Lengenfelder Jeannie, Arjunan Aparna, Chiaravalloti Nancy, Smith Angela, DeLuca John
a Kessler Foundation Research Center , West Orange.
Appl Neuropsychol Adult. 2015;22(1):7-15. doi: 10.1080/23279095.2013.816703. Epub 2013 Nov 9.
This study examined the relationship between individual and family ratings on a measure of frontal behaviors using the Frontal Systems Behavior Scale (FrSBe). Additionally, this study investigated whether self-reported symptoms of frontal-lobe dysfunction correspond to neuropsychological performance, particularly those tests measuring executive functions. Thirty-three individuals with moderate-to-severe traumatic brain injury (TBI) and 19 healthy individuals completed the FrSBe and neuropsychological measures. Results indicated that the self-ratings of individuals' apathy, disinhibition, and executive dysfunction significantly increased from before to after injury, as did the family members' ratings, with no significant difference between the patients' and family members' reports for any of the three FrSBe subscales. Although individuals with TBI demonstrated impairments in neuropsychological measures, including measures of executive functioning, few significant correlations were found between the patients' FrSBe ratings and measures of cognitive functioning. This suggests that information from the FrSBe may differ from information gathered during a cognitive evaluation and may enhance our understanding of the behavioral sequelae following TBI that may not be captured by neuropsychological assessment alone.
本研究使用额叶系统行为量表（FrSBe），考察了个体及家庭对额叶行为测量的评分之间的关系。此外，本研究还调查了自我报告的额叶功能障碍症状是否与神经心理学表现相对应，尤其是那些测量执行功能的测试。33名中重度创伤性脑损伤（TBI）患者和19名健康个体完成了FrSBe和神经心理学测量。结果表明，个体的冷漠、去抑制和执行功能障碍的自我评分从受伤前到受伤后显著增加，家庭成员的评分也是如此，在FrSBe三个分量表中的任何一个上，患者和家庭成员的报告之间均无显著差异。尽管TBI患者在神经心理学测量中表现出损伤，包括执行功能测量，但在患者的FrSBe评分与认知功能测量之间几乎没有发现显著相关性。这表明，FrSBe提供的信息可能与认知评估期间收集的信息不同，并且可能增进我们对TBI后行为后遗症的理解，而这些后遗症可能无法仅通过神经心理学评估来捕捉。
