Cockburn J, Wilson B, Baddeley A, Hiorns R
Rivermead Rehabilitation Centre, Oxford, UK.
Br J Clin Psychol. 1990 Nov;29(4):353-60. doi: 10.1111/j.2044-8260.1990.tb00897.x.
An assessment of the current memory status of patients referred for speech therapy is rarely provided, but may be useful in indicating whether there is memory loss in addition to language deficits. Failure to progress during treatment could be due to failure to remember the content of the previous sessions. Most existing memory tests are unsuitable for assessing subjects with dysphasia. For that reason we sought to modify the Rivermead Behavioural Memory Test (RBMT: Wilson, Cockburn & Baddeley, 1985), which was developed to measure the existence and extent of everyday memory problems and which contains both verbally and non-verbally mediated items. The study described here, based on a sample of 176 brain-injured patients, showed that a mild to moderate language deficit did impair performance on the RBMT. The influence was found to be limited to a subset of verbal memory items. A shortened version of the test was developed and shown to be sensitive to memory deficits and insensitive to the effects of dysphasia. Revised norms for this version of the test are provided. These should enable an estimate to be made of the presence and magnitude of memory deficits in dysphasic patients, allowing treatment to be optimized.
很少有人对转介接受言语治疗的患者当前的记忆状况进行评估,但这可能有助于表明除语言缺陷外是否存在记忆丧失。治疗期间没有进展可能是由于记不住上一次治疗的内容。大多数现有的记忆测试都不适合评估言语困难的受试者。因此,我们试图修改里弗米德行为记忆测试(RBMT:威尔逊、科伯恩和巴德利,1985年),该测试旨在测量日常记忆问题的存在和程度,包含言语和非言语介导的项目。这里描述的这项基于176名脑损伤患者样本的研究表明,轻度至中度的语言缺陷确实会影响RBMT的表现。发现这种影响仅限于言语记忆项目的一个子集。开发了该测试的一个简短版本,结果表明它对记忆缺陷敏感,对言语困难的影响不敏感。提供了该版本测试的修订常模。这些应能对言语困难患者记忆缺陷的存在和严重程度进行评估,从而优化治疗。