增强。临床医生应该意识到，个人倾向和习惯可能会影响神经心理学和心理生理学表现，从而导致不同心理状态测试结果之间不匹配。需要进行前瞻性研究，包括准确的病史采集、使用全面的评估方案，以及对测试结果进行建模/批判性解释，以验证这一假设。
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