a Neuroscience Program , Trinity College , Hartford , CT , USA.
b Department of Psychology , Trinity College , Hartford , CT , USA.
Clin Neuropsychol. 2018 Jul;32(5):891-921. doi: 10.1080/13854046.2018.1455898. Epub 2018 Apr 2.
Prospective memory (PM) deficits have emerged as an important predictor of difficulty in daily life for individuals with acquired brain injury (BI). This review examines the variables that have been found to influence PM performance in this population. In addition, current methods of assessment are reviewed with a focus on clinical measures. Finally, cognitive rehabilitation therapies are reviewed, including compensatory, restorative and metacognitive approaches.
Preferred reporting items for systematic reviews and meta-analyses guidelines were used to identify studies. Studies were added that were identified from the reference lists of these.
Research has begun to elucidate the contributing variables to PM deficits after BI, such as attention, executive function and retrospective memory components. Imaging studies have identified prefrontal deficits, especially in the region of BA10 as contributing to these deficits. There are now several clinical measures available with good psychometric properties. Rehabilitation techniques have mostly focused on compensatory strategies, but, in addition, some restorative and metacognitive approaches have shown preliminary promise.
PM deficits are a common and important deficit after BI. Clinical evaluation is recommended and further understanding of rehabilitation techniques is needed.
前瞻性记忆(PM)缺陷已成为获得性脑损伤(BI)个体日常生活困难的重要预测因素。本综述考察了影响该人群 PM 表现的变量。此外,还回顾了当前的评估方法,重点关注临床措施。最后,回顾了认知康复疗法,包括补偿、恢复和元认知方法。
使用系统评价和荟萃分析的首选报告项目来确定研究。从这些的参考文献中添加了已识别的研究。
研究已经开始阐明 BI 后 PM 缺陷的促成因素,例如注意力、执行功能和回溯记忆成分。影像学研究已经确定了前额叶缺陷,特别是 BA10 区域的缺陷,这是导致这些缺陷的原因。现在有几种具有良好心理测量特性的临床措施可用。康复技术主要集中在补偿策略上,但除此之外,一些恢复和元认知方法也显示出初步的希望。
PM 缺陷是 BI 后的常见且重要缺陷。建议进行临床评估,并需要进一步了解康复技术。