Hendry Kathryn, Ownsworth Tamara, Beadle Elizabeth, Chevignard Mathilde P, Fleming Jennifer, Griffin Janelle, Shum David H K
School of Applied Psychology and Menzies Health Institute Queensland, Griffith University Brisbane, QLD, Australia.
Rehabilitation Department for Children with Acquired Neurological Injury, Centre National de la Recherche Scientifique, Institut National de la Santé et de la Recherche Médicale, Saint Maurice Hospitals, Saint Maurice, Sorbonne Universités, UPMC Université Paris 06, LIB, F-7013 ParisFrance; Groupe de Recherche Clinique Handicap Cognitif et Réadaptation-UPMC Paris 6France.
Front Behav Neurosci. 2016 Oct 14;10:190. doi: 10.3389/fnbeh.2016.00190. eCollection 2016.
People with severe traumatic brain injury (TBI) often make errors on everyday tasks that compromise their safety and independence. Such errors potentially arise from the breakdown or failure of multiple cognitive processes. This study aimed to investigate cognitive deficits underlying error behavior on a home-based version of the Cooking Task (HBCT) following TBI. Participants included 45 adults (9 females, 36 males) with severe TBI aged 18-64 years ( = 37.91, = 13.43). Participants were administered the HBCT in their home kitchens, with audiovisual recordings taken to enable scoring of total errors and error subtypes (Omissions, Additions, Estimations, Substitutions, Commentary/Questions, Dangerous Behavior, Goal Achievement). Participants also completed a battery of neuropsychological tests, including the Trail Making Test, Hopkins Verbal Learning Test-Revised, Digit Span, Zoo Map test, Modified Stroop Test, and Hayling Sentence Completion Test. After controlling for cooking experience, greater Omissions and Estimation errors, lack of goal achievement, and longer completion time were significantly associated with poorer attention, memory, and executive functioning. These findings indicate that errors on naturalistic tasks arise from deficits in multiple cognitive domains. Assessment of error behavior in a real life setting provides insight into individuals' functional abilities which can guide rehabilitation planning and lifestyle support.
重度创伤性脑损伤（TBI）患者在日常任务中常犯错误，这会危及他们的安全和独立性。此类错误可能源于多种认知过程的崩溃或故障。本研究旨在调查TBI后基于家庭版烹饪任务（HBCT）的错误行为背后的认知缺陷。参与者包括45名年龄在18 - 64岁（平均年龄 = 37.91，标准差 = 13.43）的重度TBI成年患者（9名女性，36名男性）。参与者在自家厨房进行HBCT测试，并进行视听记录，以便对总错误和错误亚型（遗漏、添加、估计、替换、评论/问题、危险行为、目标达成）进行评分。参与者还完成了一系列神经心理学测试，包括连线测验、修订版霍普金斯言语学习测验、数字广度测验、动物园地图测验、改良斯特鲁普测验和海林句子完成测验。在控制烹饪经验后，更多的遗漏和估计错误、目标未达成以及更长的完成时间与较差的注意力、记忆力和执行功能显著相关。这些发现表明，自然任务中的错误源于多个认知领域的缺陷。在现实生活环境中评估错误行为有助于深入了解个体的功能能力，从而为康复计划和生活方式支持提供指导。
