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中风后最常见的记忆抱怨有哪些?来自日常生活记忆问卷修订版的项目的频率和探索性因素分析。

What are the most common memory complaints following stroke? A frequency and exploratory factor analysis of items from the Everyday Memory Questionnaire-Revised.

机构信息

Turner Institute for Brain and Mental Health, Monash University, Clayton, Victoria, Australia.

Monash-Epworth Rehabilitation Research Centre, Richmond, Victoria, Australia.

出版信息

Clin Neuropsychol. 2020 Apr;34(3):498-511. doi: 10.1080/13854046.2019.1652349. Epub 2019 Sep 5.

Abstract

Memory problems are commonly reported following stroke; however, the specific nature and frequency of memory complaints experienced by stroke survivors has not been sufficiently investigated. We aimed to investigate the factor structure of the Everyday Memory Questionnaire-Revised (EMQ-R) in stroke survivors with memory complaints, and identify the most commonly endorsed items. A total of 91 stroke survivors completed the EMQ-R prior to participation in a memory rehabilitation trial. A principal components analysis was carried out on the EMQ-R data and reliability analyses were conducted on the resulting subscales. We described the average frequency of occurrence of specific memory complaints in one month, as reported by stroke survivors. The factor analysis yielded a two-component solution which accounted for 60.12% of the variance, suggesting that two subscales termed and would be most appropriate for clinical use with stroke survivors. These subscales demonstrated strong internal reliability. A total of 87.9% of the participants reported having word-finding difficulties more than once monthly. Of all EMQ-R items, participants rated word-finding problems as occurring at the highest frequency (once or more daily). Stroke survivors' everyday memory complaints fall into two distinct categories relating to memory and attentional processes. Calculating scores on the two EMQ-R subscales separately may assist clinicians to understand the nature of memory complaints reported by stroke survivors who participate in memory rehabilitation programs, and may enable more targeted outcome measurement in research trials.

摘要

记忆问题在中风后很常见;然而,中风幸存者经历的记忆问题的具体性质和频率尚未得到充分研究。我们旨在研究有记忆抱怨的中风幸存者中修订后的日常记忆问卷(EMQ-R)的因子结构,并确定最常被认可的项目。共有 91 名中风幸存者在参加记忆康复试验之前完成了 EMQ-R。对 EMQ-R 数据进行主成分分析,并对得出的子量表进行可靠性分析。我们描述了中风幸存者报告的一个月内特定记忆抱怨的平均发生频率。因子分析得出了一个由两个分量组成的解决方案,占总方差的 60.12%,这表明两个子量表 和 将最适合用于中风幸存者的临床使用。这些子量表表现出很强的内部可靠性。共有 87.9%的参与者报告每月出现词搜索困难超过一次。在所有 EMQ-R 项目中,参与者将词搜索问题评定为发生频率最高(每天一次或多次)。中风幸存者的日常记忆抱怨分为与记忆和注意力过程相关的两个不同类别。分别计算两个 EMQ-R 子量表的分数可以帮助临床医生了解参与记忆康复计划的中风幸存者报告的记忆抱怨的性质,并可能使研究试验中的更有针对性的结果测量成为可能。

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