Cristofori Irene, Cohen-Zimerman Shira, Grafman Jordan
Institute of Cognitive Sciences Marc Jeannerod, Lyon, France; Department of Human Biology, University of Lyon 1 Claude Bernard, Lyon, France.
Cognitive Neuroscience Laboratory, Brain Injury Research, Shirley Ryan AbilityLab, Chicago, IL, United States.
Handb Clin Neurol. 2019;163:197-219. doi: 10.1016/B978-0-12-804281-6.00011-2.
Executive functions (EFs) include high-order cognitive abilities such as working memory, inhibitory control, cognitive flexibility, planning, reasoning, and problem solving. EFs enable humans to achieve goals, adapt to novel everyday life situations, and manage social interactions. Traditionally EFs have been associated with frontal lobe functioning. More recent evidence shows that posterior and subcortical regions also play a crucial role in EF processing, especially in the integration of sensory information and emotion. This chapter reviews the variety of EFs and their neural underpinning, based on lesion mapping and neuroimaging studies, as well as the evidence for rehabilitation interventions, neuropsychological assessment based on standard and ecologically valid tests, development, and genetic predisposition for recovery of executive functions after brain injury. Taken together, the EFs are critical for unique human abilities and more careful analyses of their subcomponents may help the development of targeted translational interventions to improve them.
执行功能(EFs)包括诸如工作记忆、抑制控制、认知灵活性、计划、推理和问题解决等高级认知能力。执行功能使人类能够实现目标、适应新颖的日常生活情境并管理社交互动。传统上,执行功能一直与额叶功能相关联。最近的证据表明,后部和皮质下区域在执行功能处理中也起着关键作用,尤其是在感觉信息和情感的整合方面。本章基于病变映射和神经影像学研究,回顾了各种执行功能及其神经基础,以及康复干预的证据、基于标准和生态有效测试的神经心理学评估、执行功能在脑损伤后恢复的发展和遗传易感性。综上所述,执行功能对于人类独特的能力至关重要,对其亚成分进行更细致的分析可能有助于开发有针对性的转化干预措施来改善这些功能。