Department of Psychology, University of New Orleans, Louisiana 70148, USA.
J Neuropsychol. 2011 Mar;5(Pt 1):114-25. doi: 10.1348/174866410X521434.
This study examined the effects of traumatic brain injury (TBI) on Wechsler Memory Scale-III (WMS-III) performance. Since poor effort potentially contaminates results, effort was explicitly assessed and controlled using two well-validated cognitive validity indicators, the Portland Digit Recognition Test (PDRT) and Reliable Digit Span (RDS). Participants were 44 mild TBI patients with good effort, 48 mild TBI patients with poor effort, and 40 moderate-severe TBI patients with good effort. A dose-response relationship between injury severity and WMS-III performance was demonstrated. Effect size calculations showed that the good effort mild TBI patients did not differ from normal (average Cohen's d= 0.07) while moderate-severe TBI had a moderate effect on WMS-III scores (average Cohen's d=-0.52). Consistent with previous literature, the moderate-severe TBI group scored the lowest on WMS-III Visual indices. Effort had a larger effect than injury severity on WMS-III scores (average Cohen's d=-1.27). Clinical implications of these findings are discussed.
本研究考察了创伤性脑损伤 (TBI) 对韦氏记忆量表第三版 (WMS-III) 表现的影响。由于努力程度差可能会污染结果,因此使用两种经过充分验证的认知有效性指标——波特兰数字识别测试 (PDRT) 和可靠数字跨度 (RDS),明确评估和控制了努力程度。参与者包括 44 名表现出良好努力程度的轻度 TBI 患者、48 名表现出较差努力程度的轻度 TBI 患者和 40 名表现出良好努力程度的中重度 TBI 患者。研究表明,损伤严重程度与 WMS-III 表现之间存在剂量反应关系。效应大小计算表明,表现出良好努力程度的轻度 TBI 患者与正常水平没有差异(平均 Cohen's d=0.07),而中重度 TBI 对 WMS-III 评分有中度影响(平均 Cohen's d=-0.52)。与先前的文献一致,中重度 TBI 组在 WMS-III 视觉指标上得分最低。努力程度对 WMS-III 评分的影响大于损伤严重程度(平均 Cohen's d=-1.27)。讨论了这些发现的临床意义。