Park Myoung-Ok, Lee Sang-Heon
Division of Health Science, Department of Occupational Therapy, Baekseok University, Cheonan-si 31065, Korea.
Department of Occupational Therapy, College of Medical Science, Soonchunhyang University, Asan-si 31538, Korea.
Healthcare (Basel). 2020 Oct 20;8(4):412. doi: 10.3390/healthcare8040412.
(1) : There are various cognitive, perceptual, and social problems associated with acquired brain injury (ABI). The Allen cognitive impairment level indicates the degree of cognitive function required for everyday activities. Until recently, there have been no studies on the relationship between basic neurological cognition and social cognitive function according to the Allen cognitive level (ACL). The aim of this study is to identify the relationship between basic neurological and social cognition among Allen cognitive disability levels of ABI. (2) : Thirty-four patients with ABI were identified. Cartoon Intention Inference Task (CIIT), Social Behavior Sequence Task (SBST), Korean version Mimi-Mental Status Examination (K-MMSE), and Lowenstein Occupational Therapy Cognitive Assessment (LOTCA)-tests were administered to examine the differences in neurological and social cognitive functions according to each participant's Allen Cognitive Level Screening (ACLS). (3) : There were significant differences between K-MMSE, LOTCA, CIIT and SBST results among Allen cognitive levels ( < 0.05). There was a linear correlation between K-MMSE ( = 0.778, < 0.01), LOTCA-total score ( = 0.627, < 0.01), LOTCA-orientation ( = 0.470, = 0.01), LOTCA-thinking operation ( = 0.341, < 0.05), CIIT ( = 0.817, < 0.05), and SBST ( = 0.376, < 0.05) and ACL. Stepwise multivariate regression showed that the subscales affecting the ACLS score were SBST ( = 0.239, = 0.000) and K-MMSE ( = 0.068, = 0.001). The explanatory power of this regression equation, R, was 0.767. (4) : A significant difference was found in neurological and social cognitive function according to the ACL level of the ABI patient. In addition, there was a linear correlation between the ACLS scores of the ABI patients and the underlying neurological cognitive function and social cognition. The higher the overall functional cognitive level (i.e., the group with higher ACLS scores), and the lower the degree of help required in daily life, the higher both the neurological cognition level and social cognitive level were determined to be.
(1):后天性脑损伤(ABI)会引发各种认知、感知和社会问题。艾伦认知障碍水平表明日常活动所需的认知功能程度。直到最近,还没有关于根据艾伦认知水平(ACL)划分的基本神经认知与社会认知功能之间关系的研究。本研究的目的是确定ABI患者在艾伦认知障碍水平下基本神经认知与社会认知之间的关系。(2):确定了34名ABI患者。进行了卡通意图推理任务(CIIT)、社会行为序列任务(SBST)、韩文版咪咪简易精神状态检查(K-MMSE)和洛温斯坦职业治疗认知评估(LOTCA)测试,以根据每位参与者的艾伦认知水平筛查(ACLS)检查神经认知和社会认知功能的差异。(3):在艾伦认知水平之间,K-MMSE、LOTCA、CIIT和SBST结果存在显著差异(<0.05)。K-MMSE(=0.778,<0.01)、LOTCA总分(=0.627,<0.01)、LOTCA定向(=0.470,=0.01)、LOTCA思维操作(=0.341,<0.05)、CIIT(=0.817,<0.05)和SBST(=0.376,<0.05)与ACL之间存在线性相关性。逐步多元回归显示,影响ACLS评分的子量表为SBST(=0.239,=0.000)和K-MMSE(=0.068,=0.001)。该回归方程的解释力R为0.767。(4):根据ABI患者的ACL水平,在神经认知和社会认知功能方面发现了显著差异。此外,ABI患者的ACLS评分与潜在的神经认知功能和社会认知之间存在线性相关性。整体功能认知水平越高(即ACLS评分较高的组),日常生活所需帮助程度越低,神经认知水平和社会认知水平就越高。