Cuetos Vega Fernando, González Nosti María, Martínez Jiménez Luis, Mantiñán Nancy, Olmedo Alicia, Dioses Chocano Alejandro
Universidad de Oviedo, Facultad de Psicología, Oviedo, Spain.
Psicothema. 2010 Nov;22(4):715-9.
The procedure generally used to diagnose aphasic patients consists of classifying them in one of the classic syndromes on the basis of the analysis of their symptoms. However, this taxonomy has several important problems, the main one being that it does not take into account the variability of aphasic patients, as there are many more disorder profiles than those included in the syndromes. In order to test the homogeneity of a sample of patients diagnosed with the classic taxonomy, 15 aphasic patients (5 Broca, 5 Wernicke and 5 Conduction) and 5 healthy controls were tested with nine comprehension and production tasks. Participants were aged 38 to 81 years old. The results indicate the existence of great variability in patients labeled with the same diagnosis, as revealed by the differences in within-group scores in each task, and a limited adjustment to the expected profile, with some patients showing symptoms allegedly corresponding to other syndromes. Our results call attention to the need to study each patient individually and interpret their disorders regardless of the syndromes.
诊断失语症患者通常采用的程序是，在分析患者症状的基础上，将他们归类到一种经典综合征中。然而，这种分类法存在几个重要问题，主要问题是它没有考虑到失语症患者的变异性，因为失语症患者的症状表现远比综合征中所包含的类型要多。为了检验用经典分类法诊断出的患者样本的同质性，对15名失语症患者（5名布罗卡失语症患者、5名韦尼克失语症患者和5名传导性失语症患者）以及5名健康对照者进行了九项理解和表达任务测试。参与者年龄在38岁至81岁之间。结果表明，被诊断为同一类型的患者存在很大的变异性，这一点在每项任务的组内得分差异中得到体现，而且与预期的症状表现吻合度有限，有些患者表现出的症状据称与其他综合征相符。我们的研究结果提醒人们，需要对每个患者进行单独研究，并抛开综合征来解读他们的病症。
