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音乐诱发后天性脑损伤后自传体记忆:来自一系列病例的初步发现。

Music evoked autobiographical memory after severe acquired brain injury: preliminary findings from a case series.

机构信息

a Hunter Brain Injury Service , Newcastle , New South Wales , Australia.

出版信息

Neuropsychol Rehabil. 2014;24(1):125-43. doi: 10.1080/09602011.2013.858642. Epub 2013 Nov 21.

Abstract

Music evoked autobiographical memories (MEAMs) have been characterised in the healthy population, but not, to date, in patients with acquired brain injury (ABI). Our aim was to investigate music compared with verbal evoked autobiographical memories. Five patients with severe ABI and matched controls completed the experimental music (MEAM) task (a written questionnaire) while listening to 50 "Number 1 Songs of the Year" (from 1960 to 2010). Patients also completed the Autobiographical Memory Interview (AMI) and a standard neuropsychological assessment. With the exception of Case 5, who reported no MEAMs and no autobiographical incidents on the AMI and who also had impaired pitch perception, the range of frequency and type of MEAMs in patients was broadly in keeping with their matched controls. The relative preservation of MEAMs in four cases was particularly noteworthy given their impaired verbal and/or visual anterograde memory, and in three cases, autobiographical memory impairment. The majority of MEAMs in both cases and matched controls were of a person/people or a period of life. In three patients music was more efficient at evoking autobiographical memories than the AMI verbal prompts. This is the first study of MEAMs after ABI. The findings suggest that music is an effective stimulus for eliciting autobiographical memories, and may be beneficial in the rehabilitation of autobiographical amnesia, but only in patients without a fundamental deficit in autobiographical recall memory and intact pitch perception.

摘要

音乐引发的自传体记忆(MEAMs)已在健康人群中得到描述,但迄今为止,在后天性脑损伤(ABI)患者中尚未得到描述。我们的目的是研究音乐与言语引发的自传体记忆的比较。五名严重 ABI 患者和匹配的对照组在听 50 首“年度金曲”(1960 年至 2010 年)的同时完成了实验音乐(MEAM)任务(书面问卷)。患者还完成了自传体记忆访谈(AMI)和标准神经心理学评估。除了 5 号病例,他没有报告 MEAMs 和 AMI 上的自传体事件,并且也存在音高感知障碍外,患者的 MEAMs 频率和类型范围与他们的匹配对照组基本一致。鉴于他们的言语和/或视觉顺行记忆受损,以及在三个病例中存在自传体记忆障碍,四个病例中 MEAMs 的相对保留尤其值得注意。在两种情况下,大多数 MEAMs 都是关于一个人/一群人或一个生活阶段。在三名患者中,音乐比 AMI 言语提示更有效地引发自传体记忆。这是 ABI 后 MEAMs 的第一项研究。研究结果表明,音乐是引发自传体记忆的有效刺激,可能有益于自传体遗忘症的康复,但前提是患者没有基本的自传体回忆记忆缺陷,并且音高感知完好。

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