Cognitive Neuroscience Laboratory, Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas 77030, USA.
J Head Trauma Rehabil. 2011 May-Jun;26(3):192-201. doi: 10.1097/HTR.0b013e318218dd22.
OBJECTIVE: To assess postinjury changes in learning, memory, and metamemory abilities following childhood traumatic brain injury. DESIGN: Prospective, longitudinal with 5 assessments made from baseline to 24 months postinjury. PARTICIPANTS: A total of 167 children (aged 5-15 years) with traumatic brain injury (TBI; 64 severe, 55 moderate, and 48 mild). METHODS: Children completed a judgment of learning task with 4 recall trials and made 3 metamemory judgments. RESULTS: Relative to those with mild TBI, children with moderate or severe TBI performed worse at earlier times postinjury and had a greater change in performance over time. Performance for moderate and severe groups peaked at 12 months and the performance gap between them and mild TBI group increased slightly from 12 to 24 months. Traumatic brain injury severity did not affect initial study-recall trial performance, but groups did diverge in performance with repeated study. Greater TBI severity was associated with poorer performance on prospective metamemory judgments, but not retrospective judgments. CONCLUSIONS: Traumatic brain injury severity affected prospective judgments of memory performance and learning strategies, but did not appear to affect either word retention or the forgetting of words over a delay. Implications for rehabilitation are discussed.
目的:评估儿童创伤性脑损伤后学习、记忆和元记忆能力的损伤后变化。 设计:前瞻性、纵向研究,从基线到损伤后 24 个月进行 5 次评估。 参与者:共 167 名创伤性脑损伤(TBI)儿童(年龄 5-15 岁;64 例严重,55 例中度,48 例轻度)。 方法:儿童完成了一个学习判断任务,有 4 次回忆试验,并进行了 3 次元记忆判断。 结果:与轻度 TBI 儿童相比,中重度 TBI 儿童在损伤后早期表现更差,且随着时间的推移,表现变化更大。中重度组的表现峰值出现在 12 个月,他们与轻度 TBI 组之间的表现差距从 12 个月到 24 个月略有增加。TBI 严重程度不影响初始学习-回忆试验的表现,但在重复学习时,各组的表现确实存在差异。TBI 严重程度越高,前瞻性记忆表现和学习策略的判断越差,但对预期的元记忆判断没有影响。 结论:TBI 严重程度影响前瞻性记忆表现和学习策略的判断,但似乎不影响延迟后的单词保留或遗忘。讨论了康复的意义。
J Head Trauma Rehabil. 2011
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