Murphy Lesley
a Department for Neuro and Clinical Health Psychology , St George's University Hospital Foundation Trust , London , UK.
Neuropsychol Rehabil. 2018 Dec;28(8):1275-1284. doi: 10.1080/09602011.2018.1454327. Epub 2018 Apr 2.
Instruments for assessing people with disorders of consciousness have been developed over the last 15 years, but there remains a dearth of suitable assessment paradigms for those who have emerged from disorders of consciousness. This paper presents a pilot study for the development of the Cognitive Assessment by Visual Election (CAVE), a short assessment designed to investigate a number of cognitive domains in very severely brain injured patients who are in or have emerged from minimally conscious states (EMCS). Reliability and validity data are presented. The challenge of determining neuropsychological profiles of EMCS patients is discussed, current published assessments are briefly reviewed and suggestions for a wider assessment framework are made.
在过去15年里,已经开发出了用于评估意识障碍患者的工具,但对于那些已从意识障碍中恢复的患者,仍然缺乏合适的评估范式。本文介绍了一项关于视觉选择认知评估(CAVE)开发的初步研究,这是一项简短的评估,旨在调查处于或已从最低意识状态(EMCS)恢复的极重度脑损伤患者的多个认知领域。文中呈现了可靠性和有效性数据。讨论了确定EMCS患者神经心理学概况的挑战,简要回顾了当前已发表的评估,并提出了关于更广泛评估框架的建议。