Avramović Petra, Kenny Belinda, Power Emma, McDonald Skye, Tate Robyn, Hunt Louise, MacDonald Sheila, Heard Rob, Togher Leanne
a Discipline of Speech Pathology , The University of Sydney , Sydney , Australia.
b NHMRC Centre of Research Excellence in Brain Recovery , Sydney , Australia.
Brain Inj. 2017;31(4):502-516. doi: 10.1080/02699052.2017.1280854. Epub 2017 Mar 24.
OBJECTIVE(S): This study aims to determine the association between cognitive impairment and functional verbal reasoning in adults with severe traumatic brain injury (TBI), at six months post-injury.
METHOD(S): 38 participants with severe TBI were assessed using the four tasks on the Functional Assessment of Verbal Reasoning and Executive Strategies (FAVRES) [1] and a battery of neuropsychological tests at 6 months post injury in a cross-sectional observational study.
Overall performance on the FAVRES [1] was strongly associated with overall performance on the neuropsychological battery (rho = 0.60). FAVRES Task 2 and FAVRES Task 4 had the most significant positive associations with the cognitive indices of Attention and speed of processing, Memory and Executive functions. There was one weak significant association between the Task 1 Accuracy score and the Total Cognitive index (rho = 0.46).
Performance on the FAVRES [1] is positively associated with cognitive processes. Participants with stronger verbal reasoning skills which may be required for activities in work, home and social contexts also had higher scores on tests of cognitive functioning. These findings may inform clinical practices for speech pathologists and other health professionals, in the assessment and treatment of cognitive communication disorders during early stages of recovery in people with severe TBI.
本研究旨在确定重度创伤性脑损伤（TBI）成人患者伤后6个月时认知障碍与功能性言语推理之间的关联。
在一项横断面观察性研究中，对38名重度TBI患者在伤后6个月时使用言语推理和执行策略功能评估（FAVRES）的四项任务[1]以及一系列神经心理学测试进行评估。
FAVRES[1]的总体表现与神经心理学测试组合的总体表现密切相关（rho = 0.60）。FAVRES任务2和任务4与注意力、处理速度、记忆和执行功能的认知指标具有最显著的正相关。任务1准确性得分与总认知指数之间存在一个较弱的显著关联（rho = 0.46）。
FAVRES[1]的表现与认知过程呈正相关。在工作、家庭和社交环境活动中可能需要较强言语推理技能的参与者在认知功能测试中得分也更高。这些发现可能为言语病理学家和其他健康专业人员在重度TBI患者恢复早期阶段评估和治疗认知交流障碍的临床实践提供参考。
